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Extras

Extras

Extras
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Options and Features
Your choice of registered provider
 
 
 

GMHBA lets you be treated by who you want. You will receive the same benefit from any registered provider of your choosing.

Connect Rewards Plus top-up available
 
 
 

Holding a combined hospital and extras cover allows you to enjoy the benefits of GMHBA’s member loyalty program, Connect Rewards Plus. This program allows members to accumulate Connect Rewards dollars year on year.

GMHBA rewards program allows you to top up out of pocket expenses for select extras services.

The amount of dollars you receive depends on how long you have been a GMHBA member and your level of hospital cover. So, the longer you have been with us the more rewards dollars you will receive.

Choice of Set Benefits or Percent Back
 
 
 

Set benefits
When you receive treatment for a covered extras service you will receive a set amount back, known as a set benefit.

Percent Back
The percentage back option gives you the certainty of receiving a percentage of the cost of treatment back when you claim, up to annual limits.

Bronze Extras 55%, Silver Extras 65% and Gold Extras 75%

If Percent Back, percent returned to you
55%
65%
75%

The percent back you receive depends on your level of extras cover. Get 55% back when you choose Bronze Extras, 65% back when you choose Silver Extras, or get 75% back with Gold Extras cover.

Preventative Health Programs
Annual Limit per person per calendar year
$50
$100
$150
Annual limit per family per calendar year
$100
$200
$300
Bowel cancer identification kits (purchased through GMHBA)
 
 
 

ColoVantage® Home faecal immunochemical test (FIT) purchased through GMHBA

1 every 2 years

Melanoma surveillance photography
 
 
 

1 per year

Quit Smoking programs
 
 
 

1 per year

Nicotine replacement patches
 
 
 

1 x 12 course of patches per year

Dental

The benefits shown are the annual limits for each type of dental service. The annual limit is a combined general and major dental limit.

There are further sub limits within some of these dental services.

Overall dental annual limit is per person, per calendar year.

Total dental annual limit per person per calendar year
$1,000
$1,500
$2,000

The benefits shown are the annual limits for each type of dental service. The annual limit is a combined general and major dental limit.

There are further sub limits within some of these dental services.

Overall dental annual limit is per person, per calendar year.

General dental
Set benefits apply
Set benefits apply
Set benefits apply

Diagnostic services, simple extractions (not including surgical extractions of wisdom teeth) and restorative services (limited benefits apply to precious restorations).

Waiting Period: 2 months

Major dental
 
Set benefits apply
Set benefits apply

Major dental includes services such as complex fillings, tooth extractions, root canals, crowns and bridges.

Waiting Period: 12 months

Connect Rewards Plus top-up available
 
 
 
Optical

Includes prescription lenses, spectacle frames, and contact lenses. Non-prescription sunglasses and repairs are excluded.

Laser surgery claimable on Gold Extras only.

Waiting Period: 6 months

Annual Limit per person per calendar year
$150
$200
$250
Connect Rewards Plus top-up available
 
 
 
Prescription spectacles, contact lenses and frames
80% back up to annual limit
80% back up to annual limit
100% back up to annual limit
Laser surgery
 
 
100% back up to annual limit
Physiotherapy, Myotherapy and Hydrotherapy
Annual limit is combined with Exercise Physiology

Treatment by a physiotherapist which uses physical means to relive pain, regain range of movement, restore muscle strength and return patients to return patients to normal activities of daily living

Myotherapy is a branch of manual medicine which focuses on the treatment and rehabilitation of musculoskeletal pain and associated conditions. This involves an extensive physical evaluation and an integrated therapeutic approach to affected muscles, joints, nerves, and associated viscera (organs) and is used in the treatment of acute or chronic conditions and in the area of preventative management

Hydrotherapy, involves the use of water for pain relief and treatment. The term encompasses a broad range of approaches and therapeutic methods that take advantage of the physical properties of water, such as temperature and pressure, for therapeutic purposes, to stimulate blood circulation and treat the symptoms of certain diseases.

Waiting Period: 2 months

Annual Limit per person per calendar year
$300
$400
$500
Annual limit per family per calendar year
$600
$800
$1000
Connect Rewards Plus top-up available

On Physiotherapy

On Physiotherapy

On Physiotherapy
Initial visit
$30
$35
$40
Subsequent visits
$22
$26
$30
Class attendance
$10
$20
$30

$240 annual limit per person applies. This is included within your overall annual limit

Exercise Physiology
Annual limit is combined with Physiotherapy, Myotherapy and Hydrotherapy

An Exercise Physiologist is a qualified allied health professional who specialises in clinical exercise interventions for persons at high-risk of developing, or with existing chronic and complex medical conditions and injuries.

These interventions are provided by exercise delivery including health and physical activity education, advice and support and lifestyle modification with a strong focus on achieving behavioural change.

