Platinum Extras

1 April 2015

Members First %

Level of Cover

90% - 100%

High

NSW/ACT

EXTRAS COVER
At A Glance
Comprehensive extras cover, providing generous benefits and high yearly limits for a wide range of services. Enjoy 90% - 100% back for most items at
Members First providers, selected gap free optical packages and more. Benefits listed are examples only and not a complete list.

What's Covered?
EXTRAS SERVICES
General Dental

YEARLY LIMIT
The maximum you can claim per year per person
(unless otherwise stated)
Unlimited

WAITING PERIOD

Members First Network

2 months

With our Extras cover you can also

enjoy the advantages of our extensive
network of dental, optical,
physiotherapy and chiropractic
providers, so there are more places you
can experience great value from your
cover.
When you choose to visit a Members
First provider, in most instances you will
receive higher benefits for dental,
optical, physiotherapy and chiropractic
services ensuring you can maximise
value from your Bupa cover. On
Platinum Extras you can enjoy 90% 100% back in most cases for dental,
physio and chiro.

Major Dental

$1200

12 months

Orthodontics

$900

12 months

Optical - Members First

$380

2 months

Optical - Other

$280

2 months

$900

2 months

$700 Per Person, $1400 Per Membership

2 months

Ante/post natal

$450

2 months

Natural Therapies

$500

2 months

Pharmacy

$750

2 months

Dietary

$750

2 months

Psychology

$750

2 months

Podiatry (excludes orthotics)

$750

2 months

Speech Therapy

$750

2 months

Eye Therapy

$750

2 months

Occupational Therapy

$750

2 months

Living Well

$200

6 months

Home Nursing

$400

2 months

Health Aids & Appliances

$1200

12 months

Travel & accommodation

$100 Travel / $150 Accom

2 months

Physiotherapy
Chiropractic & Osteo

Natural Therapies includes acupuncture, Alexander Technique, Chinese herbalism, exercise physiology, Feldenkrais, homeopathy,
iridology, massage, naturopathy and Western herbalism.
Massage includes aromatherapy, Bowen Technique, kinesiology, reflexology, shiatsu and remedial massage.

Additional information
No gap dental and physio for kids
If you have combined Platinum Extras with a family hospital cover, well cover the cost of your kids dental
and physio up to the age of 25 if they remain on your policy, for most services when treatment is provided by
a Members First dentist or Members First physiotherapist. Excludes orthodontics and hospital treatments. Fund
and policy rules, waiting periods and yearly limits apply. Child Dependants only.
Benefit Bonus
You'll receive the Benefit Bonus, where after your first year of membership we increase the amount you get
back each time you claim by 2% each year, up to a maximum of 10%.

CALL US FIRST
If you're planning a treatment call us first so we can discuss your options, work out what you're covered for,
confirm your provider is registered with us, talk through any out-of-pocket costs and check that you've served
any relevant waiting periods. This can help you avoid any unnecessary out-of-pocket expenses and allow
you to make more informed choices and be confident about what to expect when using your cover.
Further information can be found in our Important Information Guide and our Fund Rules which are available
at bupa.com.au/info or by contacting us.

Living Well
Our Living Well benefit helps you reach
your goals by covering some of the
costs for healthrelated programs.
These include: gym memberships,
swimming programs (child dependants
only), yoga, Pilates, nicotine
replacement therapy and weight
management programs.
Please note gym memberships, yoga,
Pilates and swimming programs require
your doctor or a Bupa recognised
provider to complete a Living Well Form
to confirm the program is medically
necessary. Visit bupa.com.au/livingwell
for details.

Ambulance
You are covered for emergency
ambulance trips (including on-the-spot
treatment and air services) from our
recognised providers, capped at one
trip for singles and two trips for couples
or family memberships per calendar
year.

Call: 134 135

Visit: bupa.com.au
Platinum Extras 2015/4 NSW

WE'RE HERE TO HELP

If you have any questions, our friendly team are here to help
make sure you get the most from your cover

Platinum Extras
1 April 2015

Call us 134 135

NSW/ACT

Visit bupa.com.au

EXTRAS COVER
Services covered & example items

Members First

Non Members First

Periodic oral exam (012)

$44.10

$33.60

Scale & clean (114)

$92.70

$65.60

Fluoride application (121)

$31.00

$31.00

$216.45

$120.00

Yearly limit per person per calendar year

General dental

Tooth extraction (322)

$130.95

$77.80

Members First

Non Members First

$255.00

$255.00

Full crown (615)

100% of cost to limit

100% of cost to limit

Dentures complete (719)*

100% of cost to limit

$1,084.40

Filling/tooth restoration (531)

Major Dental
Root canal (417)

Orthodontics
Lifetime Limit: $2,800

Unlimited

$1,200

*Dentures payable once every 3 years

Benefits apply at registered providers

Set benefits apply per item, please contact us with your
treatment plan for more information

$900

Optical
Our Members First optical providers (Bupa Optical, National Pharmacies Optical, Kevin Paisley Fashion Eyewear, Prevue Eyewear, Stacey and Stacey
Optometrists and selected independent providers) and our optical partners Specsavers offer you a range of 'no gap' packages - with no out-of-pocket costs.
Any packages are subject to your yearly limits and waiting periods (contact us for more information). Refer to the list below for the no gap packages available
to you and where you can access them.

