PLEASE NOTE: This product is no longer for sale. Before receiving any treatment, you should contact us or go to hbf.com.au/myhbf for a health benefit quote so you know how much you re covered for, the benefits you ll receive and any out-of-pocket expenses. This is an overview of. Additional information you should know relating to this cover can be found in the Membership guide available at hbf.com.au/membership-guide, in a branch or via 133 423. Important information about your HBF cover From 1 January 2019 your product will receive changes to benefits and annual limits impacting the amount you claim. Please review the comparison table carefully to ensure that this product meets your needs. Some services will be removed or have limits and/or benefits reduced Benefits for some Natural Therapies will be removed in response to Australian Government health insurance reforms, which apply to all health insurers.
Benefits only payable for services and programs delivered by providers that are approved by HBF. There is a limit of 1 initial consultation per service, per calendar year. Commonly used services Accommodation Length of Cover Amount Length of Cover Amount If travel is required for treatment and you $43 per night $645 per membership $43 per night $645 per membership qualify for PATS 1 Ambulance 2 Road transport only 1 day 100% 100% covered for road transport emergency services and 100% covered for one non-emergency service. $40 copayment applies for all subsequent nonemergency services (all services must be medically necessary) 100% 100% covered for road transport emergency services and 100% covered for one non-emergency service. $40 copayment applies for all subsequent nonemergency services (all services must be medically necessary) Antenatal Classes Payable only on completed series of classes 1 $60 1 series of classes per year $60 1 series of classes per year Audiology $160 $160 Report to Otolaryngologist $20 $20 Chiropractic $27 $27 $19 $366 $19 $366 Chiropractic x-rays $60 $60 Clinical Psychology $66 $66 1 $49.50 $800 $49.50 $800 Group psychotherapy $33 $33 Dental General Consultations/ examinations $26 - $45 $26 - $45 X-rays $23 - $47 $23 - $47 Scale and clean $60 $60 (1st visit) 6 months Extractions $81 - $199 $81 - $199 General Restorations (e.g. 1 surface adhesive $70 $70 filling) Mouthguard $45 $45 1 A completed and signed government approval form together with your home State Government s relevant transport subsidy scheme remittance advice must be presented in order to claim this benefit. Benefit is not payable for costs for treatment received within 200km return journey of the Members usual place of residence. 2 An emergency ambulance transport is where the member is transported by road to, and admitted to, a hospital emergency department.
Commonly used services Dental Major Length of Cover Amount Length of Cover Amount Crowns-bridges Up to $860 Up to $860 Full Dentures 3 $742 $742 Orthodontic 4 full arch banding (two arches) Benefit for banding is for the full course of treatment and includes all associated treatment (such as removable appliances and/or adjustments) following the fitting of the appliance 1 Up to 5 years $800 for complete course of treatment for complete course of treatment Dietetics $19.05 $250 $19.05 $250 Group $11 $11 Hearing Aid Hearing Aid (1 every 5 years) 24 months $750 $750 $750 $750 Health Management Aids and Appliances 5 Braces spine, leg or arm to $100 to $100 Glucose monitor (1 per 3 years) Nebuliser (1 per 3 years) 12 36 months $1500 combined benefit limit $1500 combined benefit limit Blood Pressure machine (1 per 3 years) to $200 to $200 Wheelchair (1 per 5 years) to $1000 to $1000 Natural Therapy Acupuncture $21.60 per consult $21.60 per consult $500 combined benefit Naturopathy $16.80 per consult No benefit limit $500 combined benefit limit Remove cover for Naturopathy. Massage Therapy $15.60 per consult $15.60 per consult Occupational Therapy $350 $350 Group therapy $11.20 $11.20 Optical Spectacles Frames Single vision lenses Bi-focal lenses Multi-focal lenses $350 $350 Spectacle repairs (including lenses) 3 Benefit is once per member every 2 years. 4 Benefits are per person per lifetime. The benefit limit for orthodontic treatment is determined from the date the current treatment commenced and is included as part of annual limits. 5 Individual benefits are limited to the maximum amounts listed. Subject to items listed on the HBF Health Management Aid and Appliance Schedule.
Commonly used services Optical Contacts Disposable contact lenses Non disposable contact lenses $350 $350 $1000 combined $1000 combined Pharmaceutical HBF Pharmacy Schedule less member co-payment (equal to current Government PBS Scheme) $350 $350 Group and Hydro Therapy $1000 combined $13.45 $13.45 $1000 combined Podiatry Consultations $33 limit with Orthotic appliances $33 limit with Orthotic appliances Orthotic Appliances Benefit is payable if supplied by a registered Podiatrist or HBF approved supplier (1 pair per year) 1 80% of cost to max of $200 for single, $400 for pair limit with Podiatry 80% of cost to max of $200 for single, $400 for pair limit with Podiatry Speech and Eye Therapy Speech initial consultation (1 per year) Speech subsequent Eye Therapy initial consultation (1 per year) $650 combined benefit limit for Speech and Eye Therapy $650 combined benefit limit for Speech and Eye Therapy Eye Therapy subsequent $33 $33 Travel Costs If travel is required for treatment and you qualify for PATS 1 20 cents per km after the first 200kms travelled $350 per membership 20 cents per km after the first 200kms travelled $350 per membership 1 A completed and signed government approval form together with your home State Government s relevant transport subsidy scheme remittance advice must be presented in order to claim this benefit. Benefit is not payable for costs for treatment received within 200km return journey of the Members usual place of residence.
More information about your health cover Accommodation and Travel costs A benefit is payable if the specialist service is not available either permanently or on a visiting basis, within 200kms (return journey) of your usual place of residence. Benefits for travel and accommodation must be initially claimed from your home State Government s relevant transport subsidy scheme and HBF may pay a benefit for further out-of-pocket expenses. HBF does not pay a benefit for private accommodation. The maximum amount of benefit you can claim on travel costs is up to $350 per membership per year. The total amount of benefit available from both HBF and your home State Government s subsidy scheme will not exceed these maximums. A completed and signed government approval form together with your home State Government s relevant transport subsidy scheme remittance advice must be presented in order to claim this benefit. Dental major Major Dental includes more extensive treatments such as restorative services, dentures, crowns, bridges and orthodontic treatment. Orthodontic treatment is excluded from some levels of cover. We can only pay a benefit for partial dentures and other services provided through a Dental Prosthetist where the particular State Legislation permits. Benefits for full arch banding is included in the orthodontic maximum. A benefit is not paid for full arch banding orthodontic treatment which is commenced during the waiting period. HBF reserves the right to make changes to its products, benefits and terms and conditions from time to time. HBF will notify the policyholder a reasonable time in advance of any changes that might be detrimental to the member s interests. HBF Health Limited ABN 11 126 884 786 Telephone 133 423 Postal address GPO Box C101 Perth WA 6839 Online hbf.com.au The information in this product sheet is correct at 7 October 2018. HI-1274 07/10/18