| Periodic examination (012) |
$33 |
Unlimited |
1 |
| X-Ray (022) |
$23 |
| Removal of plaque (111) |
$38 |
| Removal of calculus (114) |
$60 |
| Flouride application (121) |
$25 |
| Mouthguard (151) |
$85 |
| Fissure sealing (161) |
$27 |
| Mammograms |
70% |
$200 |
1 |
| Bone density tests |
70% |
| Skin cancer screening |
70% |
| Bowel/prostate cancer screening |
70% |
| CT gated scans |
70% |
| Quit smoking programs2 |
70% |
$100 |
1 |
| Weight management programs3 |
70% |
| Stress management courses4 |
70% |
| Gym membership5 |
70% |
$100 |
| Blood glucose accessories |
70% |
$320 |
| Dietician consultation |
70% |
$360 |
| See ESSENTIALS above |
| Filling: 1 surface metallic (511) |
$61 |
Unlimited |
1 |
| Filling: 3 surface metallic (513) |
$84 |
| Filling: 1 surface tooth-coloured (531) |
$68 |
| Filling: 3 surface tooth-coloured (533) |
$100 |
| Consultations |
$28-$40 |
| X-rays |
$19-$42 |
| Diagnostic model (071) |
$24 |
Unlimited |
1 |
| Enamel micro-abrasion (116) |
$44 |
| Extraction of full tooth (311)6 |
$70 |
Unlimited |
1 |
| Other surgical procedures6 |
$50-$205 |
| Periodontics (gum treatment) |
$60-$250 |
$630 |
| Endodontics (root canal treatment) |
$40-$180 |
$660 |
| Inlays/Onlays/Facings9 |
$360 |
$1,440 |
5 |
| Crowns and Bridges |
$680 per tooth |
$3,000 |
| Dentures and Implants9 |
$210-$810 |
$1,200 |
| Orthodontia |
70% |
$2,200 |
Life |
| Occlusal therapy10 |
$260 per splint |
$920 |
| Frames |
| Frames |
$140 |
$350 |
1 |
| Lenses |
| Single vision (pair) |
$104 |
| Bifocal (pair) |
$130 |
| Trifocal (pair) |
$150 |
| Multifocal (pair) |
$200 |
| Contacts |
| Contact lenses |
$210 |
Physiotherapy
(Initial cons)
(Std cons) |
$61
$35 |
$720 |
1 |
Chiropractic
(Initial cons)
(Std cons) |
$61
$35 |
$720 |
Osteopathy
(Initial cons)
(Std cons) |
$61
$35 |
$720 |
| Occupational therapy |
$35 |
$720 |
| Clinical psychology |
70% |
$450 |
| Ante natal / Post natal physiotherapy |
$105 |
$105 |
| Podiatry |
$30 |
$400 |
| Audiology |
70% |
$360 |
| Orthoptic therapy |
70% |
$450 |
| Natural Therapies (Buteyko, Herbal Medicine Consultation, Homeopathy, Naturopathy, Nutrition) |
$33 |
$450 |
1 |
| Oriental Therapies (Acupressure, Acupuncture, Chinese Herbalism Consultation, Chinese Massage, Kinesiology, Reflexology, Shiatsu, Traditional Chinese Herbalism, Traditional Chinese Medicine) |
$33 |
$450 |
| Massage Therapies (Alexander Technique, Aromatherapy, Bowen Therapy, Deep Tissue, Feldenkrais Therapy, Lymphatic Drainage, Myotherapy, Remedial Massage, Rolfing, Sports Massage, Swedish Massage, Therapeutic Massage) |
$33 |
$450 |
| Artificial aids7 |
70% |
$1,000 |
3 |
| Hearing aids8 |
70% |
$1,500 |
| Blood pressure monitor, nebuliser, glucometer7 |
70% |
$450 |
| Home visits by registered nurse |
$80 (<4 hrs)
$120 (>4 hrs) |
$2,800 |
1 |
Pharmaceuticals10 (non-PBS drugs
requiring prescription by law).
NOTE: legislation requires CBHS to deduct the current government prescribed charge. |
100% after
deducting the
prescribed charge
up to $150 |
$1,000 |
- The application of rules for dental services and related benefit payments can be a complex matter. The most accurate way to assess benefits in advance for a specific dental procedure is to fax or email your dental quote, including item numbers and itemised costs, or call us.
- Quit smoking programs (including nicotine replacement therapy, certain brands of patches, inhalers and gums) must be approved by CBHS and received as part of a health management program intended to prevent or ameliorate a specific health condition.
- Weight management programs must be approved by CBHS and received as part of a health management program intended to prevent or ameliorate a specific health condition. NOTE: Benefits are not payable for meals or special food.
- Stress management courses (including Hatha, Ashtanga, Iyengar and Bikram yoga: minimum 8 classes) must be approved by CBHS and received as part of a health management program intended to prevent or ameliorate a specific health condition.
- Gym membership (minimum 3 months) must be approved by CBHS and received as part of a health management program intended to prevent or ameliorate a specific health condition. Per person, per calendar year.
- 2 month waiting period applies to 'Extraction of full tooth' and 'Other surgical procedures'.
- Where referred by a doctor and recognised by CBHS as essential to a member's health care needs.
- Where benefits are not payable from any other source.
- 6 month waiting period applies to 'Inlays/Onlays/Facings' and 'Dentures and Implants'.
- 2 months waiting period applies to Occlual Therapy.
- Benefits for pharmaceuticals are paid per person, per calendar year.
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.
- Where referred by a doctor and recognised by CBHS as essential to a member's health care needs.
- Where benefits are not payable from any other source.
This information should be read carefully and retained.