Pasplan Gold Status 85 with excess
A Hospital + Extras product from St Lukes Health. Below is the cover registered in the government data: waiting period, benefit per visit and annual limit for each service.
Services covered (25)
| Service | Waiting period | Max benefit per visit | Annual limit |
|---|---|---|---|
| General dental | 2 months |
| $1,200 a year |
| Major dental | 12 months |
| No annual limit |
| Root canal (endodontics) | 12 months |
| $1,000 a year |
| Orthodontics (braces) | 12 months |
| $1,000 a year |
| Glasses and contact lenses | 6 months |
| $300 a year |
| Non-PBS prescription medicines | 2 months |
| $600 a year |
| Physiotherapy | 2 months |
| $850 a yearShared with Antenatal and postnatal care, Exercise physiology |
| Chiropractic | 2 months |
| $500 a yearShared with Osteopathy |
| Podiatry | 2 months |
| $400 a year |
| Psychology | 2 months |
| Not stated |
| Acupuncture | 2 months |
| $400 a year |
| Remedial massage | 2 months |
| $400 a yearShared with Chinese herbal medicine |
| Hearing aids | 36 months |
| Not stated |
| Blood glucose monitors | 12 months |
| Not statedShared with Orthotics |
| Audiology (hearing tests) | 2 months |
| Not stated |
| Antenatal and postnatal care | 2 months |
| $850 a yearShared with Physiotherapy, Exercise physiology |
| Chinese herbal medicine | 2 months |
| $400 a yearShared with Remedial massage |
| Dietetics | 2 months |
| $500 a year |
| Exercise physiology | 2 months |
| $850 a yearShared with Physiotherapy, Antenatal and postnatal care |
| Orthoptics | 2 months |
| $400 a year |
| Home nursing | 2 months |
| $400 a year |
| Occupational therapy | 2 months |
| $400 a year |
| Orthotics | 12 months |
| Not statedShared with Blood glucose monitors |
| Osteopathy | 2 months |
| $500 a yearShared with Chiropractic |
| Speech therapy | 2 months |
| $400 a year |
Not covered: Vaccinations, Health management programs
Annual limits
Services in the same group share one limit.
General dental
$1,200 a year
Major dental
No annual limit
Root canal (endodontics)
$1,000 a year
Orthodontics (braces)
$1,000 a year, $2,800 lifetime
Glasses and contact lenses
$300 a year
Non-PBS prescription medicines
$600 a year
Physiotherapy, Antenatal and postnatal care, Exercise physiology
$850 a year
Chiropractic, Osteopathy
$500 a year
Also includes other services not listed
Podiatry
$400 a year
Psychology
Not stated
Hearing aids
2 per 5 years
Blood glucose monitors, Orthotics
Not stated
Audiology (hearing tests)
2 per year
Dietetics
$500 a year
Orthoptics
$400 a year
Home nursing
$400 a year
Occupational therapy
$400 a year
Speech therapy
$400 a year
Acupuncture
$400 a year
Remedial massage, Chinese herbal medicine
$400 a year
Insurer's notes (original English)
Product features
Generally the benefit is 85% of fee charged up to the listed maximum benefit. Diabetes Education & Nutrition benefits included in Dietetics sub-limit. Other services covered include osteopathy, occ therapy, eye/speech therapy, dietetics, audiology, approved appliances/aids and approved health management programs. Member rewards apply after 5 years continuous membership.
Other services
Acupuncture, Remedial massage, Western herbal medicine, Alexander Technique, Myotherapy, Naturopathy and Shiatsu are included in the Alternative Therapies annual limit.
Special features
Under Preventative Dental, we pay up to 100% of the average fee charged Australia wide up to the maximum benefit for each eligible service. This applies to examinations, x-rays, scale and clean and fissure sealing. If your dentist charges above the maximum benefit, or in excess of the average fee, a gap or out of pocket may apply. Annual limits, fund rules and waiting periods apply. A 2-month waiting period applies to Psychology with the exception of functional assessment for the purpose of diagnosing ADHS and/or autism spectrum disorders diagnosis which has a 12-month waiting period.
Frequently asked questions
How much does Pasplan Gold Status 85 with excess pay for a scale and clean?
What are the waiting periods for Pasplan Gold Status 85 with excess?
Can Pasplan Gold Status 85 with excess be bought on its own?
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