Exercise Physiologists are the most qualified health professional to prescribe exercise for people with chronic disease.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
 
$350
Annual limit per family per calendar year
 
 
$700
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
 
$40
Subsequent visits
 
 
$30
Chiropractic and Osteopathy

Chiropractors and Osteopaths use manipulation based treatments that can be used for:
- muscle and joint pains and injuries
- back and neck pain and injuries
- frequent headaches
- repetitive strains

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$300
$350
Annual limit per family per calendar year
 
$600
$700
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$20
$27
Subsequent visits
 
$15
$20
Naturopathy, Homeopathy and Acupuncture
Annual limit is combined with Remedial Massage

Naturopathy uses a range of alternative approaches to medical treatments.

A homeopath is a practitioner who has trained in homeopathic principles, philosophy and practice and uses a system of treating patients with very low dose treatment preparations according to the principle 'like should be cured by like'. Homeopathy is also a therapeutic method of preparation of substances whose effects, when administered to healthy subjects, corresponds to the manifestations of the disorder (symptoms, clinical signs and pathological states) in the unwell.

Acupuncture treatment involves inserting small needles into various points in the body to stimulate nerve impulses.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$300
$350
Annual limit per family per calendar year
 
$600
$700
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$20
$27
Subsequent visits
 
$15
$20
Remedial Massage
Annual limit is combined with Naturopathy, Homeopathy and Acupuncture

Deep massage to treat injuries and speed recovery (for example, strains, sprains, bruising).

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$300
$350
Annual limit per family per calendar year
 
$600
$700
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$20
$23
Subsequent visits
 
$15
$17
Ambulance
To be fully covered for Ambulance services, we recommend that you take out an ambulance subscription in your state or territory. You can claim a refund on one ambulance subscription per membership each calendar year under Gold Extras and Silver Extras (excluding TAS/QLD/NSW). A transport benefit per trip is payable, however this will result in significant out of pocket costs. Publicly funded ambulance services and State Government Ambulance transport schemes are excluded (TAS/QLD/NSW)
Annual Limit per person per calendar year
 
$500
$500
Connect Rewards Plus top-up available
 
 
 
Annual subscription refund
 
100%
100%
Transport benefit (per trip)
 
$300
$300
Psychology

Group or individual sessions with a Psychologist

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$350
$500
Annual limit per family per calendar year
 
$600
$800
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$39
$45
Subsequent visits
 
$29
$34
Pharmacy

Any S4 or S8 non PBS products may be claimed (excluding contraception and IVF).

Waiting Period: 2 months

Annual Limit per person per calendar year
$150
$250
$350
Annual limit per family per calendar year
$350
$450
$550
Connect Rewards Plus top-up available
 
 
 
Members pay the first maximum PBS contribution then the following benefit is paid towards the balance
$20
$23
$27
Dietetics and Diabetes Education Consultations

Dietitians are experts in food and nutrition. They help promote good health through proper eating. They also supervise the preparation and service of food, develop modified diets, participate in research, and educate individuals and groups on good nutritional habits.

Diabetes education consultation with a registered practitioner.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$400
$500
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$56
$60
Subsequent visit
 
$41
$45
Fluoride dietary supplement

Fluoride benefits are payable towards the cost of dietary fluoride supplements (tablet or liquid form) when dispensed by a chemist or dentist in a private practice.

Waiting Period: 2 months

Benefit up to
$16
$19
$22
Maximum benefit per person
$45
$45
$45
Connect Rewards Plus top-up available
 
 
 
Audiology

Audiology is the branch of science that studies hearing, balance, and their disorders.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$400
$500
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$35
$41
Subsequent visits
 
$27
$31
Antenatal and postnatal classes

Benefits for pregnancy related services including antenatal (preparing for labour and birth) and postnatal services (such as assistance with a baby that won’t settle or breastfeed properly) when visiting registered midwives, physiotherapists and lactation nurses.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
 
$350
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
 
$48
Subsequent visits
 
 
$42
Eye therapy and speech therapy

Eye therapy includes the diagnosis and non- surgical management of eye disorders and abnormalities

Speech therapy is the diagnosis, management and treatment of people who are unable to effectively communicate or who have difficulty with feeding and swallowing, stroke sufferers and those who stutter.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$400
$500
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$30
$35
Subsequent visits
 
$23
$26
Occupational Therapy

Occupational Therapy assists and supports people to participate in day to day life by enhancing their ability to engage in everyday activities.

Waiting Period: 2 months

Annual Limit per person per calendar year
$300
$400
$350
Annual limit per family per calendar year
$600
$800
$1,000
Connect Rewards Plus top-up available
 
 
 
Initial visit
$30
$36
$42
Subsequent visits
$23
$27
$31
Podiatry

Treatment of conditions affecting the foot, ankle and related lower extremity structures.

Waiting Period: 2 months / 12 months for surgical procedures

Annual Limit per person per calendar year
 
$250
$300
Connect Rewards Plus top-up available
 
 
 
Initial visit
 
$26
$30
Subsequent visits
 
$20
$23
Comprehensive treatment - initial visit
 
$33
$39
Comprehensive treatment - subsequent visits
 
$25
$29
Surgical procedures – 80% of the cost up to
 
$115
$115

12 Month waiting period applies to Podiatry Surgical procedures

Nursing

Visiting, home and registered nurse (private practice) - The annual limit of $1000 per person each calendar year includes combined benefits for home (bush) nursing and visiting/registered nurse. Visiting nurse benefits apply towards a registered nurse in private practice on recommendation from a medical practitioner.

