Best

Extras
Best Extras is our most comprehensive cover that provides 100%
back on two dental check-ups, two physio visits and your optical
limits at Health Partners Providers in South Australia. Plus cover
with higher limits on an extensive range of services Australia-wide,
including major dental, unlimited general dental, orthodontic, chiro,
podiatry, psychology, aids & appliances, remedial massage and more.

100% back at Health Partners Providers Covered Australia-wide

• Two dental check-ups at Health Partners Dental You can choose to see any dentist, optometrist or other recognised
• Two physio visits at a Health Partners participating physio provider. But when you book with a Health Partners Provider in
• Optical up to limits at Health Partners Optical and recognised South Australia, you'll get more back and exclusive offers.
providers

Effective from 1 July 2023, v1.0 Best Extras Page 1 of 6

 Dental All benefits per person, per calendar year, unless otherwise stated

Services Provider Benefit Limit Waiting Period

Dental Check-up1

100% back Where clinically required. Includes

examination, removal of plaque, Health Partners Dental 100% 2 x check-ups 2 months
Dental Check-up
stains and calculus, scale and clean,
fluoride treatment and 2 x-rays.

Health Partners Dental 90%

Preventative care, extractions and Health Partners

General Dental minor repairs such as fillings and participating dentist
80% Unlimited 2 months
fissure seals.
Set benefits.
Recognised provider,
Call us for a
specialists & referrals
quote.

Standard Mouthguard2 Health Partners Dental 100% 1 2 months

Member Bonus
Dental products such as
20%
toothbrushes and whitening Health Partners Dental Unlimited None
products.
discount3

Health Partners Dental 90%

Gum care, root canal, complex

Health Partners
Major Dental fillings, sleep apnoea care4, crowns 80% $1,200
participating dentist
and dentures.

Set benefits.
Recognised provider,
Call us for a
specialists & referrals
quote.

Recognised
100% 12 months
Orthodontist

Specialist dental treatment to help Yr 1 - $9005

align teeth and jaws. Includes Yr 2 - $1,500 5
Orthodontic Yr 3 - $2,000 5
spacers, braces, orthodontic plates
and retainers. Yr 4 - $2,800 5
Recognised Dentist 50%

1
Dental check-up is available through Health Partners Dental only. Check-up includes the most common items where clinically required, items include 11, 12, 111, 114, 121, 123, 165 and 22 x 2.
2
Standard mouthguard (151) with choice of 1 colour from selected range.
3
Discount for dental products is available to all Health Partners members.
4
Excludes sleep apnoea devices.
⁵Maximum yearly amount, less previous amounts claimed. Lifetime limit is $2,800. A treatment plan will be required.
Benefits claimed at Health Partners Dental, Health Partners participating dentist and recognised providers will all count towards the total dental limit.

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 Optical All benefits per person, per calendar year

Services Provider Benefit Limit Waiting Period

100%
Plus 40%
Health Partners unlimited
Optical benefit once
annual limit
reached.

$300
100% back on Sub-limit for
Prescription eyewear6 2 months
Optical recognised providers
$250

Recognised providers7 100%

Non-prescription sunglasses and Health Partners 30%

Member Bonus Unlimited None
glasses, solutions and accessories. Optical discount

6
Prescription eyewear includes prescription glasses, prescription sunglasses, and prescription contact lenses. Also included are the add-ons to your prescription lenses such as tinting and anti-reflective coating.
Excludes internet providers, see Member Guide for details.
7

Benefits claimed at Health Partners Optical and recognised optical providers will both count towards the optical limit.

Core Therapies All benefits per person, per calendar year

Use your Core Therapies limit the way you want. We’ve bundled the most commonly used therapies, like physio, chiro and osteo, so you have the flexibility
to use your limit on therapies that are important to you. Refer to our Member Guide for more information on eligibility.

Services8 Provider Benefit Limit Waiting Period

Initial or subsequent consultation

100% back on 100%
only, excludes group, class and
Physiotherapy hydrotherapy treatment.
2 x visits
Health Partners
participating
physiotherapist
Initial, subsequent, long, $1,200
Physiotherapy lymphoedema, hydrotherapy, 90%
group and class treatment. $400 sub-limit
applies to 2 months
group, class and
hydrotherapy
Initial consultation. $50 treatment
Physiotherapy,
Chiropractic,
Osteopathy & Subsequent, long and Recognised provider
lymphoedema consultation.
$40
Exercise
Physiology
Group, class and hydrotherapy
treatment.
$15

8
The benefits apply whether service is provided at home, hospital, clinic or pool for hydrotherapy. Hydrotherapy benefit does not include pool entry fees.
Benefits claimed at Health Partners participating physios and recognised providers will all count towards the total limit.

