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Are there any waiting periods for these new benefits?

No, you can start using these enhancements as of 1 January 2025. Existing waiting periods still apply. If you have not yet served the waiting periods for the services listed, you will need to wait until those periods are over before you can access the benefits.

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Do I need to do anything to access these new benefits?

No, these benefits will automatically be available to you.

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How do I claim these benefits?

The claims process remains the same. You can claim for services using the HICAPS machine at the providers office. Alternatively, you can claim using our user-friendly app or online account.

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How often do you review and update your benefits?

We assess our benefits annually to ensure they remain competitive and relevant to our member’s needs. By staying up to date with industry trends, cost of living pressures and listening to your feedback, we can identify opportunities to enhance your cover and make necessary adjustments.

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I currently have Core Complete extras, and I’m receiving orthodontic treatment. How will this affect my future claims?

As of 1 January 2025, your annual limit will increase to $600, and your lifetime limit will change to $1800.

If you have already claimed $350 in the first year, your annual limit will be $600 for the second and third years and your lifetime limit will increase from $1050 to $1800. This means if your treatment extends beyond three years, you can continue to claim until you reach the new lifetime limit of $1800.

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What are the changes for Basic Extras and Healthy Start?

The optical limit has increased from $130 to $150 per person per year.

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What are the new allied health benefits for Core Complete Extras and Complete Package Extras?

The following benefits have increased:

  • Chiropractic: $36 per consultation
  • Osteopathy: $36 per consultation
  • Massage: $36 per session
  • Myotherapy: $36 per session
  • Acupuncture: $36 per session
  • Nutrition/Dietetics: $36 per consultation

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What are the new benefits for Premier Singles & Couples Extras?

The psychology benefit has increased from $60 to $90 per consultation.

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What are the new dental benefits for Core Complete Extras and Complete Package Extras?

  • First annual scale and clean: $120 per person
  • First annual preventative oral examination: $60 per person
  • First 2 fluoride treatments each year: $36 per person (limit of 2 per year per person)
  • Orthodontics:
    • Annual limit: $600 per person per year
    • Lifetime limit: $1800 per lifetime

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When do these benefit changes take effect?

The benefits enhancements will take effect on 1 January 2025.

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Where can I find more information about these changes?

All benefit enhancements have been updated the product summaries, available here 

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Why have you enhanced these benefits?

We're dedicated to improving the health and wellbeing of our members. These enhancements are designed to provide you with better access to essential healthcare services, such as dental care and allied health therapies. By increasing the cover for these services, we aim to support your overall health and quality of life.

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Will there be further benefit improvements in the future?

We're committed to continuously improving our benefits. We will continue to monitor industry trends and member feedback to identify opportunities for future enhancements. Our goal is to provide you with comprehensive benefits that support your health and wellbeing.

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Will these benefit changes affect my premium costs?

We strive to keep premiums as low as possible while ensuring you receive valuable benefits. The upcoming changes to Core Complete are aimed at enhancing access and affordability of preventative dental care. As a result, we expect more members to use these services, which requires a small increase in premiums in 2025.

It’s important to note that the premium increase will vary based on your type of cover (single, family) and your individual rebate and loading. While improvements to the Basic Extras and Healthy Start optical limits will not affect premiums, members with Premier Singles and Couples cover will experience a premium increase. The increase will be communicated to our members in February 2025.