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GMHBA Mid Extras Set 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): $36.65 Scale and clean (114): $68.25 Fluoride (121): $21.45	$1,500 a yearShared with Major dental, Root canal (endodontics), Orthodontics (braces)
Major dental	12 months	Extraction (322): $118.60 Full crown, veneered (615): $520	$1,500 a yearShared with General dental, Root canal (endodontics), Orthodontics (braces)
Root canal (endodontics)	12 months	Root canal obturation (417): $86.19	$1,500 a yearShared with General dental, Major dental, Orthodontics (braces)
Orthodontics (braces)	12 months	Upper and lower braces plus retainer (881): $400	$1,500 a yearShared with General dental, Major dental, Root canal (endodontics)
Glasses and contact lenses	6 months	Single vision lenses and frames: 80% of the fee Multifocal lenses and frames: 80% of the fee	$200 a year
Non-PBS prescription medicines	2 months	Per prescription: $24	$250 a yearShared with Vaccinations
Physiotherapy	2 months	Initial visit: $38 Subsequent visit: $29	$400 a year
Chiropractic	2 months	Initial visit: $26 Subsequent visit: $20	$300 a yearShared with Osteopathy
Podiatry	2 months	Initial visit: $35 Subsequent visit: $35	$250 a year
Psychology	2 months	Initial visit: $41 Subsequent visit: $31	$350 a year
Acupuncture	2 months	Initial visit: $26 Subsequent visit: $20	$300 a yearShared with Remedial massage
Remedial massage	2 months	Initial visit: $26 Subsequent visit: $20	$300 a yearShared with Acupuncture
Hearing aids	12 months	Per hearing aid: $744	$1,200 a year
Blood glucose monitors	12 months	Blood glucose monitor: $150	$150 a year
Audiology (hearing tests)	2 months	Initial visit: $35 Subsequent visit: $35	$400 a year
Dietetics	2 months	Initial visit: $56 Subsequent visit: $41	$400 a year
Orthoptics	2 months	Initial visit: $30 Subsequent visit: $23	$400 a yearShared with Speech therapy
Occupational therapy	2 months	Initial visit: $36 Subsequent visit: $27	$400 a year
Orthotics	12 months	Per pair of orthotics: $90	$200 a year
Osteopathy	2 months	Initial visit: $26 Subsequent visit: $20	$300 a yearShared with Chiropractic
Speech therapy	2 months	Initial visit: $30 Subsequent visit: $23	$400 a yearShared with Orthoptics
Vaccinations	2 months	Per vaccination: $24	$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

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 Set Benefits pay for a scale and clean?

According to government data, GMHBA Mid Extras Set Benefits pays up to $68.25 per 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 Set 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 12 months, Osteopathy 2 months, Speech therapy 2 months, Vaccinations 2 months.

Can GMHBA Mid Extras Set Benefits be bought on its own?

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

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