By limit type · Pharmacy Pool

Pharmacy combined limit

Prescription medicines that aren't on the PBS, and some vaccines, often share one pharmacy limit. Insurers usually take off a set amount you pay first, then pay part of the rest. Names and what's included differ by insurer, so check your policy.

Several services share one yearly limit
Names and what's included vary by insurer

EstimateNon-PBS prescriptionsave about $40–55 per prescriptionPrivate health rebate + provider's own pricing

Qualified local care, for less

Pharmacy combined limit: roughly how much your cover can save

We list local providers who accept private health cover and whose registration you can check, with prices, how to claim and languages spoken. You compare and choose, without paying more than you need to.

Service	Typical fee	Save about
Non-PBS prescriptionper prescription	$80	$40–55
Vaccinationper shot	$90	$40–70

Private health rebate + provider's own pricing · Estimated for a typical mid-level Extras policy and provider prices; your policy and provider decide the actual amount · Updated October 2026

Only providers who accept private health cover, with registration you can check
See prices and how to claim before you book
You compare and choose; we don't recommend

See nearby providers who accept private health cover

ExtrasMate is not a medical provider. We don't diagnose or recommend specific practitioners or treatments; we organise and show information so you can choose for yourself. The savings come from your private health rebate and the provider's own pricing, not from coupons we issue.

How to make it go further

Keep your prescriptions and receipts. The amount you pay first applies to each script, so cheap medicines usually return little; it's more worthwhile for expensive private scripts.

What this limit usually covers

Your policy decides exactly what's included and how much each pays.

Non-PBS prescriptions
Prescription medicines from your doctor that aren't on the PBS
Vaccines
Some travel vaccines, flu vaccines and more

Common questions

Which medicines can I claim?

Usually prescription medicines from a doctor that aren't on the PBS. Insurers usually take off an amount you pay first (roughly the PBS general co-payment), then pay part of the rest. Over-the-counter medicines usually can't be claimed.

Are vaccines covered?

Some insurers cover travel vaccines, flu vaccines and others, usually with a prescription or when given at a pharmacy. It depends on your policy.

Other limit types

What a combined limit is called, what it covers and how much it pays differ by insurer and policy. Your insurer's confirmation is what counts.