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 2010.

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

General Benefits

Therapies
Physiotherapy and osteopathy Initial consultation† $42
Subsequent consultation $31
Per class - Group hydrotherapy, pilates and antenatal exercises and rehabilitation* $15
Chiropractic Initial consultation† $42
Subsequent consultation $31
Financial year limits 0 – 4 years 5 – 9 years 10+ years
Per person per therapy $300 $350 $400
Per family per therapy $750 $875 $1,000
Combined limit $900 single
$2,250 family 		$1,050 single
$2,625 family 		$1,200 single
$3,000 family
† 1 initial consultation per therapy per person per financial year
 * Benefits only paid where service is performed by an ahm registered physiotherapist 
Other therapies
Psychology and hypnotherapy
(provided by an ahm registered psychologist)		 Assessment or initial consultation† $80
Subsequent consultation $45
Group consultation $22.50
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† $36.50
Subsequent consultation $28
Casting $28
Podiatric surgery $200
Audiology Initial consultation† $32
Subsequent consultation $25
Financial year limits 0 – 4 years 5 – 9 years 10+ years
Per person per therapy $300 $350 $400
Per family per therapy $750 $875 $1,000
Combined limit $1,200 single
$3,000 family		 $1,400 single
$3,500 family		 $1,600 single
$4,000 family
† 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
Financial year limits
Combined limit $200 per person $400 per family
Optical
Frames, single lenses (pair), bi-focal (pair), multi-focal (pair), contact lenses
(payable for scripted sight correcting products only)		 Benefit depends on loyalty years
Repair to frames or lenses
(payable for scripted sight correcting products only)		 $50
Refractive sight correcting laser acupuncture surgery $600 per eye
Financial year limits 0 – 9 years 10+ years
Per person combined $250 $300
Family limit No limit No limit
Refractive sight correcting laser eye surgery Lifetime limit $1,200 per person
Health improvement
Dietitian and nutritionist Initial consultation† $45
Subsequent consultation $30
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
Financial year limits - Dietitian, nutritionist and weight loss
Limit $400 per person $1,000 per family
† 1 initial consultation per therapy per person per financial year
Other health improvement benefits
Quit smoking Per course $100
Per course - Laser acupuncture therapy $100
Per item - Nicotine replacement therapy
(patches, gum, lozenges, inhalers)		 $50
Disease management association fees Per association - Asthma, diabetes, heart, arthritis, coeliac and Crohn's disease $50
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)		 $50
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)		 $50
Exercise classes

Gym, yoga, pilates and exercise physiology

(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.)

 Per class $15
Per course $150
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* $8
Per course* $80
Financial year limits
Limit $250 per person $625 per family
Combined limit for health improvement
  $650 per person $1,625 per family
#1 per person per financial year
Disease prevention
ahm Health Risk Assessment
ahm Health Coaching Program		 100%
Financial year limits Limit Combined
ahm Health Risk Assessment 1 per 12 months No Combined limit
ahm Health Coaching Program 1 per 6 months
Complementary and alternative therapies
Naturopathy, homeopathy, acupuncture, herbalism, remedial massage, reflexology, feldenkrais, rolfing, bowen therapy, alexander technique, kinesiology, biochemistry, traditional Chinese medicine and exercise physiology $26
Financial year limits    
Combined limit $400 per person $800 per family
Hearing aids
Per hearing aid* $800
Repair* $50
Financial year limits    
Combined limit $1,600 every 3 years per person No limit per family
*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
Financial year 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
** Sub limit of $200 per person and $400 per family
Post operative and medical aids
Post operation aids (eg surgical stockings) $100
Braces and supports (eg crutches) $100
Medical aids (including Irlen lens) $150
Non-surgical prostheses (including wigs) $150
Financial year limits
Combined limit $300 per person $600 per family
Maternity options
Per visit - Pre and post natal consultation and classes including lactation consultants $21
Per course - Birthing courses must be provided by a registered midwife
 $100
Financial year limits
Combined per person $210 per rolling year* No limit per family
* 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)
Financial year limits
Combined limit $300 per person $600 per family
Outpatient procedure room fees
Per procedure $120
Financial year limits    
Combined limit $360 per person $720 per family
Medical gases
Per unit (such as oxygen) $100
Financial year limits    
Combined limit $1,200 per person No limit per family
Joint fluid replacement injections
Per injection (eg. Synvisc, OsteoArtz, Hyalgan) $320
Financial year limits
Combined limit $640 per rolling year* No limit per family
* 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% of cost
Financial year limits No limit

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 $39.00*
Periodic examination item 012 $37.00*
Emergency examination item 013 $28.30**
X-ray (one film) item 022 $23.45
Preventive
Clean and polish item 111 $32.70#
Scale and clean item 114 $63.00#
Topical fluoride application item 121 $23.00**
Mouthguard – custom made item 151 $87.45**
Extractions
Non-surgical extraction item 311 $65.65
Surgical extraction item 324 $183.65
Direct Restorations
Metallic restoration of 1 surface item 511 $56.35
Metallic restoration of 3 surfaces item 513 $81.90
Adhesive filling of 1 surface (front) item 521 $60.15
Adhesive filling of 3 surfaces (front) item 523 $84.60
Adhesive filling of 1 surface (back) item 531 $63.00
Adhesive filling of 3 surfaces (back) item 533 $97.15
Financial year limits First 2 years 3+ years
Combined limit per person $600 per year per person No limit
Combined limit per family No limit
*Combined limit of two per year 
**Two per year  
#Combined limit of three per year
Complex
Periodontics
Root planing (per tooth) item 222 $9.95
Endodontics (Root canal therapy)
Preparation of one root canal item 415 $134.10
Financial year 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 $239.75
Crowns/Bridges/Implants
Fully veneered crown item 615 $570.00
Dentures (one complete set per person each 3 years)
Full upper or lower item 711/712 $392.95
Financial year 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
100% up to your yearly limit for specialist services
70% up to your yearly limit for GP services
Financial year limits 1 – 2 years 3 – 4 years 5+ years
Per person $800 $1,000 $1,200
Lifetime limit $2,400

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.