Pharmacy

Pharmaceuticals pays a benefit on items not covered by the Government Pharmaceutical Benefits Scheme (PBS), and allows you to access a broader range of medications at an affordable cost.  

You might need Pharmacy if you...

  • Have a medical condition that requires regular medication
  • Need a medication or drug not covered by the Government PBS

Things you need to know about Pharmacy

Limits and benefits
You will need to pay a co-payment on Pharmacy items, equivalent to that specified by the National Health Act. This may vary depending on the medication.

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Pharmacy limits and benefits change depending on your choice of Extras product, the level of cover you choose and how long you’ve been an HBF member. 

Our 

Saver Flexi Extras, Standard Extras, Flexi Extras, Premium Extras Mid and 

Premium Extras Plus products, and our Smart Saver Twin Pack, Prime Health and Ultimate packages have an annual limit on Pharmacy.

 

Our Young Singles Saver Twin Pack has a combined annual limit on Pharmacy. Your combined maximum will be shared with any claims you make on Physiotherapy, Chiropractic and Podiatry.
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Conditions
In order to be covered, the medicine or drug must be listed on the current HBF Pharmacy Schedule.
More information

For more specific information about the limits and benefits covered under each policy, please call us on 133 423.

Waiting period
There is a waiting period of two months for this service.

We will honour waiting periods already served more info

Products that include Pharmacy cover

Pharmacy is an Extras service, and is included in the following cover options.

Hospital and Extras Packages

Young Singles Saver Twin Pack
From
$17.70 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment. This may vary depending on the medication.
    Waiting Period
    2 months
    Maximums
    $300 combined maximum for physiotherapy, chiropractic, podiatry and pharmacy per year
Smart Saver Twin Pack
From
$29.35 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment. This may vary depending on the medication.
    Waiting Period
    2 months
    Maximums
    $300 pp per yr
Prime Health Package
From
$38.30 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment. This may vary depending on the medication.
    Waiting Period
    2 months
    Maximums
    $200 under 3 yrs $300 over 3 yrs
Ultimate Package
From
$90.55 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment
    Waiting Period
    2 months
    Maximums
    $800 under 6 yrs $1200 6 yrs and over

Extras Only

Saver Flexi Extras
From
$5.00 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment
    Waiting Period
    2 months
    Maximums
    $200 under 3 yrs $300 over 3 yrs
Standard Extras
From
$8.05 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment
    Waiting Period
    2 months
    Maximums
    $200 under 3 yrs $300 over 3 yrs
Flexi Extras
From
$12.90 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment
    Waiting Period
    2 months
    Maximums
    $300 under 1yr $350 over 1yr & up to 2yrs $400 over 2yrs & up to 3yrs $450 over 3yrs and under 4yrs $500 over 4yrs
Premium Extras Mid
From
$12.15 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment
    Waiting Period
    2 months
    Maximums
    $200 under 3 yrs $300 over 3 yrs
Premium Extras Plus
From
$19.15 (i)
per week
  • For pharmaceuticals listed on the HBF Pharmacy Benefit Schedule
    Benefits
    Cost of medicine less member co-payment
    Waiting Period
    2 months
    Maximums
    $300 under 3 yrs $500 over 3 yrs