Super Extras

Our top range of extras cover, Super Extras, provides higher health insurance benefits and financial year limits for high cost dentistry, optical, hearing aids and many more services. The table below shows the benefits payable under Super Extras effective 1 July 2011.

For more information download the Super Extras policy document. You can also call us on 134 246.

The wait is over

We believe it's important our members get all they're entitled to. That's why from 6 June 2011 we've removed the 2 and 6 months waiting periods from all our Extras covers.

Find out more »

Dental Benefits

These are examples of the most common dental services we pay benefits for. There are more services covered by this policy than we can include here so make sure you call us before you have any treatment to confirm the benefits you’ll receive.

Routine
Diagnostic
Comprehensive examination item 011 $40.35*
Periodic examination item 012 $38.25*
Emergency examination item 013 $29.25**
X-ray (one film) item 022 $24.15
Preventive
Clean and polish item 111 $33.80#
Scale and clean item 114 $65.20#
Topical fluoride application item 121 $23.75**
Mouthguard – custom made item 151 $90.40**
Extractions
Non-surgical extraction item 311 $67.75
Surgical extraction item 324 $189.50
Direct Restorations
Metallic restoration of 1 surface item 511 $58.15
Metallic restoration of 3 surfaces item 513 $84.50
Adhesive filling of 1 surface (front) item 521 $62.05
Adhesive filling of 3 surfaces (front) item 523 $87.30
Adhesive filling of 1 surface (back) item 531 $65.00
Adhesive filling of 3 surfaces (back) item 533 $100.25
Combined per person No limit
Family limit No limit
* Maximum 2 services per year combined
** Maximum 2 services per year  
# Maximum 3 services per year combined
Complex
Periodontics
Non-surgical periodontic treatment item 281 $176.20
Endodontics (Root canal therapy)
Preparation of one root canal item 415 $138.35
Limits 1 - 4 years 5 - 9 years 10+ years
Per person combined $1,000 $1,100 $1,200
Family limit $2,500 $2,750 $3,000
Major
Indirect Restorations
Tooth coloured filling 1 surface item 551 $246.90
Crowns/Bridges/Implants
Fully veneered crown item 615 $587.10
Dentures (one complete set per person each 3 years)
Full upper or lower item 711/712 $405.10
Limits 1 - 4 years 5 - 9 years 10+ years
Per person combined $1,100
 $1,300 $1,500
Family limit $2,750 $3,250 $3,750
Orthodontics
Up to your yearly limit for specialist services 100%
Up to your yearly limit for GP services 70%
Limits 1 - 2 years 3 - 4 years 5+ years
Per person $800 $1,000 $1,200
Lifetime limit $2,400

General Benefits

Optical
Frames, single lenses (pair), bi-focal (pair), multi-focal (pair), contact lenses, repair to frames or lenses
(payable for scripted sight correcting products only)		 Benefit depends on loyalty years
Refractive sight correcting laser eye surgery (per eye) $600
Limits 0 - 4 years 5 - 9 years 10+ years
Per person combined $250 $275 $300
Family limit No limit No limit No limit
Refractive sight correcting laser eye surgery Lifetime limit $1,200 per person
Therapies
Physiotherapy and osteopathy Initial consultation† $43
Subsequent consultation $33
Per class - Group hydrotherapy, pilates and antenatal exercises and rehabilitation* $17
Chiropractic Initial consultation† $43
Subsequent consultation $33
Limits 0 - 4 years 5 - 9 years 10+ years
Per person per therapy $300 $350 $400
Per family per therapy $750 $875 $1,000
† 1 initial consultation per therapy per person per financial year
* Benefits only paid where service is performed by an ahm registered physiotherapist 
Complementary and alternative therapies
Naturopathy, homeopathy, acupuncture, herbalism, remedial massage, reflexology, feldenkrais, rolfing, bowen therapy, alexander technique, kinesiology, biochemistry, traditional Chinese medicine, exercise physiology, aromatherapy, myotherapy and shiatsu $26.50
Per person combined $400
Family limit $800
Other therapies
Psychology and hypnotherapy
(provided by an ahm registered psychologist)		 Assessment or initial consultation† $81
Subsequent consultation $46
Group consultation $25
Speech therapy Initial consultation† $60
Subsequent consultation $30
Occupational therapy Initial consultation† $34
Subsequent consultation $30
Eye therapy (Orthoptics) Initial consultation† $32
Subsequent consultation $25

