Hospital + ExtrasOn sale

Silver Plus Prime $500 Excess

A Hospital + Extras product from Bupa. Below is the cover registered in the government data: waiting period, benefit per visit and annual limit for each service.

Government data date: 1 October 2026

Services covered (21)

Service	Waiting period	Max benefit per visit	Annual limit
General dental	2 months	NSW / ACT Periodic exam (012): $27.50 Scale and clean (114): $55.05 Fluoride (121): $21 Extraction (322): $80 VIC Periodic exam (012): $25.85 Scale and clean (114): $51.25 Fluoride (121): $18.50 Extraction (322): $74.70 QLD Periodic exam (012): $29.15 Scale and clean (114): $58.30 Fluoride (121): $21 Extraction (322): $84.80 WA Periodic exam (012): $31.90 Scale and clean (114): $61.05 Fluoride (121): $22 Extraction (322): $88.60 SA Periodic exam (012): $24.20 Scale and clean (114): $50.70 Fluoride (121): $15 Extraction (322): $74.70 TAS Periodic exam (012): $24.75 Scale and clean (114): $41.40 Fluoride (121): $20 Extraction (322): $65 NT Periodic exam (012): $26.40 Scale and clean (114): $56.15 Fluoride (121): $15 Extraction (322): $82.10	No annual limit
Major dental	12 months	NSW / ACT Full crown, veneered (615): $820 VIC Full crown, veneered (615): $588.30 QLD Full crown, veneered (615): $870 WA Full crown, veneered (615): $910 SA Full crown, veneered (615): $551.60 TAS Full crown, veneered (615): $615 NT Full crown, veneered (615): $790	$1,000 a yearShared with Root canal (endodontics)
Root canal (endodontics)	12 months	NSW / ACT Root canal obturation (417): $145 VIC Root canal obturation (417): $101.10 QLD Root canal obturation (417): $155 WA Root canal obturation (417): $160 SA Root canal obturation (417): $100.40 TAS Root canal obturation (417): $110 NT Root canal obturation (417): $150	$1,000 a yearShared with Major dental
Glasses and contact lenses	2 months	Single vision lenses and frames: $178.50 Multifocal lenses and frames: $180	$180 a year
Non-PBS prescription medicines	2 months	Per prescription: $40	$350 a year
Physiotherapy	2 months	NSW / ACT Initial visit: $42.20 Subsequent visit: $35.20 VIC, SA Initial visit: $38.85 Subsequent visit: $30.80 QLD Initial visit: $41.65 Subsequent visit: $33 WA Initial visit: $44.95 Subsequent visit: $35.75 TAS Initial visit: $29.95 Subsequent visit: $22.55 NT Initial visit: $39.95 Subsequent visit: $32.45	$500 a yearShared with Occupational therapy
Chiropractic	2 months	NSW / ACT Initial visit: $33.90 Subsequent visit: $23.30 VIC Initial visit: $32.90 Subsequent visit: $21.40 QLD Initial visit: $22.50 Subsequent visit: $16.50 WA Initial visit: $31 Subsequent visit: $25 SA Initial visit: $34.10 Subsequent visit: $21.40 TAS Initial visit: $24 Subsequent visit: $18 NT Initial visit: $24.80 Subsequent visit: $17.70	$350 a yearShared with Osteopathy
Podiatry	2 months	NSW / ACT Initial visit: $33 Subsequent visit: $27 VIC Initial visit: $35 Subsequent visit: $28 QLD Initial visit: $34 Subsequent visit: $28 WA Initial visit: $36 Subsequent visit: $28 SA, NT Initial visit: $35 Subsequent visit: $30 TAS Initial visit: $33 Subsequent visit: $30	$400 a year
Psychology	2 months	NSW / ACT Initial visit: $82.50 Subsequent visit: $73.50 VIC Initial visit: $80.50 Subsequent visit: $75 QLD Initial visit: $77 Subsequent visit: $69.50 WA Initial visit: $115.50 Subsequent visit: $83.50 SA Initial visit: $92.50 Subsequent visit: $86 TAS Initial visit: $77 Subsequent visit: $71.50 NT Initial visit: $89 Subsequent visit: $73.50	$200 a year
Acupuncture	2 months	NSW / ACT, VIC, QLD, SA, TAS, NT Initial visit: $30 Subsequent visit: $22 WA Initial visit: $30 Subsequent visit: $25	$300 a yearShared with Remedial massage, Chinese herbal medicine, Dietetics, Exercise physiology
Remedial massage	2 months	Initial visit: $36.50 Subsequent visit: $27.50	$300 a yearShared with Acupuncture, Chinese herbal medicine, Dietetics, Exercise physiology
Hearing aids	12 months	Per hearing aid: 70% of the fee	$800 a yearShared with Blood glucose monitors, Orthotics
Blood glucose monitors	12 months	Blood glucose monitor: 70% of the fee	$800 a yearShared with Hearing aids, Orthotics
Chinese herbal medicine	2 months	Initial visit: $24 Subsequent visit: $18	$300 a yearShared with Acupuncture, Remedial massage, Dietetics, Exercise physiology
Dietetics	2 months	Initial visit: $46 Subsequent visit: $23	$300 a yearShared with Acupuncture, Remedial massage, Chinese herbal medicine, Exercise physiology
Exercise physiology	2 months	Initial visit: $24 Subsequent visit: $18	$300 a yearShared with Acupuncture, Remedial massage, Chinese herbal medicine, Dietetics
Health management programs	6 months	Health management program: 50% of the fee	$100 a year
Home nursing	2 months	Initial visit: $35 Subsequent visit: $35	$200 a year
Occupational therapy	2 months	NSW / ACT, WA Initial visit: $61 Subsequent visit: $47.50 VIC, TAS Initial visit: $49.50 Subsequent visit: $35.50 QLD Initial visit: $56 Subsequent visit: $42.50 SA, NT Initial visit: $81.50 Subsequent visit: $54.50	$500 a yearShared with Physiotherapy
Orthotics	12 months	Per pair of orthotics: 70% of the fee	$800 a yearShared with Hearing aids, Blood glucose monitors
Osteopathy	2 months	NSW / ACT Initial visit: $41.50 Subsequent visit: $28.50 VIC Initial visit: $40.50 Subsequent visit: $26.50 QLD Initial visit: $27.50 Subsequent visit: $20.50 WA Initial visit: $38 Subsequent visit: $31 SA Initial visit: $42 Subsequent visit: $26.50 TAS Initial visit: $29.50 Subsequent visit: $22 NT Initial visit: $30.50 Subsequent visit: $22	$350 a yearShared with Chiropractic

