Ultimate Extras

There will be no premium increase on this product in 2019.

* per week. Based on NSW prices, including claiming base tier tier Aust. Gov. rebate for aged under 65. Prices effective 01 Apr 2019.

Extras Cover and Waiting Periods
$300 per calendar year for singles
$600 per calendar year for couples or families

100% of gap (up to annual limit) to use towards eliminating the gap on General Dental and Dentures.
For dental completed by a General Dentist.

12 month waiting period
$300 per calendar year for singles
$600 per calendar year for couples or families
$1500 per member per calendar year

To use on major dental treatment like crowns, bridges, implants and veneers.
Dentures are available with no annual limit.

12 month waiting period
$1500 per member per calendar year
$3250 lifetime limit

Limit accrues at $650 per member per policy year to use on orthodontics completed by a registered orthodontist with a maximum accrued lifetime benefit of $3250.

General Dentist sub-limit
Sublimit of $520 per member per policy year to use on orthodontics completed by a general dentist with a maximum accrued lifetime benefit of $2600.

12 month waiting period
$3250 lifetime limit
$350 per member per calendar year

100% of fee (up to annual limit) for frames, single vision lenses, bifocal lenses, multifocal lenses, contact lenses.

No benefit towards tinting, coating or add-ons. Benefits also apply for Irlen lenses.

2 month waiting period
$350 per member per calendar year
$520 per calendar year for singles
$1040 per calendar year for couples or families

Annual limit shared by all members on the policy.

2 month waiting period
Physiotherapy and Exercise Physiology benefits for Ultimate Extras
Group / Class Item Limit Individual Item Limit
Physiotherapy $10 $52
Exercise Physiology $10 $40
$520 per calendar year for singles
$1040 per calendar year for couples or families
$400 per calendar year for singles
$800 per calendar year for couples or families

Annual limit shared by all members on the policy.

2 month waiting period
Chiropractic and Osteopathic benefits for Ultimate Extras
Item Limit
Chiropractic $40
Chiropractic X-ray $70
Osteopathic $40
  • Two chiropractic x-rays per member per calendar year
$400 per calendar year for singles
$800 per calendar year for couples or families
No annual limit

For diagnostic and preventative dental, periodontics, endodontics, fillings and extractions or oral surgery.

Set item benefits depending on service or item number

2 month waiting General Dental
12 month waiting Specialist Dental
No annual limit
$750 per calendar year for singles
$1500 per calendar year for families
2 month waiting period
12 months for surgical treatment
Complementary Therapies Sub-Limits and Rebates for Ultimate Extras
Type Maximum rebate per service Single sub-limits
per calendar year
Family or couple sub-limits
per calendar year
Remedial Massage and Myotherapy $35 $350 $700
Acupuncture $35 $350 $700
Dietetics and Nutrition $55 $350 $700
Home Nursing $18 (up to 6 hours) $72 (over 6 hours) $225 $450
Vision (Eye) Therapy $35 $350 $700
Occupational Therapy $70 $350 $700
Podiatry
Podiatry Surgical Treatment
$42
100%
$336 $672
Clinical Psychology $100 $420 $840
Speech Therapy $60 (initial)
$42 (subsequent)
$384 $768
$750 per calendar year for singles
$1500 per calendar year for families
$600 per member per calendar year

$75 per prescription for the amount that exceeds the PBS co-payment for Private, Non-PBS, Non-NHS.

Doctor letter required in some instances (see Membership Terms and Conditions)

2 month waiting period
$600 per member per calendar year
$150 per calendar year for singles
$300 per calendar year for couples or families

100% of fee (up to annual limit) for Fitness Centre, Aquatic Programs, Weight Loss Programs, Virtual Gastric Banding, Diabetes Education, Vitamins, Omega 3 or Probiotics.

Fitness Centre, Weight Loss, Virtual Gastric Banding and Aquatic Programs require a Medicare Registered Practitioner to complete a Health Management Claim Form to confirm the Program is medically necessary.

2 month waiting period
$150 per calendar year for singles
$300 per calendar year for couples or families
Preventative Health Rebates and Annual Group Limits for Ultimate Extras
Type Rebate per service Annual Group Limit
Preventative Health Tests
(Bone Density Test, Bowel Testing Kit, Calcium Score, Mammogram, Mole Scan, Thin Prep Pap Test)
100% $45 per member
Ear and Eye Preventative Health Checks
(Audiology Test, Corneal Topography, Optical Coherence Tomography, Retinal Photography)
$80 $160 per member
Antenatal Calasses and Pre/Postnatal Consultations 100% $120 per policy
Lifetime Limit
Hypnotherapy for Quit Smoking 100% $250 per member
Lifetime Limit
Chronic Disease Association Fees 100% $30 per member
2 month waiting period
12 months for Antenatal
12 month waiting period
36 months for hearing aids
Non Surgically Implanted Prostheses Rebates for Ultimate Pro Extras
Health Aid or Appliance Sub-limit per member Letter of recommendation required
Artificial Limbs $200 per calendar year Lifetime letter
Braces $200 per calendar year Every 12 months
Compression Garments No
Blood Glucose Monitor $100 per calendar year No
Blood Pressure Monitor $150 per calendar year No
Burn Suits $800 per calendar year Every 12 months
CPAP (sleep apnoea) Machine
EPAP Treatment
Oral Appliance for diagnosed snoring
$750 every 3 years Lifetime letter
CPAP Masks, Accessories and TENS Accessories $100 per calendar year No
INR Monitor $200 every 2 years Lifetime letter
Low Vision Aids $100 per calendar year Every 12 months
Mobility Aids Every 12 months
Mammary Prostheses and Brassieres $400 per calendar year Lifetime letter unless relevant hospitalisation is recorded with Westfund
Nebuliser $200 per calendar year No
Custom Made Orthopaedic Boots $400 per calendar year Every 12 months
Custom Made/Preformed Orthotics $300 per calendar year Every 12 months
Oximeter
Oxygen and Accessories
$750 per calendar year Lifetime letter
Peak Flow Meter $35 per calendar year No
Repairs to Devices $100 per calendar year Every 12 months unless initial purchase of the device is recorded with Westfund
TENS Machine $200 every 3 years Lifetime letter
Wigs $300 per calendar year Lifetime letter unless relevant hospitalisation is recorded with Westfund
Hearing Aids and Frequency Modulated Systems $2000 every 3 years No
Ambulance

Unlimited medically necessary emergency ambulance transport

1 day waiting period

Up to $5,000 per member per calendar year for non-emergency patient transport (eg. Hospital to Hospital transfer)

2 month waiting period
Member Advantages
Westfund member advantages

There's amazing benefits you'll receive because you choose Westfund.

Sunglasses

$75 per member per calendar year
Available only at Westfund Eye Care Centres

Available after 2 months

Forced Retrenchment / Protected Industrial Action

Waiver of premiums up to six months due to forced retrenchment or protected industrial action.

Available after 36 months

Westfund Services

Available after 2 months

Optical Bonus

$80 per member to use towards out of pocket costs, accrues to $160 if no optical claims made at any provider in consecutive years

Available only at Westfund Eye Care Centres. Bonus can be used towards prescription glasses and contacts only.

Available after 2 months