Premium Options
Isang Extras-only na produkto mula sa HIF. Nasa ibaba ang cover na nakarehistro sa data ng pamahalaan: waiting period, benepisyo kada bisita at taunang limit ng bawat serbisyo.
Sarado na ang produktong ito: hindi na ito tumatanggap ng bagong miyembro, pero patuloy itong magagamit ng mga dati nang miyembro.
Mga sakop na serbisyo (23)
| Serbisyo | Waiting period | Pinakamataas na benepisyo kada bisita | Taunang limit |
|---|---|---|---|
| General dental | 2 buwan |
| $1,500 kada taonKasalo ng Major dental, Root canal (endodontics), Orthodontics (braces) |
| Major dental | 12 buwan |
| $1,500 kada taonKasalo ng General dental, Root canal (endodontics), Orthodontics (braces) |
| Root canal (endodontics) | 2 buwan |
| $1,500 kada taonKasalo ng General dental, Major dental, Orthodontics (braces) |
| Orthodontics (braces) | 12 buwan |
| $1,500 kada taonKasalo ng General dental, Major dental, Root canal (endodontics) |
| Salamin at contact lens | 2 buwan |
| $280 kada taon |
| Non-PBS na resetang gamot | 2 buwan |
| $200 kada taon |
| Physiotherapy | 2 buwan |
| $1,200 kada taonKasalo ng Orthoptics, Occupational therapy, Speech therapy |
| Chiropractic | 2 buwan |
| $650 kada taonKasalo ng Osteopathy |
| Podiatry | 2 buwan |
| $382 kada taon |
| Psychology | 2 buwan |
| $1,000 kada taon |
| Acupuncture | 2 buwan |
| $500 kada taonKasalo ng Remedial massage, Chinese herbal medicine |
| Remedial massage | 2 buwan |
| $500 kada taonKasalo ng Acupuncture, Chinese herbal medicine |
| Hearing aid | 12 buwan |
| $550 kada taon |
| Blood glucose monitor | 12 buwan |
| $200 kada taon |
| Chinese herbal medicine | 2 buwan |
| $500 kada taonKasalo ng Acupuncture, Remedial massage |
| Dietetics | 2 buwan |
| $324 kada taon |
| Orthoptics | 2 buwan |
| $1,200 kada taonKasalo ng Physiotherapy, Occupational therapy, Speech therapy |
| Health management program | 2 buwan |
| $125 kada taon |
| Home nursing | 2 buwan |
| $1,800 kada taon |
| Occupational therapy | 2 buwan |
| $1,200 kada taonKasalo ng Physiotherapy, Orthoptics, Speech therapy |
| Orthotics | 12 buwan |
| $240 kada taon |
| Osteopathy | 2 buwan |
| $650 kada taonKasalo ng Chiropractic |
| Speech therapy | 2 buwan |
| $1,200 kada taonKasalo ng Physiotherapy, Orthoptics, Occupational therapy |
Hindi sakop: Audiology (hearing test), Exercise physiology, Bakuna, Antenatal at postnatal care
Mga taunang limit
Iisang limit ang gamit ng mga serbisyo sa parehong grupo.
General dental, Major dental, Root canal (endodontics), Orthodontics (braces)
$1,500 kada taon
Kasama rin ang iba pang serbisyong hindi nakalista
Salamin at contact lens
$280 kada taon
Non-PBS na resetang gamot
$200 kada taon
Physiotherapy, Orthoptics, Occupational therapy, Speech therapy
$1,200 kada taon
Chiropractic, Osteopathy
$650 kada taon
Podiatry
$382 kada taon
Kasama rin ang iba pang serbisyong hindi nakalista
Psychology
$1,000 kada taon
Acupuncture, Remedial massage, Chinese herbal medicine
$500 kada taon
Kasama rin ang iba pang serbisyong hindi nakalista
Hearing aid
$550 kada taon, 1 kada 3 taon
Blood glucose monitor
$200 kada taon, 1 kada 3 taon
Kasama rin ang iba pang serbisyong hindi nakalista
Dietetics
$324 kada taon
Health management program
$125 kada taon
Home nursing
$1,800 kada taon
Orthotics
$240 kada taon
Mga tala ng insurer (orihinal na Ingles)
Mga feature ng produkto
Premium Options is one of our top-level Extras cover. It’s big on everyday healthcare services, covering all the essentials like dental, chiro, physio, osteo and optical, as well as other services like orthoptics (eye therapy), occupational therapy, speech therapy and hearing aids. It also gives you larger benefits and higher annual limits all round. Plus, you can access our ‘HIF Second Opinion’ service, so you can get a second opinion on any diagnosis, condition or treatment plan.
Iba pang serbisyo
A 12 month waiting period applies to dental items: 322-324, 331, 595, and 596. A 12 month waiting period applies to IVF drugs. A $20 benefit (1 per person, per calendar year) will be paid on eligible claims for flu vaccinations from a registered pharmacy only. Like most Extras health covers, there are annual limits (a limit on how much we will pay toward your claims) for most services under Premium Options. However, your benefit limits will be refreshed every year on January 1. What’s more, we’ll increase your annual limits on a number of services. For example, benefits and annual limits for major dental services increase each year for the first five years of membership. Likewise, benefits and annual limits for complementary therapy services will increase after three years of membership, while optical benefits increase after five years. Other items covered: Asthmatic spacers, Diabetes Education, External Prosthesis, Humidifier/ Nebuliser and a Peak Flow Meter.
Mga espesyal na feature
Optical benefit paid on frames and prescription optical items. Pharmacy benefit paid after deduction of the PBS co-payment at 100% up to $80 per script. Benefits for replacement dentures and partial dentures are not paid within three years of previous supply. The limits detailed below are subject to a combined overall person limit of $650 for chiro and osteo. A combined overall person limit of $1,200 for occupational therapy, orthoptics (eye therapy), physio and speech therapy. Our Complementary Therapies sub-limit ($500 per person) includes: acupuncture, myotherapy, remedial massage and traditional Chinese medicine.
Mga madalas itanong
Magkano ang ibinabayad ng Premium Options para sa scale and clean?
Ano ang mga waiting period ng Premium Options?
Puwede bang bilhin nang mag-isa ang Premium Options?
May Extras na kayo? Sulitin ang inyong mga limit
Sabihin sa amin ang inyong insurer at pangalan ng produkto. Tutulungan namin kayong makita kung ano ang ma-claim ninyo at hahanapin ang mga provider na nagsasalita ng Filipino at may HICAPS para makapag-claim agad.