Podiatry

Initial consultation† $38
Subsequent consultation $30
Casting $30
Podiatric surgery $210
Audiology Initial consultation† $32
Subsequent consultation $25
Limits 0 - 4 years 5 - 9 years 10+ years
Per person per therapy $300 $350 $400
Per family per therapy $750 $875 $1,000
† 1 initial consultation per therapy per person per financial year
Orthotics and orthopaedic shoes
Purchased from an ahm registered podiatrist or orthopaedic supplier only. Excludes benefits for sporthotics and formthotics. $200
Combined per person $200
Family limit $400
Hearing aids
Per hearing aid* $800
Repair* $50
Combined per person $1,600 every 3 years
Combined limit No limit
*Account must be fully paid before claiming
Pharmacy
General items*
Hormonal implants
Contraceptives (for medical reasons)
Preventive/travel vaccines 		Up to $60 each item above the general patient PBS amount
Limits 0 - 4 years 5 - 9 years 10+ years
Per person combined $500 $550 $600
Family limit $1,000 $1,100 $1,200
* Excludes PBS scripts, over the counter or off the shelf medicines, vitamins and herbal medicines
Post operative and medical aids#
Post operation aids (eg surgical stockings) $105
Braces and supports (eg crutches) $105
Medical aids (including Irlen lens) $160
Non-surgical prostheses (including wigs) $160
Combined per person $300
Family limit $600
# Evidence of hospitalisation or medical need is required
Maternity options*
Per visit - Pre and post natal consultation and classes including lactation consultants $25.50
Per course - Birthing courses must be provided by a registered midwife
 $122.50
Combined per person $210 per rolling year†
Family limit No limit
* Where not claimable through Medicare
† A rolling year begins on the date a service was first provided with the limit applying to that 12 month period
Travel and accommodation
Travel over 200 kms return trip 15 cents per/km
Per night - Accommodation $30 per night
(For specialist medical appointments and outpatient procedures only)
Combined per person $300
Family limit $600
Outpatient procedure room fees
Per procedure $120
Combined per person $360
Family limit $720
Medical gases
Per unit (such as oxygen) $100
Per person limit $1,200
Joint fluid replacement injections
Per injection (eg. Synvisc, OsteoArtz, Hyalgan) $320
Per person limit $640 per rolling year*
* A rolling year begins on the date a service was first provided with the limit applying to that 12 month period
Ambulance
Emergency only 100%
Financial year limit No limit
Disease prevention
ahm Health Risk Assessment
100%
Limit 1 per person per 12 months
ahm Health Coaching Program 100%
Limit 1 per person per 6 months
Health improvement
Dietitian and nutritionist Initial consultation† $45
Subsequent consultation $32
Weight loss Per class (approved providers only) $10
Per course
(ahm approved providers only with medical evidence of a BMI of 26 or over for adult claims and an unhealthy BMI for children's claims)		 $100
Combined per person $400
Family limit $1,000
† 1 initial consultation per therapy per person per financial year
Other health improvement benefits
Quit smoking Per course $110
Per course - Laser acupuncture therapy $110
Per item - Nicotine replacement therapy
(patches, gum, lozenges, inhalers)		 $60
Disease management association fees Per association - Asthma, Diabetes, Heart, Arthritis, Coeliac and Crohn's disease $52
Cancer Council UV products Per item - sunscreen, swimwear, hats, sunglasses
(does not include cosmetics, shade and accessory items. Your receipt must identify the item as Cancer Council approved)		 $52
Stress management Per course
(recognised psychologist or ahm approved provider)		 $100
Preventive tests Mammograms, skin cancer screenings, bowel cancer tests and scans and bone mineral density tests
(where not claimable through Medicare)		 Up to $65
Health checks Per check# - Doctor health checks and Healthy Heart checks
(where not claimable through Medicare, an employer or another party)		 $60
Exercise classes

(When part of an ahm or a recognised health management program and by an ahm approved provider. To be eligible for exercise program benefits, please have your GP or provider complete a health improvement approval form.)

Gym, Yoga, Pilates and exercise physiology

Per class $16
Per course $250
Swimming lessons and training
(0-17 years of age by an Austswim® or Swim Australia accredited swim school with evidence of asthma, diabetes, an unhealthy BMI or doctor's recommendation to undertake this activity due to their condition)		 Per lesson* $10
Per course* $250
Combined per person $250
Family limt $625
#1 per person per financial year

Note: All health improvement benefits are subject to benefit conditions. Please refer to policy document for more information

What does it cost?

It's easy to check the cost of your health insurance cover, just use our Quick Quote.

To compare quotes for all our extras covers, check our Premiums at a glance.

If you have a health insurance query, please contact us.

Back to top

Please note: For definitions on the terms used above, please see Important Information.
This is important information about your policy. Please read this in conjunction with your policy document which you can download and save for future reference.