Your Choice Extras Members First % Extras Cover

60% Medium

1 April 2018 VIC

Extras cover
At a glance
An extras cover that gives you the flexibility to choose four services to suit your needs while providing a good level of benefit. You can change your service options once
every 12 months, based on your anniversary year. Benefits listed are examples only and not a complete list.

What's Covered?
Year 1 Loyalty Maximums
Extras services The maximum you can claim per year per person Waiting periods Members First extras network
(unless otherwise stated)

General dental $700 Initial waiting period - 2 months With our Extras cover you can also enjoy
the advantages of our extensive network
Major dental $500 Health management programs - 6 of dental, optical, physiotherapy, podiatry
Orthodontics $450 months and chiropractic providers, so there are
more places you can experience great
Optical - Members First $260
Major dental and orthodontics - 12 value from your cover.
Optical - other $180 months When you choose to visit a Members First
Physiotherapy $450 provider, in most instances you will
receive higher benefits for dental, optical,
Chiropractic & Osteopathy $350 Per Person, $500 Per Membership physiotherapy and chiropractic services as
Ante/post natal Combined With: Physiotherapy, Sublimit: $350 well as podiatry consultations ensuring
you can maximise value from your Bupa
Natural therapies $500
cover.
Pharmacy (incl. travel vaccines) $300 On Your Choice Extras you will have the
certainty of receiving at least 60% back in
Dietary Not Covered
most instances for dental, physio, chiro
Psychology Not Covered and podiatry consultations at Members
Podiatry (excludes orthotics) $350 First providers - up to your yearly limits for
the extras you select.
Speech Therapy $400
Eye therapy Combined With: Speech Therapy 13SICK, National Home
Occupational therapy Combined With: Speech Therapy Doctor Service
Health management $100 Bupa members have complimentary
access to After Hours Plus from 13SICK
Home nursing Not Covered
(13 74 25), National Home Doctor Service.
Health aids & appliances Not Covered So when you book a bulk-billed home
visit, the doctor can prescribe common
Travel & accommodation Not Covered
medications on the spot, at no charge to
you.
Natural Therapies includes acupuncture, Alexander Technique, Chinese herbalism, exercise physiology, Feldenkrais,
homeopathy, iridology, massage, naturopathy and Western herbalism.
Massage includes aromatherapy, Bowen Technique, kinesiology, reflexology, shiatsu and remedial massage.

Additional information
Loyalty maximums
We value your loyalty, so for selected services we will increase the overall amount you can claim each year by 20% of the
initial amount - until it has doubled after five years.

Please refer to selected extras on the corresponding pages. To check your loyalty limits and/or maximums please contact us.

Ambulance
You are automatically covered for
emergency ambulance services (including
on-the-spot treatment and air services)
Call us first from recognised providers in addition to
If you're planning a treatment call us first so we can discuss your options, work out what you're covered for, talk through any your 4 selected services, capped at one
out-of-pocket costs and check that you've served any relevant waiting periods. This can help you avoid any unnecessary out- trip for singles and two trips for couples or
of-pocket expenses and allow you to make more informed choices and be confident about what to expect when using your family memberships per calendar year.
cover. For more information refer to the Important
Further information can be found in our Important Information Guide and our Fund Rules which are available at Information Guide.
bupa.com.au/info or by contacting us.

Call: 134 135

Visit: bupa.com.au

Your Choice Extras 20184

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Extras cover

Services covered & example items Members First Non Members First Loyalty Maximums per person per calendar year

General Dental

Periodic oral exam (012)# $31.50 $19.00

Year 1: $700, Year 2: $840, Year 3: $980, Year 4:
Scale & clean (114)# $62.40 $41.00 $1120, Year 5: $1260, Year 6+: $1400

Fluoride application (121)# $27.30 $16.00

Tooth extraction (322) $127.80 $65.00 # Payable once every 6 months

Filling/tooth restoration (531) $78.00 $39.50 0

Major Dental Members First Non Members First

Year 1: $0,Year 2: $500, Year 3: $600, Year 4: $700, Year 5:
Root canal (417) $153.60 $71.50
$800, Year 6: $900, Year 7+: $1000
Full crown (615) $906.00 $450.00
Benefits start after 12 month waiting period served
Dentures – complete (719)* 100% of cost to limit $450.00 *Dentures payable once every 3 years
Benefits at registered providers
Orthodontics
Set benefits apply per item, please contact us with your
Lifetime Limit: $1,300 treatment plan for more information Year 1: $0,Year 2: $450, Year 3: $540, Year 4: $630,
Year 5: $720, Year 6: $810, Year 7+: $900

Benefits start after 12 month waiting period served

Optical
Our Members First optical providers (Bupa Optical, National Pharmacies Optical, Kevin Paisley Fashion Eyewear, Prevue Eyewear, Stacey and Stacey Optometrists and selected
independent providers) and our optical partners Specsavers offer you a range of 'no gap' packages - with no out-of-pocket costs. Any packages are subject to your Loyalty Maximum
and waiting periods (contact us for more information). Refer to the list below for the no gap packages available to you and where you can access them.

