Extras cover in private health insurance

Looking for extras cover? The table below shows a range of extras only health insurance policies offered by our Online Partners.

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The initial results in the table above are sorted by Star Rating (High-Low) , then Monthly premium (approx) (Low-High) , then Provider Name (Alphabetical) . Additional filters may have been applied, which impact the results displayed in the table - filters can be applied or removed at any time.

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What is extras cover health Insurance?

Extras-only health insurance, or ancillary cover, is a type of health insurance that provides cover for ‘general’ treatments and services from medical and allied health professionals not typically subsidised through Medicare. These ‘extras’ could include dental treatment, optical devices such as glasses, physiotherapy, and podiatry. Typically, these ‘extras’ are not covered by Medicare, and this type of insurance could help cover your out-of-pocket costs.

You will usually be able to claim money back after you have served any waiting periods that may apply. Most policies will only allow you to claim back a certain percentage of costs for each service, and this will also be subject to annual cover limits.

What are the different levels of extras health insurance? 

Most insurers offer three main levels when offering extras-only health insurance cover: basic, medium, and top-level coverage. However, the specifics can vary depending on your provider, so it’s important to check what each plan includes before deciding. Generally, these are the most common services you can access dependant on your excess cover limit:

Basic Extras Cover 

Basic extras cover offers more limited coverage, but it’s typically the most affordable option. Common services included in a basic extras policy may include:

  • General dental
  • Physiotherapy
  • Optical (varies by provider)

It’s good to be aware that basic extras policies often come with combined group limits and lower reimbursement rates—meaning you’ll pay more out-of-pocket for services. Because of this, premiums tend to be lower than those for higher-level extras policies.

Medium Extras Cover 

Medium (or often called ‘medium-level’) extras cover tends to strike a balance between cost and coverage. These policies are ideal for those looking for good value, with coverage for a broader range of services than basic policies. Typical inclusions may include:

  • General dental
  • Major dental
  • Endodontics

You may also receive coverage for:

  • Orthodontics
  • Optical
  • Non-PBS pharmaceuticals
  • Physiotherapy
  • Chiropractic/osteopathy
  • Podiatry
  • Psychology
  • Hearing aids

Medium extras policies generally offer higher annual limits than basic policies, although they often won’t match more comprehensive coverage offered in top-tier plans. The level of coverage seen in these policies are often priced between basic and top-tier options, providing a more affordable option for those seeking more coverage without paying the premium of a high-level plan.

Top Extras Cover

Top extras cover offers the most extensive range of healthcare services, making it the most expensive option when looking for cover. With the highest limits and the largest rebate percentages, however, these comprehensive policies help cover a wide array of treatments, ultimately reducing your out-of-pocket expenses. A top-tier policy typically includes, but is not limited to, coverage for:

  • General dental
  • Major dental
  • Endodontics
  • Orthodontics
  • Optical
  • Non-PBS pharmaceuticals
  • Physiotherapy
  • Podiatry
  • Psychology
  • Acupuncture

While top-level extras cover comes at a higher price, it provides the broadest protection and is more suitable for anyone seeking comprehensive health benefits with higher annual limits and extensive coverage.

Frequently asked questions about extras health insurance

Although what you’re covered for differs depending on the level of your extras-only health insurance, extras cover generally can include the following healthcare treatments and services:

  • General Dental: routine and preventative treatments such as scale and clean, polish, check-ups, examinations, x-rays and fillings.
  • Major Dental: includes periodontal (gum treatment), endodontic (root canal), crowns and bridges.
  • Orthodontic: includes treatments for teeth straightening, overbite, chewing and jaw alignment like braces and retainers.
  • Optical: covers prescription glasses, frames and contact lenses.
  • Non-PBS Pharmaceutical: covers pharmaceutical prescription items not listed on the general schedule of the Government Pharmaceutical Benefits Scheme (PBS).
  • Physiotherapy: covers consultations and rehabilitation to treat physical issues caused by injury, surgical operation, illness and age-related changes.
  • Chiropractic: covers consultations for health problems related to the musculoskeletal system and treatments such as spinal adjustments and joint pain relief.
  • Exercise physiology: includes consults and physical rehabilitation by an exercise physiologist such as exercise counselling, physical assessments and prescription exercise programs.
  • Occupational therapy: includes occupational therapy consultations to improve and enable people with physical, mental or developmental conditions to engage and participate in everyday ‘occupations’ such as daily living activities (for example showering, dressing, preparing food).
  • Podiatry: includes treatments and services of the ankles and feet such as general toenail and skin care (for example ingrown toenails, corns, warts), musculoskeletal injuries and conditions (for example Achilles injuries, bursitis, plantar fasciitis), footwear padding and foot orthotics.
  • Osteopathy: covers osteopathic consultations and treatments such as soft tissue and bone manipulations.
  • Remedial massage: covers remedial massage consultations such as deep tissue massages.
  • Natural therapies: includes cover for acupuncture, dry needling and chinese medicine.
  • Psychology: covers consultation with a psychologist or clinical psychologist for mental or physical health issues such as anxiety, depression, pain management or eating disorders.
  • Dietetics and nutrition: covers consultation with a dietitian or nutritionist for dietary, nutrition and eating advice.
  • Speech therapy: includes speech therapy consultations to diagnose and treat swallowing disorders or verbal speech disabilities or impediments.
  • Eye therapy: covers assessments and consultations with an orthoptist to treat eye conditions such as lazy eye and poor focus.
  • Hearing aids: if included, covers the costs of hearing aids for people with hearing impairments.
  • Appliances, protheses and aids: includes medically necessary appliances and prostheses that help manage, monitor or treat a health condition such as blood pressure monitor, blood glucose monitors, post-surgical bras and joint braces.
  • Preventative tests, scans and screenings: these can be skin cancer screenings, bone mineral density tests, breast examinations and bowel cancer tests.

