Top Extras

All category limits listed are per person.

• Limit Bank periods are highlighted in the right column of the table.

• Download Top Extras PDF

 Note: CBHS will be making changes to extras cover products from 9 April, 2010.

	70% of the cost up to the maximum benefit below	Top Extras		Limit Bank
Preventative (2 month waiting period)
Oral Examinations (011,012,013)	$28-$40	UNLIMITED		1
X-Ray (022)	$23
Removal of plaque (111)	$38
Removal of calculus (114,115)	$60
Fluoride application (121)	$25
Mouthguard (151,153)	$85-$87
Fissure sealing (161)	$27
Dental (2 month waiting period)
Fillings	$61-$112	UNLIMITED		1
Consultations & examinations	$28-$40
X-rays	$21-$42
Extractions or surgical dental	$50-$205
Dental (6 month waiting period)
Periodontic (gum treatment)	$57-$250	$630		1
Endodontic (root canal treatment)	$15-$180	$660
Inlays/Onlays/Facings	$360	$1440		5
Dentures and Implants	$20-$810	$1350
Occlusal Therapy	$17-$260	$920		LIFE
Dental (12 month waiting period)
Orthodontia	-	$2200		LIFE
Crowns and Bridges	$10-$680	$3000		5
Frames
Frames		$140	$350	1
Lenses
Single Vision (pair)		$104		1
Bifocal (pair)		$130
Trifocal Vision (pair)		$150
Multifocal (pair)		$200
Contacts
Contact Lenses		$210		1
Physiotherapy (Initial/Subsequent)	$61/$35	$720		1
Chiropractic (Initial/Subsequent)	$61/$35	$720
Osteopathy (Initial/Subsequent)	$61/$35	$720
Occupational Therapy	$35	$720
Speech Therapy	$40	$1850
Clinical Psychology	$30-$140	$450
Ante natal/Post natal physiotherapy	70%	$105
Podiatry (excl. artificial aids: i.e. orthotics)	$30	$400
Audiology	$60	$360
Eye Therapy	$60	$455
Dietician	$15-$65	$360
Natural Therapies Buteyko, Herbal Medicine Consultations, Homeopathy, Naturopathy, Nutrition	$33	$450		1
Oriental Therapies Acupressure, Acupuncture, Chinese Herbal Medicine Consultation, Chinese Massage, Kinesiology, Reflexology, Shiatsu, Traditional Chinese Medicine Consultation		$450
Massage Therapy Alexander Technique, Aromatherapy, Bowen Therapy, Deep Tissue Massage, Feldenkrais, Lymphatic Drainage, Myotherapy, Remedial Massage, Rolfing, Sports Massage, Swedish Massage, Therapeutic Massage		$450
Blood Glucose Accessories	70%	$320		1
Home visits by Registered Nurse	$120 (>4 hrs) $80 (<4 hrs)	$2800
Non-Pharmaceutical Benefits Scheme drugs requiring a prescription by law	100% after deducting the current government prescribed charge up to $150	$1000		PER CALENDAR YEAR
Travel*	50% of the cost of accomodation (shared room rate) airfare, train, bus or 15c per kilometre car	unlimited		1
Artificial Aids	70%	$1000		3
Hearing Aids	70%	$1500
Blood Pressure Monitor, Nebuliser, Glucometer	70%	$500

 ^ Benefits on first aid courses and kits are only payable when provided by St Johns Ambulance, Red Cross or Royal Life Saving, as recognised CBHS providers.

* Travel is only payable for the patient who requires essential medical and dental treatment, where it is not available at a facility within a 160km round trip of the member's home.

Maximum Payment

All CBHS Extras benefits are subject to a Maximum Payment level. Generally, the Maximum Payment for an individual Extras service is 70% of the service cost up to a pre-determined maximum amount.

Example
The Maximum Payment for the service 'Extraction of a full tooth' is 70% of the cost up to $70.

If your dentist charges you $80 for this service, you would receive a benefit payment of $56 (70% of $80 is $56).

If your dentist charges you $110 for this service, you would receive a benefit payment of $70. While 70% of $110 is $77, the Maximum Payment available for this service is $70 - the amount you would receive.

1. Where referred by a doctor and recognised by CBHS as essential to a member's health care needs.
2. Where benefits are not payable from any other source.

 This information should be read carefully and retained.