Not covered: Orthodontics (braces), Orthoptics, Audiology (hearing tests), Speech therapy, Vaccinations, Antenatal and postnatal care

Annual limits

Services in the same group share one limit.

General dental
No annual limit
Major dental, Root canal (endodontics)
$1,000 a year
Glasses and contact lenses
$180 a year
Non-PBS prescription medicines
$350 a year
Physiotherapy, Occupational therapy
$500 a year
Chiropractic, Osteopathy
$350 a year
Podiatry
$400 a year
Psychology
$200 a year
Acupuncture, Remedial massage, Chinese herbal medicine, Dietetics, Exercise physiology
$300 a year
Hearing aids, Blood glucose monitors, Orthotics
$800 a year, $500 per service, 1 per 3 years
Also includes other services not listed
Health management programs
$100 a year
Home nursing
$200 a year

Insurer's notes (original English)

Product features

Enjoy a Top-up Bonus of $50-$100 every year to help pay out-of-pocket extras expenses payable on your cover.

Other services

Includes access to Blua Online Doctor Appointments. We pay 100% of the cost for eligible consults only, up to a yearly limit of 3 services per person. Benefits are not payable for services listed on the Medicare Benefits Schedule (MBS). 2-months waiting period, eligibility criteria, terms and conditions apply. Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits apply for Digital Mental Health. Blood glucose monitors, hearing aids, and other health aids, are payable under the Health Appliances category up to $800 per year. Sub-limits and restrictions apply.

Special features

Home nursing covers selected services. Dietary covers consultations only. Step down benefits apply after first 10 total services across Chiropractic and Osteopathy. Dentures payable once every 3 years. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121 payable once every 6 months. Pharmacy benefit paid after current PBS patient contribution deducted. Two fully custom-made orthoses (one pair) are payable once per person per calendar year. Blood Glucose monitors are payable once per year. Hearing Aids are payable once every 3 years.

Frequently asked questions

How much does Silver Plus Prime $500 Excess pay for a scale and clean?

According to government data, Silver Plus Prime $500 Excess pays up to $55.05 per scale and clean (114), with a 2 months general dental waiting period. General dental annual limit: No annual limit.

What are the waiting periods for Silver Plus Prime $500 Excess?

General dental 2 months, Major dental 12 months, Root canal (endodontics) 12 months, Glasses and contact lenses 2 months, Non-PBS prescription medicines 2 months, Physiotherapy 2 months, Chiropractic 2 months, Podiatry 2 months, Psychology 2 months, Acupuncture 2 months, Remedial massage 2 months, Hearing aids 12 months, Blood glucose monitors 12 months, Chinese herbal medicine 2 months, Dietetics 2 months, Exercise physiology 2 months, Health management programs 6 months, Home nursing 2 months, Occupational therapy 2 months, Orthotics 12 months, Osteopathy 2 months.

Can Silver Plus Prime $500 Excess be bought on its own?

This product combines hospital and Extras in one policy, with Silver Plus hospital cover.

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