Extras-onlyOn sale

GMHBA Mid Extras 65% 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

Services covered (22)

Service	Waiting period	Max benefit per visit	Annual limit
General dental	2 months	Periodic exam (012): 65% of the fee Scale and clean (114): 65% of the fee Fluoride (121): 65% of the fee	$1,500 a yearShared with Major dental, Root canal (endodontics), Orthodontics (braces)
Major dental	12 months	Extraction (322): 65% of the fee Full crown, veneered (615): 65% of the fee	$1,500 a yearShared with General dental, Root canal (endodontics), Orthodontics (braces)
Root canal (endodontics)	12 months	Root canal obturation (417): 65% of the fee	$1,500 a yearShared with General dental, Major dental, Orthodontics (braces)
Orthodontics (braces)	12 months	Upper and lower braces plus retainer (881): 65% of the fee	$1,500 a yearShared with General dental, Major dental, Root canal (endodontics)
Glasses and contact lenses	6 months	Single vision lenses and frames: 65% of the fee Multifocal lenses and frames: 65% of the fee	$200 a year
Non-PBS prescription medicines	2 months	Per prescription: 65% of the fee	$250 a yearShared with Vaccinations
Physiotherapy	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$400 a year
Chiropractic	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$300 a yearShared with Osteopathy
Podiatry	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$250 a year
Psychology	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$350 a year
Acupuncture	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$300 a yearShared with Remedial massage
Remedial massage	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$300 a yearShared with Acupuncture
Hearing aids	12 months	Per hearing aid: 65% of the fee	$1,200 a year
Blood glucose monitors	12 months	Blood glucose monitor: 65% of the fee	$150 a year
Audiology (hearing tests)	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$400 a year
Dietetics	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$400 a year
Orthoptics	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$400 a yearShared with Speech therapy
Occupational therapy	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$400 a year
Orthotics	2 months	Per pair of orthotics: 65% of the fee	$200 a year
Osteopathy	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$300 a yearShared with Chiropractic
Speech therapy	2 months	Initial visit: 65% of the fee Subsequent visit: 65% of the fee	$400 a yearShared with Orthoptics
Vaccinations	2 months	Per vaccination: 65% of the fee	$250 a yearShared with Non-PBS prescription medicines

Not covered: Exercise physiology, Chinese herbal medicine, Antenatal and postnatal care, Health management programs, Home nursing

Annual limits

Services in the same group share one limit.

General dental, Major dental, Root canal (endodontics), Orthodontics (braces)
$1,500 a year
Also includes other services not listed
Glasses and contact lenses
$200 a year
Non-PBS prescription medicines, Vaccinations
$250 a year
Physiotherapy
$400 a year
Also includes other services not listed
Chiropractic, Osteopathy
$300 a year
Also includes other services not listed
Podiatry
$250 a year
Also includes other services not listed
Psychology
$350 a year
Acupuncture, Remedial massage
$300 a year
Hearing aids
$1,200 a year, 1 per 3 years
Blood glucose monitors
$150 a year, 1 per 3 years
Audiology (hearing tests)
$400 a year
Dietetics
$400 a year
Orthoptics, Speech therapy
$400 a year
Occupational therapy
$400 a year
Orthotics
$200 a year, $115 per service

Insurer's notes (original English)

Product features

Osteopathy and Naturopathy. An annual sub-limit up to $400 p/p per calendar year applies for preventative dental. Rates discounted for 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 Mid Extras 65% Benefits pay for a scale and clean?

According to government data, GMHBA Mid Extras 65% Benefits pays 65% of the fee for a scale and clean (114), with a 2 months general dental waiting period. General dental annual limit: $1,500 a year.

What are the waiting periods for GMHBA Mid Extras 65% Benefits?

General dental 2 months, Major dental 12 months, Root canal (endodontics) 12 months, Orthodontics (braces) 12 months, Glasses and contact lenses 6 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, Audiology (hearing tests) 2 months, Dietetics 2 months, Orthoptics 2 months, Occupational therapy 2 months, Orthotics 2 months, Osteopathy 2 months, Speech therapy 2 months, Vaccinations 2 months.

Can GMHBA Mid Extras 65% Benefits be bought on its own?

Yes. This product doesn't need to be held with hospital cover.

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