Healthmate Advanced Silver Plus
A Hospital + Extras product from HCF. Below is the cover registered in the government data: waiting period, benefit per visit and annual limit for each service.
This product is closed: it no longer accepts new members, but existing members can keep using it.
Services covered (22)
| Service | Waiting period | Max benefit per visit | Annual limit |
|---|---|---|---|
| General dental | 2 months |
| $400 a year |
| Major dental | 12 months |
| $700 a year |
| Root canal (endodontics) | 12 months |
| $400 a year |
| Orthodontics (braces) | 12 months |
| $400 a year |
| Glasses and contact lenses | 2 months |
| $180 a year |
| Non-PBS prescription medicines | 2 months |
| $600 a yearShared with Vaccinations |
| Physiotherapy | 2 months |
| $600 a yearShared with Dietetics, Orthoptics, Occupational therapy, Speech therapy |
| Chiropractic | 2 months |
| $350 a yearShared with Exercise physiology, Osteopathy |
| Podiatry | 2 months |
| $150 a year |
| Psychology | 2 months |
| $300 a year |
| Acupuncture | 2 months |
| $250 a yearShared with Remedial massage, Chinese herbal medicine |
| Remedial massage | 2 months |
| $250 a yearShared with Acupuncture, Chinese herbal medicine |
| Chinese herbal medicine | 2 months |
| $250 a yearShared with Acupuncture, Remedial massage |
| Dietetics | 2 months |
| $600 a yearShared with Physiotherapy, Orthoptics, Occupational therapy, Speech therapy |
| Exercise physiology | 2 months |
| $350 a yearShared with Chiropractic, Osteopathy |
| Orthoptics | 2 months |
| $600 a yearShared with Physiotherapy, Dietetics, Occupational therapy, Speech therapy |
| Health management programs | 2 months |
| $100 a year |
| Occupational therapy | 2 months |
| $600 a yearShared with Physiotherapy, Dietetics, Orthoptics, Speech therapy |
| Orthotics | 12 months |
| $100 a year |
| Osteopathy | 2 months |
| $350 a yearShared with Chiropractic, Exercise physiology |
| Speech therapy | 2 months |
| $600 a yearShared with Physiotherapy, Dietetics, Orthoptics, Occupational therapy |
| Vaccinations | 2 months |
| $600 a yearShared with Non-PBS prescription medicines |
Not covered: Hearing aids, Audiology (hearing tests), Blood glucose monitors, Antenatal and postnatal care, Home nursing
Annual limits
Services in the same group share one limit.
General dental
$400 a year
Major dental
$700 a year
Root canal (endodontics)
$400 a year
Orthodontics (braces)
$400 a year, $1,200 lifetime
Glasses and contact lenses
$180 a year
Non-PBS prescription medicines, Vaccinations
$600 a year
Physiotherapy, Dietetics, Orthoptics, Occupational therapy, Speech therapy
$600 a year
Chiropractic, Exercise physiology, Osteopathy
$350 a year
Podiatry
$150 a year
Psychology
$300 a year
Acupuncture, Remedial massage, Chinese herbal medicine
$250 a year
Health management programs
$100 a year
Orthotics
$100 a year
Insurer's notes (original English)
Product features
Health Dollars Loyalty Rewards accrue for 4 years up to a max of $125 per person /$250 per family policy, per anniversary year. Health Dollars can be used to reduce hospital excess or top up current extras benefits. A higher psychology benefit ($65) may apply after Medicare Mental Health Treatment Plan is used up for the remainder of the calendar year.
Other services
General dental includes basic fillings & preventative dental. Preventative & diagnostic dental have service limits which are not included in the annual limit. In chair teeth whitening treatment provided by a dentist, endodontic, periodontic & oral surgery have a combined limit of $400. A service limit of an in-chair treatment -max 8 teeth/session; applies every 36 months. Crowns and bridges have a combined limit of $700. Orthodontic accrues at $400 per calendar year, up to lifetime limit of $1,200 for Orthodontist (Accrues $300 per calendar year, up to lifetime limit of $900 for General Dentist). Includes mental health services (psychology, HCF-approved counselling, accredited mental health social worker and HCF-approved online cognitive behavioural therapy courses).
Special features
Includes 100% back on 2 dental check-ups, prescription glasses and free digital retinal imaging with an eye test, and 100% back on an initial physio, chiro, osteo and podiatry consult, at participating providers and subject to annual limits.
Frequently asked questions
How much does Healthmate Advanced Silver Plus pay for a scale and clean?
What are the waiting periods for Healthmate Advanced Silver Plus?
Can Healthmate Advanced Silver Plus be bought on its own?
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