Simple 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 (13)
| Serbisyo | Waiting period | Pinakamataas na benepisyo kada bisita | Taunang limit |
|---|---|---|---|
| General dental | 2 buwan |
| $600 kada taon |
| Major dental | 12 buwan |
| $600 kada taonKasalo ng Root canal (endodontics) |
| Root canal (endodontics) | 2 buwan |
| $600 kada taonKasalo ng Major dental |
| Salamin at contact lens | 2 buwan |
| $200 kada taon |
| Non-PBS na resetang gamot | 2 buwan |
| $350 kada taonKasalo ng Physiotherapy, Chiropractic, Podiatry, Acupuncture, Remedial massage, Chinese herbal medicine, Health management program, Osteopathy |
| Physiotherapy | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Chiropractic, Podiatry, Acupuncture, Remedial massage, Chinese herbal medicine, Health management program, Osteopathy |
| Chiropractic | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Podiatry, Acupuncture, Remedial massage, Chinese herbal medicine, Health management program, Osteopathy |
| Podiatry | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Acupuncture, Remedial massage, Chinese herbal medicine, Health management program, Osteopathy |
| Acupuncture | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Podiatry, Remedial massage, Chinese herbal medicine, Health management program, Osteopathy |
| Remedial massage | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Podiatry, Acupuncture, Chinese herbal medicine, Health management program, Osteopathy |
| Chinese herbal medicine | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Podiatry, Acupuncture, Remedial massage, Health management program, Osteopathy |
| Health management program | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Podiatry, Acupuncture, Remedial massage, Chinese herbal medicine, Osteopathy |
| Osteopathy | 2 buwan |
| $350 kada taonKasalo ng Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Podiatry, Acupuncture, Remedial massage, Chinese herbal medicine, Health management program |
Hindi sakop: Orthodontics (braces), Orthoptics, Hearing aid, Audiology (hearing test), Exercise physiology, Orthotics, Psychology, Dietetics, Speech therapy, Occupational therapy, Bakuna, Blood glucose monitor, Antenatal at postnatal care, Home nursing
Mga taunang limit
Iisang limit ang gamit ng mga serbisyo sa parehong grupo.
General dental
$600 kada taon
Major dental, Root canal (endodontics)
$600 kada taon
Salamin at contact lens
$200 kada taon
Non-PBS na resetang gamot, Physiotherapy, Chiropractic, Podiatry, Acupuncture, Remedial massage, Chinese herbal medicine, Health management program, Osteopathy
$350 kada taon
Kasama rin ang iba pang serbisyong hindi nakalista
Mga tala ng insurer (orihinal na Ingles)
Mga feature ng produkto
Simple Options is our great-value Extras cover that offers a percentage back on the services included. It's ideal for singles, couples and families looking for a value packed cover that offers major and general dental, optical, podiatry consultations, pharmacy, chiro, physio, osteo, healthy lifestyle and ambulance services.
Iba pang serbisyo
A 12-month waiting period applies to dental items: 322-324, 331, 595, and 596. Complementary Therapies sub-limit is $150 per person ($300 per couple or family membership). Benefits are claimable for acupuncture, myotherapy, remedial massage and traditional Chinese medicine. Treatment must be provided by a practitioner who is registered with HIF in the speciality for which the charge is raised. Benefits are not payable on medicines. Healthy Lifestyle sub-limit is $150 per person ($300 per couple or family membership)). Benefits are claimable for approved health management, quit smoking or weight loss programs, health assessments, skin cancer screening (if not covered by Medicare), and exercise physiology. The limits detailed above are subject to a combined overall person limit of $350 ($700 per couple or family membership) for complementary therapies, chiro, healthy lifestyle, osteo, pharmacy, physio and podiatry consultations.
Mga espesyal na feature
Optical benefit paid on frames and prescription optical items. Pharmacy benefit is payable after the current PBS patient co-payment is deducted. A $20 benefit (1 per person, per calendar year) will be paid on eligible claims for flu vaccinations from a registered pharmacy only
Mga madalas itanong
Magkano ang ibinabayad ng Simple Options para sa scale and clean?
Ano ang mga waiting period ng Simple Options?
Puwede bang bilhin nang mag-isa ang Simple 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.