| Twin Pack benefit checklist |
Waiting Period
?
Twin Pack Hospital Cover Waiting periods will apply to your health insurance cover if: - You're a new HBF member or new to hospital cover. - You've upgraded to a higher level of cover - which includes moving from health insurance cover with an excess to cover without an excess. Please check the waiting periods and pre-existing conditions that apply before you claim benefits for hospital services and medical gap cover. |
Smart Saver Twin Pack |
|---|---|---|
| Appendicitis treatment | 2 months (12 months for pre-existing ailments) | Y |
| Assisted reproductive services (including IVF) | 2 months (12 months for pre-existing ailments) | Y |
| Cataract and eye lens procedures | 2 months (12 months for pre-existing ailments) | Y*
Limited hospital benefits apply which are similar to the cost of a shared room in a public hospital.
|
| Fully covered for a shared room in an HBF Participating Hospital | n/a | Y |
| HBF Medical Gap cover | n/a | Y |
| Heart procedures | 2 months (12 months for pre-existing ailments) | Y*
Limited hospital benefits apply which are similar to the cost of a shared room in a public hospital.
|
| Hospital excess | n/a | Y |
| Joint replacement surgery | 2 months (12 months for pre-existing ailments) | Y*
Limited hospital benefits apply which are similar to the cost of a shared room in a public hospital.
|
| Maternity and birth-related services | 12 months | Y |
| Rehabilitation | 2 months | Y ** |
| Psychiatric care | 2 months | Y*
Limited hospital benefits apply which are similar to the cost of a shared room in a public hospital.
|
| Removal of tonsils and adenoids | 2 months (12 months for pre-existing ailments) | Y |
| Shoulder reconstruction surgery and investigations | 2 months (12 months for pre-existing ailments) | Y |
| Theatre fees | n/a | Y |
| Essential Benefits | ||
Chiropractic ![]() |
2 months | Y |
| - Chiropractic x-ray | Benefits up to $64 $300 combined maximum for physiotherapy & chiropractic. Maximum includes x-ray 1 p.p. per year. |
|
| - Initial individual consultation | Benefits up to $22 $300 combined maximum for physiotherapy & chiropractic. Maximum includes x-ray 1 p.p. per year. |
|
| - Subsequent individual consultations | Benefits up to $17 $300 combined maximum for physiotherapy & chiropractic. Maximum includes x-ray 1 p.p. per year. | |
Dental - General ![]() |
2 months | Y |
| - Consultation/examinations | Benefits up to $21-$45 Combined $500 limit for general and major dental. |
|
| - Scale and clean (1st visit) | Benefits up to $36 Combined $500 limit for general and major dental. |
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| - Mouthguard | Benefits up to $44 Combined $500 limit for general and major dental. |
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| - Extractions | Benefits up to $41-$99 Combined $500 limit for general and major dental. |
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| - Fillings - Direct | Benefits from $39 Combined $500 limit for general and major dental. | |
Dental - Major ^^ ![]() |
12 months | Y |
| - Veneer - Indirect | Benefits up to $208 2 bondings % |
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| - Veneer - Direct | Benefits up to $64 2 bondings % |
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| - Tooth coloured Fillings - Indirect | Benefits from $150 3 services |
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| - Root Canal treatment | Benefity up to $183 | |
| - Crowns | Benefits up to $100-$408 3 units of crowns/bridges per yr % |
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| - Bridges | Benefits up to $324 Combined $500 limit for general and major dental. |
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| - Full dentures | Benefits up to $490 Combined $500 limit for general and major dental. | |
Optical - Contact Lenses ![]() |
2 months | Y*
If selected
|
| - Bi-focal progressive lenses | 1 pair of glasses or a pair of contact lenses (or up to $140 for frequent replacement/disposable lenses per year) | |
| - Frequent replacement disposable contact lenses | ||
| - Toric - rigid or soft lenses | ||
| - Spherical rigid or soft contact lenses | ||
Optical - Glasses ![]() |
2 months | Y*
If selected
|
| - Frames & single vision lenses | Benefits up to $90 1 set of glasses or 1 set of contact lenses (or up to $140 for frequent replacement/disposable lenses per year). $66 sub limit for frames when purchased without lenses. |
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| - Frames & bi-focal lenses | Benefits up to $120 1 set of glasses or 1 set of contact lenses (or up to $140 for frequent replacement/disposable lenses per year). $66 sub limit for frames when purchased without lenses. |
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| - Frames & trifocal/progressive lenses | Benefits up to $160 1 set of glasses or 1 set of contact lenses (or up to $140 for frequent replacement/disposable lenses per year). $66 sub limit for frames when purchased without lenses. | |
Pharmacy ![]() |
2 months | Y |
| - For pharmaceuticals listed on the HBF benefit schedule | Benefits cost of medicine less member co-payment ^ $300 maximum | |
Physiotherapy ![]() |
2 months | Y |
| - Individual consultation by a Specialised Physiotherapist for continence and women's health | Benefits up to $48 3 consultations # | |
| - Group consultation | Benefits up to $8 $300 combined limit for physiotherapy & chiropractic | |
| - 11+ individual consultations | ||
| - 7-10 individual consultations | ||
| - 1-6 individual consultations | ||
Podiatry ![]() |
2 months | Y |
| - Initial consultation (clinic based) | Benefits up to $26 $200 maximum for podiatry (foot orthoses not covered) |
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| - Brief consultations (clinic based) | Benefits up to $14 $200 maximum for podiatry (foot orthoses not covered) |
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| - Intermediate consultations (clinic based) | Benefits up to $20 | |
| - Comprehensive consultations (clinic based) | Benefits up to $24 $200 maximum for podiatry (foot orthoses not covered) | |
| - Group consultations | Benefits up to $11 $200 maximum for podiatry (foot orthoses not covered) | |
| Urgent Ambulance | 7 Days | Y *** Cover for urgent ambulance transport. No limit for urgent ambulance transport. |