Essential Extras

Essential Extras is an affordable level of cover for everyday services that Medicare generally doesn't pay for including preventative and general dental, optical, physio and remedial massage.

Essential Extras can be combined with one of our three Hospital cover options.

We've included a list of the most commonly claimed items. Call us on 1300 344 000 to check if you're covered for an item number that is not listed below. 

Dental

Service Benefit (up to $) Yearly Limits

General Dental - 2 month waiting period

Periodic oral examination (012) - limit of 2 services, per person/year

$40

Yearly Limits:
$500 per person

Bitewing x-ray (022)

$30

Removal of calculus (114) - limit of 2 services, per person/year

$70

Topical application of remineralising agent (121) - limit of 2 services per year

$25

Removal of tooth (311)

$90

Filling: 1 surface metallic (511)

$63

Filling: 3 surface metallic (513)

$109

Filling: 1 surface adhesive restoration (531)

$80

Filling: 3 surface adhesive restoration (533)

$115

Major Dental -12 month waiting period

Removal of wisdom teeth requiring removal of bone (323)

$170

Yearly Limits:
$300 per person

Removal of wisdom teeth requiring removal of bone and tooth division (324)

$240

Inlays/Outlays - tooth coloured 1 surface (551)

$273

Inlay/Outlays - tooth coloured 2 surfaces (552)

$300

Crown - veneered (615)

$300

Bridge pontic - direct (642)

$300

Dentures - upper and lower (719)

$300

Optical

Service Benefit (up to $) Yearly Limits

6 month waiting period

Frames

$100

Yearly Limits:
$165 per person

Single vision lens - pair

$95

Bifocal lens - pair

$95

Multifocal lens - pair

$95

Contact lenses - rigid or soft

$165

Contact lenses - disposable

$165

Complementary Therapies

Service Benefit (up to $) Yearly Limits

2 month waiting period

Acupuncture

$32

Yearly Limits:
$400 per person

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

Remedial Massage

$32

Alexander Technique

$32

Aromatherapy

$32

Bowen Therapy

$32

Chinese Herbal Medicine Consultations

$32

Feldenkrais Method

$32

Homeopathy

$32

Kinesiology

$32

Myotherapy

$32

Naturopathy

$32

Reflexology

$32

Shiatsu

$32

Western Herbal Medicine Consultations

$32

Body & Mind Therapies

Service Benefit (up to $) Yearly Limits

2 month waiting period

Chiropractic & Osteopathy - 1-4 visits

$40

Yearly Limits:
$250 per person (sub-limits apply)

Chiropractic & Osteopathy - 5+ visits

$32

Chiropractic & Osteopathy - group therapy

$20

Physiotherapy - 1-4 visits

$40

Yearly Limits:
$300 per person (sub-limits apply)

Physiotherapy - 5+ visits

$32

Physiotherapy - group therapy/class therapy

$20

Exercise Physiology - 1-4 visits

N/A

Exercise Physiology - 5+ visits

N/A

Exercise Physiology - group therapy

N/A

Speech therapy - 1-4 visits

N/A

Speech therapy - 5+ visits

N/A

Podiatry - 1-4 visits

$40

Yearly Limits:
$200 per person

Podiatry - 5+ visits

$32

Dietitian - 1-4 visits

N/A

Dietitian - 5+ visits

N/A

Psychology consultation

N/A

Psychology assessment

N/A

Healthy Lifestyle

Service Benefit (up to $) Yearly Limits

6 month waiting period

Weight management

75%

Yearly Limits:
$150 per person

For more information on programs and how to claim, click here.

Gym membership

75%

Pilates

75%

Yoga

75%

Disease management subscriptions / memberships

75%

Health screening services / prevention screening

75%

National Healthy Eating Activity and Lifestyle (HEAL) program

75%

Medical Health

Service Benefit (up to $) Yearly Limits

2 month waiting period

Pharmaceuticals (non PBS requiring prescription by law)

$60

Yearly Limits:
$300 per person

Medical Appliances

Service Benefit (up to $) Yearly Limits

12 month waiting period

CPAP machine (purchase)

N/A

Artificial Aids

Service Benefit (up to $) Yearly Limits

2 month waiting period

Blood pressure monitor (purchase)

N/A

Blood glucose monitor

N/A

Compression garments

N/A

Wigs - chemotherapy / alopecia

N/A

Hearing Aids

Service Benefit (up to $) Yearly Limits

12 month waiting period

Hearing aids

N/A

Emergency Ambulance Transport

Service Benefit (up to $) Yearly Limits

1 day waiting period

Emergency ambulance transport (using State Government ambulance service)

100%

$6,000 per person

Recognised Providers

Benefits are only paid where the provider of the service or product is recognised by Nurses & Midwives Health at the time the service is received or the product is purchased. To check if your provider is recognised by Nurses & Midwives Health please call us on 1300 344 000.



Frequently Asked Questions