Top Extras

Top Extras

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Exceptional Extras

The more Extras you’re covered for, the more you can look after your health – knowing that we’ll be on hand to cover some of the costs.

Check out some of the services you can claim for below. It’s not even the whole lot!

Top Extras

Services
Benefit
Yearly Limits
Periodic oral examination (012) - limit of 2 services, per person/year
$40
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Bitewing x-ray (022)
$30
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Removal of calculus (114) - limit of 2 services, per person/year
$70
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Topical application of remineralising agent (121) - limit of 2 services per year
$25
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Removal of tooth (311)
$90
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Filling: 1 surface metallic (511)
$63
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Filling: 3 surface metallic (513)
$109
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Filling: 1 surface adhesive restoration (531)
$80
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Filling: 3 surface adhesive restoration (533)
$115
Benefits
Yearly Limit
Yearly Limit

Unlimited (Unless stated otherwise)

Services
Benefit
Yearly Limits
Removal of wisdom teeth requiring removal of bone (323)
$170
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Removal of wisdom teeth requiring removal of bone and tooth division (324)
$240
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Inlays/Onlays - tooth coloured 1 surface (551)
$273
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Inlay/Onlays - tooth coloured 2 surfaces (552)
$432
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Crown - veneered (615)
$750
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Bridge pontic - direct (642)
$520
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Dentures - upper and lower (719)
$1,000
Benefits
Yearly Limit
Yearly Limit

Increasing Limits
Year 1 Match existing cover up to $1,300
Year 2 $1,300
Year 3 $1,600
Year 4 $2,100
Year 5 $2,600 
Year 6+ $2,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

Services
Benefit
Yearly Limits
Orthodontia
$2,500
Benefits
Yearly Limit
Yearly Limit

$2,500 lifetime limit.

Services
Benefit
Yearly Limits
Frames
$100
Benefits
Yearly Limit
Yearly Limit

$260 per person.

Single vision lens - pair
$120
Benefits
Yearly Limit
Yearly Limit

$260 per person.

Bifocal lens - pair
$135
Benefits
Yearly Limit
Yearly Limit

$260 per person.

Multifocal lens - pair
$165
Benefits
Yearly Limit
Yearly Limit

$260 per person.

Contact lenses - rigid or soft
$175
Benefits
Yearly Limit
Yearly Limit

$260 per person.

Contact lenses - disposable
$175
Benefits
Yearly Limit
Yearly Limit

$260 per person.

Services
Benefit
Yearly Limits
Acupuncture
$32
Benefits
Yearly Limit
Yearly Limit

$600 per person

Benefits are for face-to-face consultation only. No benefits for remedies, medicines or food preparation.

Chinese herbal medicine
$32
Benefits
Yearly Limit
Yearly Limit

$600 per person

Benefits are for face-to-face consultation only. No benefits for remedies, medicines or food preparation.

Myotherapy
$32
Benefits
Yearly Limit
Yearly Limit

$600 per person

Benefits are for face-to-face consultation only. No benefits for remedies, medicines or food preparation.

Remedial massage
$32
Benefits
Yearly Limit
Yearly Limit

$600 per person

Benefits are for face-to-face consultation only. No benefits for remedies, medicines or food preparation.

Services
Benefit
Yearly Limits
Chiropractic & Osteopathy – First visit
$45
Benefits
Yearly Limit
Yearly Limit

$480 per person ($300 sub-limit for group therapy).

Chiropractic & Osteopathy – Visits 2-4
$40
Benefits
Yearly Limit
Yearly Limit

$480 per person ($300 sub-limit for group therapy).

Chiropractic & Osteopathy – Visits 5+
$32
Benefits
Yearly Limit
Yearly Limit

$480 per person ($300 sub-limit for group therapy).

$20
Benefits
Yearly Limit
Yearly Limit

$480 per person ($300 sub-limit for group therapy).

Physiotherapy – First visit
$45
Benefits
Yearly Limits
Yearly Limits

$800 per person (sub-limits apply).

Physiotherapy – Visits 2-4
$40
Benefits
Yearly Limits
Yearly Limits

$800 per person (sub-limits apply).

Physiotherapy – Visits 5+
$32
Benefits
Yearly Limits
Yearly Limits

$800 per person (sub-limits apply).

$20
Benefits
Yearly Limits
Yearly Limits

$800 per person (sub-limits apply).

Exercise physiology – First visit
$45
Benefits
Yearly Limits
Yearly Limits

Combined limit - see Physiotherapy

Exercise physiology – Visits 2-4
$40
Benefits
Yearly Limits
Yearly Limits

Combined limit - see Physiotherapy

Exercise physiology – Visits 5+
$32
Benefits
Yearly Limits
Yearly Limits

Combined limit - see Physiotherapy

Exercise physiology – group therapy/class therapy
$20
Benefits

A $400 sub-limit per person applies to group therapy. Within the group therapy limit, a $200 class therapy sub-limit per person applies.

Ante or post-natal physiotherapy (per confinement only)
$78
Benefits
Yearly Limits
Yearly Limits

$78 per calendar year, included in overall physio limit

Orthoptics consultation - 1-4 visits
$40
Benefits
Yearly Limits
Yearly Limits

Included in overall physio limit.

Orthoptics consultation - 5+ visits
$35
Benefits
Yearly Limits
Yearly Limits

Included in overall physio limit.

Speech therapy - 1-4 visits
$70
Benefits
Yearly Limits
Yearly Limits

$600 per person.

