Extras table
No matter how healthy we are, we all sometimes need access to dental, optical, pharmaceutical and physiotherapy services. CUA Health Extras cover provides benefits for a comprehensive range of services.
For only a few dollars each week, CUA Health Gold and Silver Extras can help to reduce your costs for many of those services not covered by Medicare - up to the limits shown on the following pages.
We only pay a benefit towards services performed by private practitioners in private practice, provided their associations and services are recognised by the fund.
CUA Health's extras tables offer you access to the following benefits:
- acupuncture - alternative therapies
- ambulance
- approved appliances eg nebulisers, blood glucose monitors, CPAP pumps, blood pressure monitors - health management aids and appliances
- chiropractic and osteopathic - alternative therapies
- clinical psychology - other services
- dental - general and preventative services, major dental (crowns, bridges and dentures) and orthodontic
- dietician - other services
- prostheses (non-surgically implanted) - health management aids and appliances
- hearing aids
- mammograms
- naturopathy and homeopathy - alternative therapies
- optical
- pharmaceutical
- physiotherapy
- podiatry - other services
- speech, eye and occupational therapy - other services
- travel expenses
- health management programs
The following items, limits and benefits are provided as a general guide only. Please call us if any further information is required.
Benefits shown are a sample only and are generally a specific amount determined from the average of the claims made by all members.
Alternative therapies
|
|
Gold extras |
Silver extras |
|
Chiropractic, osteopathic, acupuncture, homeopathic & naturopathic services Initial visits (Max. 3 per calendar year) Subsequent visits Other approved therapies i.e. bowen therapy, remedial massage |
$45 $27 $27 |
$33 $23 $23 |
|
Calendar year limit (per person) Calendar year limit per family membership |
$400 $800 |
$250 $500 |
Benefits for multiple consultations are payable only where services are provided with at least a two hour time differential between each consultation.
Ambulance transport
|
|
Gold extras |
Silver extras |
|
For residents of all states, except QLD and TAS, medically necessary ambulance transport is included under all extras covers. State government ambulance transport schemes operate in Queensland and Tasmania. |
100% |
100% |
Dental
|
|
Gold extras |
Silver extras |
|
Comprehensive oral examination - item 011 X-rays - item 022 to 037 Scaling/cleaning - item 114 Fluoride application - item 121 Simple extraction - item 311 Filling/s (1-5 surfaces) - items 511 to 535 Root canal (one canal) - items 415 & 417 Approved, fitted mouth guard - item 151 Crown - item 615 Bridge work (per unit) - item 643 Single denture - item 711 Full dentures - item 719 |
$32 $24 to $84 $57 $20 $83 $68 to $146 $299 $91 $864 $692 $667 $1,166 |
$28 $20 to $72 $49 $17 $71 $59 to $125 $256 $78 $740 $593 $571 $999 |
Replacement crowns, bridges and dentures are not payable with three years of previous supply.
|
Calendar year limit (per person) |
Gold extras |
Silver extras |
|
General Dental Endodontic Major dental & Orthodontics^ General, endodontic & major dental Orthodontics Lifetime limit per person for orthodontics |
No annual limit $500 $2,000
$750# to $1,250 $2,500 |
$1,000 $400* to $520 $1,500 |
^ Sub-limit for orthodontic applies
# These individual calendar year limits increase by $50 per year over a continuous ten year period of eligible cover to the maximum shown.
* These individual calendar year limits increase by $40 per year over a continuous three year period of eligible cover to the maximum shown.
Health management aids and appliances
|
|
Gold extras |
Silver extras |
|
Podiatry related aids, orthotics, non-surgically implanted prostheses and approved appliances (eg nebuliser, blood glucose monitor, CPAP pump, blood pressure monitors, etc) Replacements for approved appliances are not payable within three years of previous supply. A recognised "sleep studies" programme must have been undertaken for a CPAP pump. |
80% up to limit |
60% up to limit |
|
Calendar year limit (per person) |
$600 |
$400 |
Hearing aids
|
|
Gold extras |
Silver extras |
|
Hearing aid benefit per ear in a three year period |
$800# to $1,300 |
$500* to $620 |
# These individual calendar year limits increase by $50 per year over a continuous ten year period of eligible cover to the maximum shown.
* These individual calendar year limits increase by $40 per year over a continuous three year period of eligible cover to the maximum shown.
Mammograms
|
|
Gold extras (benefit up to) |
Silver extras (benefit up to) |
|
Benefits towards mammograms where not Medicare rebatable |
$80 |
$45 |
Optical
|
|
Gold extras |
Silver extras |
|
Frames, lenses, tinting, repairs, contact lenses - items available by prescription only |
100% up to limit |
100% up to limit |
|
Calendar year limit (per person) |
$250# to $300 |
$180 to $230* |
# These individual calendar year limits increase by $10 per year over a continuous five year period of eligible cover to the maximum shown.
* These individual calendar year limits increase by $10 per year over a continuous three year period of eligible cover to the maximum shown.
Other services
|
|
Gold extras |
Silver extras |
|
Podiatry Initial visits# Subsequent visits Exercise physiology Foot surgery performed by Australian Government accredited podiatrists or nail resections performed by accredited podiatrists |
$36 $29 $45 80% up to limit |
$31 $25 $40 60% up to limit |
|
Orthoptic (eye) therapy Each visit |
$86 |
$42 |
|
Clinical psychology Initial visits# Subsequent visits Group classes |
$85 $62 $40 |
$67 $53 $30 |
|
Occupational therapy Initial visits# Subsequent visits |
$59 $38 |
$50 $32 |
|
Speech therapy Initial visits# Subsequent visits |
$80 $38 |
$68 $33 |
|
Dietician Initial visits# Subsequent visits |
$51 $29 |
$43 $25 |
|
Calendar year limit (per person) |
$500 |
$250 |
# Initial visits are limited to a maximum of 3 per calendar year combined for all “other services” types.
Pharmaceutical
|
|
Gold extras |
Silver extras |
|
Cover for items prescribed or provided by a medical practitioner, excluding:
You pay an amount equivalent to the PBS contribution (ie: $33.30 at 1 January 2010) and we pay up to |
|
|
|
Calendar year limit (per person) |
$600 |
$300 |
Physiotherapy
|
|
Gold extras |
Silver extras |
|
Initial visits (Max. 3 per calendar year) Subsequent visits Ante-natal/post-natal classes Extended home treatment Home & hospital visits Group therapy ie: hydrotherapy |
$50 $33 $19 $41 $32 $9 |
$34 $29 $13 $30 $28 $8 |
|
Calendar year limit (per person) |
$600 |
$440 |
Travel expenses
|
|
Gold extras |
Silver extras |
|
Single cover Family/Single Parent/Couple Cover Claimable when a hospital admission outside your usual place of residence is required and the return trip distance is greater than 400km. A tax invoice that includes the service provider's Australian Business Number must be submitted with any claim. |
$100 $200 |
no benefit no benefit |
Health management programs
|
|
Gold extras |
Silver extras |
|
Single cover Family/Single Parent/Couple Cover A tax invoice that includes the service provider's Australian Business Number together with a report (not applicable to first aid courses or kits) from your health care professional who has recommended the program, must be submitted with any claim. |
$100 $200 80% up to limit |
$100 $200 60% up to limit |
You can claim for:
- The following approved health management programs that are intended to prevent or improve a specific health condition:
- stress management, quit smoking, weight control
- health screening services
- first aid courses and kits
You cannot claim for:
- Any sports club membership or sporting equipment, footwear and clothing
- Services where a Medicare benefit is payable
- Medical examinations for, but not limited to employment and insurance purposes