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 Ambulance All benefits per person, per calendar year

Services Provider Benefit Limit Waiting Period

100% back on Emergency ambulance service 1 up to

Emergency only; Australia-wide coverage for Recognised provider 100% the value 2 months
Ambulance road and air services. of $20,000

Pharmacy All benefits per person, per calendar year

Services Provider Benefit Limit Waiting Period

PBS prescriptions that are

You’ll only
not already subsidised by the
pay $20
Government.9
or less per
Pharmacy
prescription $600 2 months
Health Partners
Private and compounding participating Pay max. of
prescriptions.10 pharmacies $40

20%
Member Bonus Non-prescription items.11 Unlimited None
discount

9
No benefits apply to Government subsidised scripts. To understand if your script is subsidised speak to your pharmacist.
Including vaccinations, hormone implants, allergen implants and IVF-associated drugs.
10

Discount applies to most non-prescription items, some conditions apply.

11

Other Therapies All benefits per person, per calendar year

Use your Other Therapies limit the way you want. We’ve bundled the less common therapy options together and provided a combined limit to create
flexibility, so you can use your limit on therapies that are important to you. Refer to our Member Guide for more information on eligibility.

Services Provider Benefit Limit Waiting Period

Podiatry12,
Dietitian, & Initial and subsequent consultation. $50
Eye Therapy

Podiatric Surgery in Providers’ room

Podiatry Surgery
or as an Inpatient in Hospital.13
90%
Recognised provider $750 2 months
Speech Therapy
& Occupational $75
Therapy14
Initial and subsequent consultation.

Psychology $100

12
In South Australia, special arrangements apply with Sportsmed Podiatry at our Morphett Vale location. Benefits may vary, call us for a quote. This may change from time to time.
13
Please note, to claim hospital-related benefits (e.g. theatre and accommodation costs), you need hospital cover with podiatry.
14
In South Australia, special arrangements with Adelaide Lymphoedema Clinic apply, for lymphoedema treatment. Benefits may vary, call us for a quote. This may change from time to time.

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 Wellness All benefits per person, per calendar year

Use your Wellness limit the way you want. We’ve bundled the most commonly used therapies that support your overall wellness, so you have the flexibility
to use your limit on the therapies that are important to you.

Services Provider Benefit Limit Waiting Period

Remedial Massage
Chinese Herbalism
Myofascial Release
Therapeutic
Massage Initial and subsequent consultation. Recognised provider $35 $300 2 months
Swedish Massage
Myotherapy
Nutritionist
Acupuncture

Aids and Appliances15 All benefits per person, per calendar year, unless otherwise stated

Services Provider Benefit Limit Sub-limit Waiting Period

$300
Orthotics sub-limit
annually

$250
Asthmatic Spray sub-limit.
Appliances - Maximum
nebuliser & spacer applicable
benefit is limited
devices to once every
rolling16 3 years

$250
Blood Glucose & sub-limit.
Medically necessary aid and
Blood Pressure appliance. Refer to our Member 90% $600 Maximum

machines17 Guide for more information

Recognised provider sub-limits
applicable
benefit is limited
12 months
apply. to once every
regarding eligibility.
rolling16 3 years

$600
sub-limit.
Maximum
Hearing Aids applicable
benefit is limited
to once every
rolling16 3 years

$600
sub-limit.
Sleep Apnoea Maximum
Apparatus applicable
benefit is limited
to once every
rolling16 3 years

A letter from your medical practitioner may be required.

15

A rolling year is defined as a continuous year period following each claimed date of service.
16

Device only.
17

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 Healthier Living18 All benefits per person, per calendar year

Services Provider Benefit Limit Waiting Period

Health Partners
Bowel Cancer participating
Screening pharmacies or a
recognised provider.

Health Partners
Quit Smoking
participating
Program pharmacies

Diabetes Healthier Living benefits are

Association designed to support members who
Membership are looking to improve the way they
manage their health condition(s) 90% $200 2 months
Post-natal and overall wellness. Refer to
our Member Guide for more
Lactation
information on eligibility.
Consultation
Recognised provider
Weight
Management
Program

Medically
Necessary Gym &
Fitness Programs

For approved conditions or when medically necessary, subject to eligibility requirements; supporting documentation will be required.
18

Transferring from another fund?

If you have already served your waiting periods for an equivalent level of cover, you will not have to re-serve your waiting
periods. If you are transferring to a higher level of cover, waiting periods will only apply to any additional services, treatments,
goods and any higher limits. During this time you will receive the same benefits you received on your previous cover – for a
Health Partners equivalent cover. Otherwise the waiting periods as shown will apply.
For further details refer to the ‘What you need to know about your extras cover’ section of the Health Partners Member Guide.

Not covered by your Policy Additional Information

Not permitted under the

X Not clinically proven treatment such as Pilates, Yoga, Tai Chi and Naturopathy
Government Rules

Health Partners is a signatory to the Private Health Insurance Code of Conduct.

Go to privatehealthcareaustralia.org.au/codeofconduct

Benefits vary according to cover level. Benefits are subject to the rules, conditions and eligibility criteria as set out in the Member Guide. It is the policyholder’s responsibility to understand what is and what is not
covered by their health insurance policy, therefore this information should be read in its entirety and retained in conjunction with the Health Partners Member Guide. Information about our Dispute Resolution Process
and Health Partners’ Privacy Policy can be found in the Member Guide. A Definition & Interpretation section is located in the Member Guide to assist in understanding key terms. If you are requiring treatment, you
can call us on 1300 113 113 to check if you are covered and if your provider or chosen hospital is recognised by us.

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