Speech therapy - 5+ visits
$40
Benefits
Yearly Limits
Yearly Limits

$600 per person.

Occupational therapy - 1-4 visits
$70
Benefits
Yearly Limits
Yearly Limits

$500 per person.

Occupational therapy - 5+ visits
$44
Benefits
Yearly Limits
Yearly Limits

$500 per person.

Podiatry - 1-4 visits
$40
Benefits
Yearly Limits
Yearly Limits

$400 per person ($60 sub-limit for orthotic repair).

Podiatry - 5+ visits
$32
Benefits
Yearly Limits
Yearly Limits

$400 per person ($60 sub-limit for orthotic repair).

Audiology consultation
$45
Benefits
Yearly Limits
Yearly Limits

No limit.

Dietitian - 1-4 visits
$60
Benefits
Yearly Limits
Yearly Limits

$400 per person.

Dietitian - 5+ visits
$40
Benefits
Yearly Limits
Yearly Limits

$400 per person.

Hypnotherapy consultation or session
$30
Benefits
Yearly Limits
Yearly Limits

$300 per person

Psychology consultation
$72
Benefits
Yearly Limits
Yearly Limits

$600 per person. Sub-limits apply.

Psychology assessment
$100
Benefits
Yearly Limits
Yearly Limits

$600 per person. Sub-limits apply.

Services
Benefit
Yearly Limits
75%
Benefits
Yearly Limits
Yearly Limits

$200 per person. For more information on programs and how to claim, click here.

75%
Benefits
Yearly Limits
Yearly Limits

$200 per person. For more information on programs and how to claim, click here.

75%
Benefits
Yearly Limits
Yearly Limits

$200 per person. For more information on programs and how to claim, click here.

75%
Benefits
Yearly Limits
Yearly Limits

$200 per person. For more information on programs and how to claim, click here.

National Healthy Eating Activity and Lifestyle (HEAL) program
75%
Benefits
Yearly Limits
Yearly Limits

$200 per person. For more information on programs and how to claim, click here.

Services
Benefit
Yearly Limits
$60
Benefits
Yearly Limit
Yearly Limit

$800 per person ($280 sub-limit for erectile dysfunction and vaccines).

$0.15/km
Benefits
Yearly Limits
Yearly Limits

$400 per person. See Claiming for Travel under FAQs.

Home nursing - over six (6) hours
$95
Benefits
Yearly Limits
Yearly Limits

$800 per person.

Home nursing - under six (6) hours
$33
Benefits
Yearly Limits
Yearly Limits

$800 per person.

Services
Benefit
Yearly Limits
75% of cost
Benefits
Yearly Limit
Yearly Limit

$900 per person, per 3 years. Most aids require the Aids and Appliances form to be completed.

75% of cost
Benefits
Yearly Limit
Yearly Limit

$150 per person. Most aids require the Aids and Appliances form to be completed.

Services
Benefit
Yearly Limits
Blood pressure monitor (purchase)
75% up to $85
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Blood glucose monitor
75% up to $160
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

75% up to $400
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Pregnancy-related compression garments
75% up to $90
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Wigs - chemotherapy/alopecia
75% up to $350
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

75% up to $240
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Breast Pump (purchase)
75% up to $150
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Crutches (purchase)
75% up to $140
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Crutches (hire)
75% up to $140
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Nebuliser
75% up to $170
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Surgical corsets/braces/trusses
75% up to $500
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

75% up to $400
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Wheelchair repair (including batteries)
75% up to $75
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Wheelchair (hire)
75% up to $140
Benefits
Yearly Limit
Yearly Limit

$1,200 per person (sub-limits apply).

Most aids require the Aids and Appliances form to be completed. 

Mastectomy Bra
90%
Benefits
Yearly Limits
Yearly Limits

$350

100% up to $100
Benefits
Yearly Limits
Yearly Limits

$200

Services
Benefit
Yearly Limits
Wheelchair
50%
Benefits
Yearly Limit
Yearly Limit

$1900 limit every 5 years (sub-limit applies for a manual wheelchair)

Services
Benefit
Yearly Limits
See Yearly Limit
Benefits
Yearly Limit
Yearly Limit

Increasing limits
Single
Years 1-5 $600
Years 5+ $900

Pair
Years 1-5 $1,200
Years 5+ $1,800

Increasing limits are calculated on continuous membership of UniHealth Top Extras cover.

1 pair of hearing aids per person every 3 calendar years.

Most aids require the Aids and Appliances form to be completed.

Services
Benefit
Yearly Limits
Emergency ambulance transport (using State Government ambulance service)
100%
Benefits
Yearly Limit
Yearly Limit

$6000 per person.

Waiting Periods

Like all health funds, waiting periods may apply when you take out your cover. You may have to wait if:

  • You’re new to private health insurance
  • You increase your benefit limits or upgrade your cover to include things that weren’t covered before
  • You switch health funds and increase your cover to include things that weren’t covered before.
If you’ve cancelled your membership with another health fund, you’ll need to join us within 60 days to keep up your continuity of cover and not re-serve any applicable waiting periods.

Extras Waiting Periods

Orthodontia 12 months
Wheelchair purchase 24 months
Major dental, medical appliances 12 months
Optical, healthy lifestyle 6 months
All other services 2 months
Emergency ambulance transport 1 day

Make sure you claim with a recognised provider

We can only pay benefits if you’ve taken up the service through a provider who’s recognised by UniHealth at the time. To find out if your provider’s one of them, just call us on 1300 367 906.