Select Extras

* A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Includes services like examinations, consultations and x-rays.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventative, restorative, simple extractions and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Teeth removal services. Simple extractions include those completed in a standard dental appointment.

Surgical extractions include wisdom teeth extraction, removal of impacted teeth. Benefits paid on dental item numbers only unless hospital cover is held and all waits have been served for any in-patient services.

A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Restorative dental treatments including composite and amalgam fillings.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Occlusal splints etc.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Includes cleaning and scaling and fluoride treatments.

^ A combined sub-limit of $400 per person, per Membership Year applies for diagnostic, preventive, restorative, simple extraction and general services dental items covered under Select Extras (up to $800 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Endodontic services such as root canals and root fillings.

* A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Periodontics services such as specialised gum treatements.

* A combined sub-limit of $600 per person, per Membership Year applies for extractions, crowns and bridges and endodontic (root canal) dental items covered under Select Extras (up to $1,200 per policy per Membership Year).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

Glasses including frames, single vision lenses and progressive lenses, contact lenses, prescription sunglasses etc.

^Per person, up to $490 per policy per Membership year.

Through our Premier Provider Network, you can take advantage of discounts at preferred providers across Australia.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

A $500 combined sub-limit per person, per Membership year applies to chiropractic and massage, up to $1,000 per policy. An overall benefit limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

A full physiotherapy sub-limit benefit of $500 per person, up to $1000 per policy applies, per Membership year.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

A $400 sub-limit per person, per Membership year applies to podiatry under Select Extras (up to $800 per policy).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

A $500 combined sub-limit per person, per Membership year applies to chiropractic and massage, up to $1,000 per policy. An overall benefit limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.

As well as helping you to get well, we want to help you stay well. Our Healthy Living benefit helps you living a healthy lifestyle through:

• Participation in a choice of approved weight management programs^^
• Quit smoking programs
• Approved health management programs* including gym memberships, personal training programs, Aquatic exercise/rehabilitation* including pool entry and exercise classes (excludes swim classes/lessons)
• Have your skin checked for skin cancers^
• Consultation fees for diabetes educatio
• Consultation fees for metabolic dietitians and nutritionists when providing assistance with weight management
• Bowel screening tests and bone density tests
• Prostate-Specific Antigen  test (one per year) – we cover a second yearly test not covered by Medicare
• Supermarket tours conducted by a dietitian or other allied health professional qualified to provide nutrition advice.

A sub-limit of $125 per person, per Membership Year, up to $250 per policy, per Membership year applies under Select Extras cover.

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership Year.

*To comply with private health insurance legislation, you must have been referred by your health care professional to participate in a health management program to address or improve a specific medical condition. A Health Management Program Benefit Approval Form must accompany a claim for these benefits.

^^Before enrolling in a weight management program please contact the Fund to clarify the eligibility to benefits.

^ No benefit is payable where Medicare have paid a benefit towards this service.  

The Pharmaceutical Benefits Scheme (PBS) is a national pharmaceutical scheme funded by the Federal Government where patients contribute to the cost of prescribed drugs.

We’ll pay benefits as outlined in the extras table below, up to the individual script benefit limit for your cover. The benefit amount per script is calculated by deducting the PBS General Patient Contribution amount from the purchase price. This is conditional on the pharmaceutical prescription being listed in the MIMs Schedule as S4 or S8 and being dispensed in quantities in accordance with this schedule.

We also pay for compound pharmacy scripts, as long as one of the ingredients meets these criteria. The PBS General Patient Contribution amount is updated by the Government and changes every year on 1 January.

Queensland Country doesn’t cover pharmaceutical prescriptions covered by the PBS or for contraceptives and items normally available without prescriptions.

It’s important to note that a doctor’s letter may be required for some pharmacy items.

The PBS contribution amount is reviewed annually by the Government and changes every year on 1 January. As at 1 January 2024, the PBS contribution is set at $31.60.

A sub-limit of $400 applies per person, per Membership year for phamaceuticals under Select Extras (up to $800 per policy).

An overall limit for all services covered by Select Extras applies, up to $2,200 per person ($4,400 per policy) per Membership year.