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A simple guide to extras cover and how it works.
Extras cover, also known as ancillary cover, helps cover the cost of everyday health care services that Medicare doesn’t generally pay a benefit towards. These are things like a visit to the dentist or physiotherapist.
If you’re a high income earner, having extras cover will not help you avoid the Medicare Levy Surcharge. You will only be exempt from the Medicare Levy Surcharge if you have an appropriate level of hospital cover.
Medicare generally doesn’t pay benefits for extras services. That means without extras cover, if you went to an extras provider like a dentist, you’d have to pay the full cost of that treatment out of your own pocket.
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Extras cover ranges from basic to comprehensive. What you can claim for, and what benefits are available to you, depends entirely on the cover option you choose. With Extras, it’s important to take a careful look at what’s included on each level of cover so that you can choose an option that suits your needs.
A benefit is the amount you can claim back/the amount HBF will pay towards a service. Depending on your level of cover, you will likely have to pay an out-of-pocket cost when you receive treatment.
Annual limits also apply to Extras cover. An annual limit, also known as an annual maximum, is the maximum amount of money you can claim for a particular service within a calendar year.
If you’re buying extras cover for the first time or you’re upgrading your policy, you may need to serve a waiting period. A waiting period is a set amount of time during which you can’t claim benefits. All health funds have waiting periods. They exist to stop people from joining, claiming and leaving without contributing premiums to the health fund.
Related: How do Extras insurance policies work?
The services covered and the amount you can claim depend on your level of cover and the type of extras cover you select. Common extras services include:
We make it easy to compare Extras cover options and find a plan that suits your needs.
Understand what's covered and find out how HBF can help keep you smiling.
With great Member Plus benefits and generous annual limits, HBF's optical cover is worth a look.
With great benefits back at your choice of physio, HBF extras are a smart move.
There are some situations where Medicare will provide a benefit for an out-of-hospital service that health cover doesn’t include. For example, a visit to a doctor outside of hospital, like a GP, is covered by health cover, no matter what fund you’re with – that’s covered by Medicare.
Common situations where Medicare provides a benefit where health cover doesn’t include:
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