Extras
| Service | Description | Benefit pp | Annual limit pp |
|---|---|---|---|
Ambulance Pensioners must claim the pensioner discount first | Transport costs (Please refer to page 30 of the Products and Benefits Guide for further clarification) | 100% | Unlimited |
Dental This is not a comprehensive list of our dental benefits, please see the Dental Schedule insert inside. | Periodic examination Plaque removal Fluoride treatment Tooth extraction Crowns & Bridges Fillings Periodontics Root canal treatment Implants Dentures Orthodontics | 80% up to $100 80% up to $100 80% up to $100 80% up to $120 Up to 80% of cost Up to 80% of cost Up to 80% of cost Up to 80% of cost Nil Nil Nil | $700 ($400 sub limit for all major dental) $400 sub limit $400 sub limit $400 sub limit $400 sub limit Nil Nil Nil |
Optical Must be accompanied by a relevant sight correction prescription. | Single lens Lenses Frames Repairs Contact lenses Contact lens solution | 80% of total cost | $200 |
Pharmacy Available only on prescription | Prescriptions related to a medical condition costing over the Pharmaceutical Benefits Scheme (PBS) limit ($39.50 as at 1/01/2018) | Up to $50 per script after deducting the PBS amount | $250 |
Physiotherapy/Hydrotherapy Chiropractic/Osteopathy Podiatry | Registered practitioner visit | Up to $25 | $300 combined |
Remedial Massage/Naturopathy/ Acupuncture | Registered practitioner visit | Up to $20 | $100 combined |
*In order for benefits to be paid on general treatments, the health practitioner must be appropriately qualified and registered with their relevant association. To confirm exactly what benefits are payable on any particular treatment, contact ACA Health with the specific item number or description of the service.
**Annual limits do not rollover to the next calendar year. Benefits are paid according to the limit of the year in which the services are provided/purchased.
Download Ancillary Lite Cover Brochure
Waiting Periods
- Optical – 4 months
- Dental – 9 months
- All other services – 2 months
On joining general treatments cover for the first time, waiting periods must be served before benefits will be paid. If you have upgraded your general treatments cover, waiting periods will apply before the higher benefits will be paid.
What’s Not Covered?
- Services not listed above (including orthodontic treatment)
- Services while a membership is in arrears
- Services incurred before waiting periods are served
- Services where there is an entitlement under compensation insurance
- Services claimed over 2 years after the service date
- Products or services purchased in or from countries other than Australia
- No special assistance
- Services performed by a Podiatric Surgeon (Inpatient)