Extras-onlyClosed

GMHBA Top 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

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

Services covered (24)

Service	Waiting period	Max benefit per visit	Annual limit
General dental	2 months	Periodic exam (012): $56.35 Scale and clean (114): $105 Fluoride (121): $33	$2,000 a yearShared with Major dental, Root canal (endodontics), Orthodontics (braces)
Major dental	12 months	Extraction (322): $144.05 Full crown, veneered (615): $600	$2,000 a yearShared with General dental, Root canal (endodontics), Orthodontics (braces)
Root canal (endodontics)	12 months	Root canal obturation (417): $99.45	$2,000 a yearShared with General dental, Major dental, Orthodontics (braces)
Orthodontics (braces)	12 months	Upper and lower braces plus retainer (881): $700	$2,000 a yearShared with General dental, Major dental, Root canal (endodontics)
Glasses and contact lenses	6 months	Single vision lenses and frames: 100% of the fee Multifocal lenses and frames: 100% of the fee	$250 a year
Non-PBS prescription medicines	2 months	Per prescription: $28	$350 a yearShared with Vaccinations
Physiotherapy	2 months	Initial visit: $43 Subsequent visit: $33	$500 a yearShared with Exercise physiology
Chiropractic	2 months	Initial visit: $29 Subsequent visit: $22	$350 a yearShared with Osteopathy
Podiatry	2 months	Initial visit: $43 Subsequent visit: $43	$300 a year
Psychology	2 months	Initial visit: $47 Subsequent visit: $36	$500 a year
Acupuncture	2 months	Initial visit: $29 Subsequent visit: $22	$350 a yearShared with Remedial massage
Remedial massage	2 months	Initial visit: $29 Subsequent visit: $22	$350 a yearShared with Acupuncture
Hearing aids	12 months	Per hearing aid: 100% of the fee	$1,500 a year
Blood glucose monitors	12 months	Blood glucose monitor: 100% of the fee	$200 a year
Audiology (hearing tests)	2 months	Initial visit: $56 Subsequent visit: $56	$500 a year
Antenatal and postnatal care	2 months	Initial visit: $48 Subsequent visit: $42	$350 a year
Dietetics	2 months	Initial visit: $60 Subsequent visit: $45	$500 a year
Exercise physiology	2 months	Initial visit: $40 Subsequent visit: $30	$500 a yearShared with Physiotherapy
Orthoptics	2 months	Initial visit: $35 Subsequent visit: $26	$500 a yearShared with Speech therapy
Occupational therapy	2 months	Initial visit: $42 Subsequent visit: $31	$500 a year
Orthotics	12 months	Per pair of orthotics: $103	$250 a year
Osteopathy	2 months	Initial visit: $29 Subsequent visit: $22	$350 a yearShared with Chiropractic
Speech therapy	2 months	Initial visit: $35 Subsequent visit: $26	$500 a yearShared with Orthoptics
Vaccinations	2 months	Per vaccination: $28	$350 a yearShared with Non-PBS prescription medicines

Not covered: Chinese herbal medicine, Health management programs, Home nursing

Annual limits

Services in the same group share one limit.

General dental, Major dental, Root canal (endodontics), Orthodontics (braces)
$2,000 a year
Also includes other services not listed
Glasses and contact lenses
$250 a year
Non-PBS prescription medicines, Vaccinations
$350 a year
Physiotherapy, Exercise physiology
$500 a year
Also includes other services not listed
Chiropractic, Osteopathy
$350 a year
Also includes other services not listed
Podiatry
$300 a year
Also includes other services not listed
Psychology
$500 a year
Acupuncture, Remedial massage
$350 a year
Hearing aids
$1,500 a year, $859 per service, 1 per 3 years
Blood glucose monitors
$200 a year, 1 per 3 years
Audiology (hearing tests)
$500 a year
Antenatal and postnatal care
$350 a year
Dietetics
$500 a year
Orthoptics, Speech therapy
$500 a year
Occupational therapy
$500 a year
Orthotics
$250 a year

Insurer's notes (original English)

Product features

Annual sub-limit up to $500 p/p per 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 Top Extras Set Benefits pay for a scale and clean?

According to government data, GMHBA Top Extras Set Benefits pays up to $105 per scale and clean (114), with a 2 months general dental waiting period. General dental annual limit: $2,000 a year.

What are the waiting periods for GMHBA Top 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, Antenatal and postnatal care 2 months, Dietetics 2 months, Exercise physiology 2 months, Orthoptics 2 months, Occupational therapy 2 months, Orthotics 12 months, Osteopathy 2 months, Speech therapy 2 months, Vaccinations 2 months.

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

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

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