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Extras-onlyClosed

GMHBA Basic Extras 55% Benefits

A Extras-only product from GMHBA. 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

This product is closed: it no longer accepts new members, but existing members can keep using it.

Services covered (6)

ServiceWaiting periodMax benefit per visitAnnual limit
General dental2 months
  • Periodic exam (012): 55% of the fee
  • Scale and clean (114): 55% of the fee
  • Fluoride (121): 55% of the fee
$1,000 a year
Glasses and contact lenses6 months
  • Single vision lenses and frames: 55% of the fee
  • Multifocal lenses and frames: 55% of the fee
$150 a year
Non-PBS prescription medicines2 months
  • Per prescription: 55% of the fee
$150 a yearShared with Vaccinations
Physiotherapy2 months
  • Initial visit: 55% of the fee
  • Subsequent visit: 55% of the fee
$300 a year
Occupational therapy2 months
  • Initial visit: 55% of the fee
  • Subsequent visit: 55% of the fee
$300 a year
Vaccinations2 months
  • Per vaccination: 55% of the fee
$150 a yearShared with Non-PBS prescription medicines

Not covered: Major dental, Root canal (endodontics), Orthodontics (braces), Orthoptics, Hearing aids, Audiology (hearing tests), Chiropractic, Osteopathy, Exercise physiology, Podiatry, Orthotics, Acupuncture, Chinese herbal medicine, Remedial massage, Psychology, Dietetics, Speech therapy, Blood glucose monitors, Antenatal and postnatal care, Health management programs, Home nursing

Annual limits

Services in the same group share one limit.

  • General dental

    $1,000 a year

    Also includes other services not listed

  • Glasses and contact lenses

    $150 a year

  • Non-PBS prescription medicines, Vaccinations

    $150 a year

  • Physiotherapy

    $300 a year

    Also includes other services not listed

  • Occupational therapy

    $300 a year

Insurer's notes (original English)

Product features

An annual sub-limit up to $300 per person per calendar year applies for preventative dental. Rates discounted for premiums paid by direct debit.

Special features

Non PBS Pharmaceuticals must be a private Schedule 4 or Schedule 8 and dispensed via a provider in private practice.

Frequently asked questions

How much does GMHBA Basic Extras 55% Benefits pay for a scale and clean?
According to government data, GMHBA Basic Extras 55% Benefits pays 55% of the fee for a scale and clean (114), with a 2 months general dental waiting period. General dental annual limit: $1,000 a year.
What are the waiting periods for GMHBA Basic Extras 55% Benefits?
General dental 2 months, Glasses and contact lenses 6 months, Non-PBS prescription medicines 2 months, Physiotherapy 2 months, Occupational therapy 2 months, Vaccinations 2 months.
Can GMHBA Basic Extras 55% Benefits be bought on its own?
Yes. This product doesn't need to be held with hospital cover.

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