Members First Set Benefits Non Members First Limits

Members First: $260

Frames (110) $136.80 $105.00
Or
Single vision lens (212) $72.00 $45.00 Other optical: $180

Progressive lens (512) $135.00 $95.00

Members First Optical Partners
No-gap optical packages
Kid's glasses with safety lens - any frame up to $249 ✓ ✘
Glasses with single vision lens* ✓ ✓
Glasses with bifocal lens* ✓ ✘
Glasses with trifocal lens* ✘ ✘
Glasses with progressive lens* ✘ ✘
Disposable contacts - selected 12 months' supply purchased in store ✓ ✘
Disposable contacts - selected 12 months' supply purchased on-line ✓ ✘
*Any frame up to $199. Conditions apply, contact us for more information.
Physiotherapy Members First Non Members First
Initial attendance Year 1: $450, Year 2: $540, Year 3: $630, Year 4: $720,
$48.30 $25.00
Year 5: $810, Year 6+: $900
Subsequent attendance $39.00 $17.00
0

Chiropractic & Osteopathy

Chiropractic Members First Initial Year 1: $350, Year 2: $420, Year 3: $490, Year 4: $560,
$51.00 for the first 10 services, then $25.50
Year 5: $630, Year 6+: $700
Chiropractic Members First subsequent Membership Limit: Year 1: $500, Year 2: $600, Year 3:
$33.00 for the first 10 services, then $16.50
$700, Year 4: $800, Year 5: $900, Year 6+: $1000
Chiropractic Non Members First Initial $25.00 for the first 10 services, then $12.50
Chiropractic Non Members First subsequent $17.00 for the first 10 services, then $8.50 0

Osteopathy - Initial $25.00 for the first 10 services, then $12.50 Benefit is reduced to 50% of the original amount for services after the first
Osteopathy - Subsequent 10 total services across Chiropractic and Osteopathy
$17.00 for the first 10 services, then $8.50
Podiatry (excludes orthotics) Members First Non Members First
Year 1: $350, Year 2: $420, Year 3: $490, Year 4: $560,
Initial attendance $42.30 $23.00 Year 5: $630, Year 6+: $700
Subsequent attendance $36.30 $17.00 0

Ante/post natal Benefits at registered providers Combined with: Physiotherapy, sublimit: $350
Selected services including registered lactation consultants Contact us for more details 0
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Extras cover

Speech therapy Year 1: $400, Year 2: $480, Year 3: $560, Year 4: $640,
Initial attendance $57.00 Year 5: $720, Year 6+: $800

Subsequent attendance $34.00 0

Eye therapy
Initial attendance $25.00 Combined with: Speech Therapy
Subsequent attendance $17.00 0

Occupational therapy
Initial attendance $28.00 Combined with: Speech Therapy

Subsequent attendance $19.00 0

Natural therapies Refer page 1

Acupuncture initial attendance $24.00
Year 1: $500, Year 2: $600, Year 3: $700, Year 4: $800,
Acupuncture subsequent attendance $19.00 Year 5: $900, Year 6+: $1000

Remedial massage initial attendance $24.00 Massage sublimit: $100 per person

Remedial massage standard consultation $17.00 0

Pharmacy (includes travel vaccinations)

Year 1: $300, Year 2: $360, Year 3: $420, Year 4: $480,
100% of cost up to $40.00 after deduction of PBS
Year 5: $540, Year 6+: $600
copayment

Health management
50% of cost to limit $100

Member Exclusives

Health Management Bupa Plus

This benefit covers some costs for health–related programs, including nicotine replacement therapy and weight Even when you’re in great health, there are still plenty of ways to get everyday value from your cover. See your
management programs. Visit www.bupa.com.au/healthmanagement for details. exclusive range of rewarding health discounts, tools and more at bupaplus.com.au

Bowel cancer screening kits Overseas Health Advice Line

Bowel cancer can generally be treated successfully if detected in its early stages. We will pay a benefit towards selected If the unexpected happens while you’re travelling overseas, our 24-hour health advice line can provide you with
screening kits for bowel cancer after 2 months from joining. phone-based support, information and guidance. Plus, if you’re planning a trip overseas, you can get pre-
departure medical information on the countries you are visiting. Just call +61 3 9937 3999 or look for the number
on the back of your membership card.