The cost of your extras-only health insurance will depend on your level of coverage, location and whether the policy is for a family, couple or single.

Canstar’s database shows monthly premiums of $12 a month all the way to $300 a month. You can use the comparison table at the top of the page to compare extras-only policies and find one that may potentially suit your needs.

Health insurance providers typically have waiting periods that you have to serve before you can make a claim. For extras cover, waiting periods are set by the individual providers. As an example, we’ve compiled a table of the minimum, median and maximum monthly waiting periods for some common services on Canstar’s database.

Monthly Waiting Periods for Extras Health Insurance Services

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Min Median Max
General Dental 0 2 2
Major Dental 2 12 12
Endodontic 2 12 12
Orthodontic 12 12 24
Physiotherapy 0 2 2
Chiropractic 0 2 2
Optical 0 6 6
Acupuncture 0 2 2
Massage 0 2 2
Podiatry 0 2 2
Psychology 0 2 12
Non-PBS 0 2 2

source: www.canstar.com.au – 6/03/2023. Based on standalone extras only health insurance policies on Canstar’s Database. OSHC, visitor, and corporate policies, as well as policies from restricted funds, are excluded.

Once waiting periods are served and you maintain that cover in your policy you do not have to serve the waiting period again. Even when you switch providers, the Private Health Insurance Ombudsman says most insurance providers won’t require you to re-serve many of the waiting periods. Check with the individual insurer before switching.

Explore more→ Can I waive my waiting period for health insurance?

If you’re weighing up whether to get extras cover, it’s a good idea to firstly consider what you want to be covered for. Many of the services covered by extras policies are generally not covered by Medicare (such as dental and optical). So, it could be worth getting cover if you think you are going to be using these services regularly in the future.

For example, this could be the case if you wear glasses or contact lenses. If you have kids you can also include them on your health insurance through a family health insurance policy. This could be handy if they need to get glasses or braces at some point.

If you are looking for a new extras policy, a good place to start could be Canstar’s Health Insurance Star Ratings and Awards. Canstar researches and rates health insurance policies as part of our annual Health Insurance Star Ratings. To recognise top performing health insurance providers, Canstar also presents national and state health insurance awards.

 

If you already have extras cover in place and want to work out whether your policy is giving you good value for money, you can request an annual claims statement from your provider. This will show the total benefits received in that financial year. To check whether you are getting good value, look at your total benefits and your out-of-pocket costs against the cost of your premiums.

If you’re thinking about switching or want to take out a new extras policy, you might find it helpful to compare extras cover with Canstar using the table at the top of the page.

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Canstar Star Ratings and Awards

Looking for an award-winning product or to switch providers or brands? Canstar rates products based on price and features in our Star Ratings and Awards. Our expert Research team shares insights about which products offer 5-Star value and which providers offer outstanding value overall. We also reveal which providers have the most satisfied customers in our dedicated Customer Satisfaction Awards.

Health Insurance Star Ratings and Awards

About our finance experts

Karen Yang, Senior Content Production Specialist

Karen Yang
Karen is a Content Producer at Canstar, working to help the company produce informative yet easy-to-digest financial content for Australian consumers. Karen has a background in allied health, having completed a Bachelor of Podiatry from the Queensland University of Technology. Karen recently embarked on a second career to rekindle her childhood passion for writing, while still maintaining her earnest intentions from her health professional background — to help the general public. In 2023, she completed a Graduate Certificate in Writing, Editing and Publishing at the University of Queensland. Karen strives to bring a fresh perspective and accurately represent the average consumer. When she’s not honing her writing skills or catching up on the latest world news, you may find Karen obsessing over her next potential mechanical keyboard build. You can connect with Karen via Linkedin.

Joshua Sale, GM, Research

Joshua Sale

As Canstar’s Ratings Manager, Josh Sale is responsible for the methodology and delivery of Canstar’s Health Insurance Star Ratings and Awards. With tertiary qualifications in economics and finance, Josh has worked behind the scenes for the last five years to develop Star Ratings and Awards that help connect consumers with the right product for them.

Josh is passionate about helping consumers get hands-on with their finances. Josh has been interviewed by media outlets such as the Australian Financial Reviewnews.com.au and Money Magazine.

You can follow Josh on LinkedIn, and Canstar on Twitter and Facebook.

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The Health Insurance Star Ratings were awarded in November 2024 and data in the table is current as at that date, updated from time to time to reflect product changes notified to us by product issuers. The results don’t include every provider in the market and we may not compare all features relevant to you. You can find a description of the initial sort order below the table. You can use the sort buttons at the top of each column to re-order the display. Learn more about our Health Insurance Star Rating Methodology. The rating shown is only one factor to take into account when considering products.

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A Target Market Determination (‘TMD’) is a document that explains which people particular financial products may be suitable for (the target market) and sets out any conditions around how financial products can be distributed to consumers.

Why do product issuers provide Target Market Determinations?

From 5 October 2021, TMDs are compulsory for most financial products.

Issuers and distributors of financial products must take reasonable steps that are likely to result in financial products reaching consumers in the target market defined by the product issuer.

We recommend that you consider the TMD before making a purchase decision. Contact the product issuer directly for a copy of the TMD.