A premium level package cover offering extensive non-restricted hospital cover and generous overall extras limits. 
 
 

  • Top level hospital cover
  • $200 Gap Assist benefit towards out-of-pocket medical expenses
  • Access gap cover
  • $70 daily excess
  • No excess for children under 12 years of age
  • Generous per service benefits on extras
  • Wellness benefits for health management
  • Emergency ambulance transport

hospital component

what’s covered?

LiveLife hospital cover will cover you for:

  • No restrictions on treatments received as an admitted patient
  • Accidents
  • Accommodation – Overnight, Same Day, Intensive Care & Special Care Nursery
  • Theatre & Labour ward
  • Medical expenses – anaesthetists, specialists, surgeons, radiologists, pathology and imaging whilst admitted in hospital
  • Surgically implanted prothesis (Government approved)*

 what’s not covered?

LiveLife hospital cover will not cover you for: 

  • Hospital services received within applicable waiting periods
  • Nursing home type patient contribution or nursing home fees

  • Hospital services received within hospital waiting periods

  • Take home drugs/discharge drugs (certain non-PBS drugs may be eligible for benefits under the Extras component of LiveLife)

  • Services claimed over 2 years after the date of service

  • Prostheses used for cosmetic procedures
  • Ambulance transfers between hospitals

     

A daily excess of $70 applies to adult members for each day of hospitalisation, up to a maximum of 6 days per person or 12 days per family, per calendar year.

 * Medicare benefit is generally not payable for a cosmetic procedure which is not medically necessary

 extras component

 

 dental

 Description

70% of the cost up to the per service benefit below

Overall Limit

Limit Bank

Preventative Dental (2 month waiting period)

Oral Examinations (011, 012, 013)

$28-$40

UNLIMITED

1

X-Ray (022)

$23

Removal of plaque (111)

$38.25

Removal of calculus (114, 115)

$60

Fluoride application (121)

$25

Mouthguard (151,153)

$85-$87

Fissure sealing (161)

$27

General Dental (2 month waiting period)

Fillings

$61-$112

UNLIMITED

1

Consultations & examinations

$28-$40

X-rays

$21-$42

Extractions or surgical dental

$50-$255

General Dental (6 month waiting period)

Periodontic (gum treatment)

$57-$250

$700

1

Endodontic (root canal treatment)

$7.50-$180

$700

Inlays/Onlays/Facing

$360

$1440

5

Dentures and Implants

$20-$810

$1500

Occlusal Therapy

$17-$260

$920

LIFE

Major Dental (12 month waiting period)

Orthodontia

70%

$3000

LIFE

Crowns and Bridges

$10-$680

$3500

5

  prescribed optical appliances

Description

70% of the cost up to the per service benefit below

Overall Limit

Limit Bank

Frames (6 month waiting period)

Frames

$140

$350

1

Lenses (6 month waiting period)

Single Vision (pair)

$104

Bifocal (pair)

$130

Trifocal Vision (pair)

$150

Multifocal (pair)

$200

Contact Lenses (6 month waiting period)

Contact Lenses

$210

therapies

 Description

70% of the cost up to the per service benefit below

Overall Limit

Limit Bank

Therapies (2 month waiting period)

Physiotherapy (Initial/Subsequent)

$61/$35

$900

1

Chiropractic & Osteopathy (Initial/Subsequent)

$61/$35

$1000
Hypnotherapy 

$80

$360
Occupational Therapy (Initial/Subsequent) $61/$35 $800
Speech Therapy (Initial/Subsequent) $80/$40 $1850
Clinical Psychology $30-$140 $500
Ante natal/Post natal physiotherapy 70% $105

Podiatry (excl. artificial aids: e.g. orthotics)

$30-$50

$400

Audiology

$60

$360

Eye Therapy

$60

$455

Dietician

$15-$65

$360

alternative therapies

 Description

70% of the cost up to the per service benefit below

Overall Limit

Limit Bank

AlternativeTherapies (2 month waiting period)

Natural Therapies
Buteyko, Herbal Medicine Consultations, Homeopathy, Naturopathy, Nutrition

$33

$1000

1

Oriental Therapies
Acupressure, Acupuncture, Chinese Herbal Medicine Consultation, Chinese Massage, Kinesiology, Reflexology, Shiatsu, Traditional Chinese Medicine Consultation
Massage Therapies
Alexander Technique, Aromatherapy, Bowen Therapy, Deep Tissue Massage, Feldenkrais, Lymphatic Drainage, Myotherapy, Remedial Massage, Rolfing, Sports Massage, Swedish Massage, Therapeutic Massage

general health

 Description

Per Service Benefit

Overall Limit

Limit Bank

General Health (2 month waiting period)

Blood Glucose Accessories

70%

$320

1

Home visits by Registered Nurse

$80 (<4 hrs)

$120(>4 hrs)
 

$2800
Non-Pharmaceutical Benefits Scheme drugs requiring a prescription by law 100% less the current government prescribed co-payment up to $150 per prescription $1000 PER CALENDAR YEAR
Travel and accomodation+ 50% of the cost for accomodation (shared room rate) airfare, train, bus or 15c per kilometre car  UNLIMITED PER MEMBERSHIP PER CALENDAR YEAR

+ Travel and accomodation 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.

health care aids

 Description

70% of the cost up to the per service benefit below

Overall Limit

Limit Bank

Health Care Aids  (12 month waiting period)

Artificial Aids

$10-$1500

$1500

3

Hearing Aids

70%

$2000
Blood Pressure Monitor, Nebuliser, Glucometer 70% $500

(2 month waiting period)

 Description

90% of the cost up to the overall limit below

Limit Bank

Health Checks  (where not claimable from Medicare)

Breast examinations (i.e. mammograms/x-rays)
Bone density tests
Skin cancer screening
Bowel/prostate cancer screening
Eye Screenings
$300

1

Health Management

Quit smoking programs2
Weight management programs2
Stress management courses2
First aid course/first aid kits^
$200 1
Yoga1
Pilates1
Gym membership/Personal training1 $200 PER CALENDAR YEAR

^Benefits on first aid courses and kits are only payable when provided by recognised CBHS providers. First aid course must be completed for benefits to be applicable to the first aid kit. Excludes replacement first aid items.

1 CBHS can only pay a benefit for gym membership/personal trainer/pilates /yoga where the gym/ personal trainer/yoga/pilates service is provided as part of a health management program, certified by your GP or a recognised provider confirming that the gym/personal trainer/yoga/pilates program is a health management program. Approval form is available from CBHS. Please note that GP consultations are not covered by CBHS.

Must be approved by CBHS

Limit Bank

Each group of services within Extras covers has an overall limit on the amount you can claim in a specific time period. This is called the Limit Bank.

Per Service Benefit

Most CBHS Extras benefits are subject to a Per Service Benefit. Generally, the maximum benefit for an individual Extras service is 70% of the service fee up to a Per Service Benefit within the overall category limit.

Example
The maximum payment for the service 'extraction of a full tooth' is 70% of the cost up to the Per Service Benefit of $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 Per Service benefit for this service is $70 - the amount you would receive.

Download LiveLife PDF

Download CBHS Contribution Rates Brochure

When deciding if this product is right for you, please refer to the CBHS Health Benefit Fund Rules. This information should be read carefully and retained.

 

RELATED LINKS

 

 

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