Non-PBS prescription medicines cover in Extras
662 products on sale cover Non-PBS prescription medicines (76% of all products on sale). Below are waiting periods, benefits per visit and annual limits by insurer.
Government data date: 1 October 2026
- Products on sale covering Non-PBS prescription medicines
- 662
- Most common waiting period
- 2 months
- Per prescription: median benefit
- $35
- Median annual limit
- $300
Non-PBS prescription medicines cover by insurer
The government publishes benefits for "Per prescription" as the representative item for Non-PBS prescription medicines. What you actually get back also depends on the provider's fee and your remaining limit.
| Insurer | Products on sale covering it | Waiting period | Per prescription: benefit | Annual limit |
|---|---|---|---|---|
| ahm | 11 of 23 | 0–2 months | $40–$60 / 60%–70% | $100–$800 |
| AIA Health | 29 of 103 | 2 months | $40 | $100–$1,200 |
| Australian Unity | 7 of 13 | 2 months | $40–$50 / 50%–60% | $300–$500 |
| Bupa | 25 of 32 | 2 months | $40–$75 / 50%–100% | $75–$1,500 |
| GMHBA | 4 of 23 | 2 months | $24–$50 / 65% | $250–$400 |
| HBF | 5 of 8 | 2 months | $40 / 70%–100% | $200–$1,000 |
| HCF | 5 of 13 | 2 months | $50 | $180–$1,200 |
| HCi | 9 of 18 | 2 months | $75–$100 | $700–$1,000 |
| Health Partners | 255 of 255 | 2 months | $0 / 0% | $100–$600 |
| HIF | 11 of 13 | 2 months | $60–$80 / 60% | $200–$400 |
| Hunter Health Insurance | 44 of 44 | 2 months | $21–$70 | $400–$700 |
| Latrobe Health Services | 6 of 7 | 2 months | $25–$50 / 60% | $250–$340 |
| Medibank | 19 of 22 | 2 months | $21–$51 | $200–$1,000 |
| Mildura Health Fund | 5 of 6 | 2 months | $15–$45 | $100–$300 |
| nib | 36 of 56 | 2 months | 50%–75% | $100–$500 |
| onemedifund | 1 of 1 | 2 months | $65 | $500 |
| Peoplecare | 46 of 68 | 2 months | $50–$80 | $200–$500 |
| Phoenix Health Fund | 34 of 45 | 2 months | 50%–60% | $200–$250 |
| Queensland Country Health Fund | 50 of 50 | 2 months | $45–$70 | $150–$500 |
| RT Health | 39 of 39 | 2 months | $35–$70 | $300–$600 |
| see-u by HBF | 0 of 4 | — | — | — |
| St Lukes Health | 15 of 17 | 2 months | $70–$90 / 50%–60% | $200–$600 |
| Westfund | 6 of 9 | 2 months | $50–$75 | $400–$600 |
Many products share the Non-PBS prescription medicines limit with other services, so claiming one leaves less for the others. Check each product page for details.
Already have Extras? Make the most of your limits
Tell us your insurer and product name. We'll help you see what you can claim and find providers who speak your language and offer on-the-spot HICAPS claims.
Frequently asked questions
How long is the waiting period for Non-PBS prescription medicines?
The most common is 2 months among products on sale (range across all products: 0–2 months).
How much does Extras pay for Non-PBS prescription medicines?
For "Per prescription", products on sale pay up to $0–$100 per visit, with a median of $35.
Which insurers cover Non-PBS prescription medicines?
662 products on sale from 22 insurers cover Non-PBS prescription medicines: ahm, AIA Health, Australian Unity, Bupa, GMHBA, HBF, HCF, HCi, Health Partners, HIF, Hunter Health Insurance, Latrobe Health Services, Medibank, Mildura Health Fund, nib, onemedifund, Peoplecare, Phoenix Health Fund, Queensland Country Health Fund, RT Health, St Lukes Health, Westfund.