Members First

Non Members First

Frames (110)

$216.80

$173.40

Members First: $380

Single vision lens (212)

$106.20

$69.50

Other optical: $280

Progressive lens (512)

$196.20

$146.90

Limits

No-gap optical packages

Members First

Kid's glasses with safety lens - any frame up to $249

Optical Partners

Glasses with single vision lens*

Glasses with bifocal lens*

Glasses with trifocal lens*

Glasses with progressive lens*

Disposable contacts - selected 12 months' supply purchased in store

Disposable contacts - selected 12 months' supply purchased on-line

*Any frame up to $199. Conditions apply, contact us for more information.

Physiotherapy

Members First

Non Members First

Initial attendance

$72.45

$50.40

Subsequent attendance

$61.65

$42.50

$900

Chiropractic / Osteopathy
Members First Initial attendance

$77.40 for the first 10 services, then $38.70

Members First subsequent attendance

$53.10 for the first 10 services, then $26.55

Other Initial attendance

$50.80 for the first 10 services, then $25.40

Other subsequent attendance

$35.00 for the first 10 services, then $17.50

Benefits apply at registered providers

$450

contact us for more details

Ante/post natal
Covers selected services
Psychology

$700
Membership Limit: $1400

Benefits apply at registered providers

Initial attendance

$112.00

$750

Subsequent attendance

$105.00

Dietary

Benefits apply at registered providers

Initial attendance

$50.00

Subsequent attendance

$25.00

$750
0

WE'RE HERE TO HELP

If you have any questions, our friendly team are here to
make sure you get the most from your cover

Platinum Extras
1 April 2015

Call us 134 135

NSW/ACT

Visit bupa.com.au

EXTRAS COVER
Services covered & example items

Benefits apply at registered providers

Yearly limit per person per calendar year

Podiatry (excludes orthotics)

Initial attendance

$56.00

$750

Subsequent attendance

$41.00

Initial attendance

$90.00

$750

Subsequent attendance

$58.00

Speech therapy

Eye therapy
Initial attendance

$39.00

Subsequent attendance

$28.00

Occupational therapy
$39.00

Initial attendance

$750
0

$750

$34.00

Acupuncture initial attendance

$38.00

$500

Acupuncture subsequent attendance

$30.00

Remedial massage initial attendance

$40.00

Massage sub limit: $200 per person $400 per membership

Remedial massage standard consultation

$29.00

100% of cost up to $45.00 after deduction of PBS

copayment

$750

Subsequent attendance
Natural therapies

Refer pg1 for services

Pharmacy

Living Well
50% of cost to limit

Please refer page 1 for details

Home nursing
Covers selected services

$40 per day

$200

$400

Health Aids & Appliances

Blood glucose monitor

85% of cost to limit

Sub limit per item:

One service up to $600 each year

Sub limit per item:

One service up to $400 every 2 years

Sub limit per item:

One service up to $1,000 every 2 years

Asthma pump

85% of cost to limit

CPAP devices

85% of cost to limit

TENS machine

85% of cost up to $200.00

Sub limit per item:

One service per family up to $200 every 3 years

Sub limit per item:

One service per family up to $200 each year

Sub limit per item:

One service up to $850 every 3 years

Blood pressure monitor

$1,200

85% of cost up to $200.00

Hearing aid

90% of cost to limit

Hire, repair and maintenance (6 month wait)

Travel and Accommodation
Minimum distance of 200kms travel required

85% of cost to limit

$100 sublimit

Travel: 100% of cost to yearly limit

$100

Accommodation: $40/night

$150

Member Exclusives
Positive Health Guides

Member Discount Partners

Bupa's Positive Health Guides give you up-to-date and valuable information on how to better self manage Youll enjoy savings on a range of activities, from entertainment and optical, to health and fitness. For
your chronic health condition together with your doctor or health professional. We have a range of
further information on the range of discounts available just visit bupa.com.au/memberexclusives
Positive Health Guides covering back pain, arthritis, asthma, chronic obstructive pulmonary disease,
congestive heart failure, coronary artery disease and angina, diabetes, depression and osteoporosis.

Bowel cancer screening kits

Overseas Health Advice Line

Bowel cancer can generally be treated successfully if detected in its early stages. We will pay a benefit
towards selected screening kits for bowel cancer.

If the unexpected happens while youre travelling overseas, our 24-hour health advice line can provide
you with phone-based support, information and guidance. Plus, if youre planning a trip overseas, you can
get pre-departure medical information on the countries you are visiting. Just look for the number on the
back of your membership card.