Benefit
Benefit entitlement
Maximum cover
Private Health Cover and Private Health Plus
Covers dental evaluation and treatment performed by an oral surgeon or a dental practitioner , on the recommendation of the treating registered medical specialist as a precursor to the following treatments where those treatments are covered by your Private Health policy:
DENTAL EVALUATION AND TREATMENT PRIOR TO QUALIFYING TREATMENTS
$1,500 per life assured per policy year
> Chemotherapy using antiresorptive drugs.
> Radiotherapy treatment (head and neck).
> Heart valve replacement surgery. Prior approval must be obtained before any dental evaluation or treatment takes place.
No excess is payable for any claims under this benefit.
Covers the cost of a Psychiatrist or Psychologist consultation and/or counselling where the support treatment and/or consultations directly relate to a claim under the Surgery or Cancer Care benefits. After referral from a registered medical specialist the support treatment and/or consulations must be received within six months of your claim being accepted.
$2,500 per life assured per policy year
MENTAL HEALTH SUPPORT BENEFIT
No excess is payable for any claims under this benefit.
Covers the cost of minor surgery or treatment at an approved facility . The minor surgery or treatment must be carried out by a general practitioner or under the care of a general practitioner, such as a registered nurse . No excess is payable for any claims under this benefit. Covers the following costs up to the maximum cover for this benefit of hospitalisation in an approved facility for the treatment of a condition which does not require surgery, when referred by a registered medical specialist:
$3,000 per life assured per policy year
MINOR SURGERY BENEFIT
> Hospital accommodation fees
> Registered medical specialist’s fees
MEDICAL HOSPITALISATION
$500,000 per life assured per policy year
> Diagnostic fees
> Ancillary hospital charges Please note that hospitalisation and hospice care costs in relation to cancer are covered under the Cancer Care benefit and not this benefit.
The excess applies to any claims under this benefit.
712 PH-UMB version 9 Effective 8 April 2022
Page 13 of 27
Powered by FlippingBook