Waiting Period: 2 months

Annual Limit per person per calendar year
 
$1,000
$1,000
Connect Rewards Plus top-up available
 
 
 
Home (bush) nursing benefit for each visit
 
$8
$8
Registered nurse visit (private practice), benefit per hour
 
$8
$8
Maximum benefit for each day
 
$48
$48
Prostheses (non-surgical)

Prostheses include a range of approved non-surgically implanted prostheses (eg. wigs) A doctor's letter of recommendation is required prior to claiming.

Waiting Period: 12 months

Maximum benefit per person every 3 years
 
$200
$250
Connect Rewards Plus top-up available
 
 
 
Benefit up to
 
$130
$160
Blood glucose monitor

Blood Glucose Monitor A device to measure the concentration of glucose in the blood.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Benefit
 
100% up to $150
100% up to $200
Extremity pump

Extremity Pump is designed to aid in the reduction and control of peripheral edema, including lymphedema of the extremities and post mastectomy lymphedema, stasis dermatitis and venous stasis ulcers.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Benefit
 
100% up to $300
100% up to $300
Nebuliser pump

Nebuliser Pump is a medical device used to administer medication in the form of a mist inhaled into the lungs.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Benefit
 
100% up to $150
100% up to $150
Sleep apnoea monitor

Sleep aponea monitor is an automatic positive airway pressure device that automatically tunes the amount of pressure delivered to the patient to the minimum required to maintain an unobstructed airway on a breath-by-breath basis by measuring the resistance in the patient's breathing, thereby giving the patient the precise pressure.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Benefit
 
100% up to $200
100% up to $200
Tens monitor

A TENS (Transcutaneous Electrical Nerve Stimulation) monitor is a battery-powered unit which sends electrical impulses through electrodes placed on or near the painful site. This causes a tingling sensation that reduces pain, even pain that hasn't responded to other treatments.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Benefit
 
100% up to $100
100% up to $100
Hearing aids

A Hearing Aid is a device to amplify and change sound to assist people with hearing impairments.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: None

Benefit
 
100% up to $744
100% up to $859
Maximum benefit per person every 3 years
 
$1,200
$1,500
Orthopaedic repairs

Waiting Period: 2 months

Maximum annual limit per person
$30
$40
$50
Orthotic appliances (foot)

Foot Orthotics can assist in correcting disorders of the foot, ankle, and sometimes knee, leg and hip, by creating additional support to the foot from the heel, arches & right to the toe.

Must be custom made by a podiatrist or orthotist, and not by a chiropractor or physiotherapist.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Annual limit per person
 
$200
$250
Annual limit per family
 
$400
$550
Benefit
 
$90
$103
Pressure garments

Garment that applies continual pressure over large areas of healing skin after burns, lymphodaema, or post operative surgery.

Garments must be supplied through a private company or therapist in private practice. A doctor’s letter recommending the appliance must accompany each claim for benefits.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Annual limit per person
$100 every 3 years
$200 every 3 years
$300
Benefit
$42
$49
$57
Orthopaedic appliances

Refer to medical devices (such as a knee brace) fitted immediately following surgery or to heal an injury.

Must be custom made and GMHBA specified and approved.

A doctor’s letter of recommendation is required prior to claiming and are limited to one item per membership every 3 years.

Waiting Period: 12 months

Annual limit per person
$200 every 3 years
$300 every 3 years
$400
Benefit
$71
$84
$97
Weight loss program

A benefit payable at a participating weight loss program and is recommended in writing by a doctor.

Programs include:
- Weight Watchers Australia
- Jenny Craig Weight Loss Centres Pty Ltd
- Fernwood
- Simplicity Weight Loss.

Benefits are payable for weight loss program fees and not meals or exercise components.

Waiting Period: 2 months

Lifetime benefit limit per policy
 
 
$400
Benefit on achieving 10% of start weight
 
 
$100
Benefit on achieving goal weight (within 24 months)
 
 
$100
Connect Rewards Plus member loyalty program
When combined with a GMHBA extras cover
 
 
 

GMHBA members who hold combined hospital and extras cover accumulate Connect Rewards dollars year on year.

Connect Rewards Plus dollars can be used to reduce or eliminate out-of-pocket expenses when you make a claim.

The amount of dollars you receive depends on how long you have been a GMHBA member and your level of hospital cover.

 

Extras

Extras

Extras
Price per week^
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  • Covered
  • Not covered
  • More information about the service, including waiting periods

Note to current members: These extras products were introduced on March 1 2014. If you joined Gold, Silver, or Bronze extras before this date, information about your extras cover can be found in your online member area.

^The price per week applies to a Victorian premium, receiving a Base Tier Government Rebate. The price shown includes a 2% direct debit discount. Please use our quote tool to determine the price that applies to you. The weekly payment frequency is shown for comparative purposes only and is not an available payment frequency.