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Our annual review of our products has facilitated a number of changes to our Ultimate Extras.
More about changes to Ultimate Extras

Extras Cover and Waiting Periods
No annual limit

For diagnostic, preventative dental, fillings and extractions

2 month waiting period
No annual limit
$1500 per member per calendar year

To use on major dental treatment like periodontics, oral surgery, endodontics, veneers, crowns, bridges, implants and dentures.

12 month waiting period
$1500 per member per calendar year
$300 per calendar year for singles
$600 per calendar year for couples or families
12 month waiting period
$300 per calendar year for singles
$600 per calendar year for couples or families
$3250 lifetime limit

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

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.

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.

Sunglasses $75 per member per calendar year

Available at Westfund Care Centres and selected Providers of Choice

2 month waiting period for Optical, Optical Bonus and Sunglasses
$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
$520 per calendar year for singles
$1040 per calendar year for couples or families
Physiotherapy and Exercise Physiology benefits for Ultimate Extras
Group / Class Item Limit Individual Item Limit
Physiotherapy $10 $52
Exercise Physiology $10 $40
$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
$400 per calendar year for singles
$800 per calendar year for couples or families
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
$750 per calendar year for singles
$1500 per calendar year for couples or families
2 month waiting period
12 month waiting period for surgical by a Podiatrist
$750 per calendar year for singles
$1500 per calendar year for couples or families
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 and Chinese Herbalism $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
$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 Declaration 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 Classes and Pre/Postnatal Consultations 100% $120 per policy per calendar year
Hypnotherapy for Quit Smoking 100% $250 per member
Lifetime Limit
Chronic Disease Association Fees 100% $30 per member
2 month waiting period
12 waiting period for Antenatal classes and Pre/Postnatal Consultations
12 month waiting period
36 month waiting period for Hearing Aids & FM Systems
Health Aids and Appliance Rebates for Ultimate 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 Lifetime letter
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
Devices for Sleep Apnoea and 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
Respiratory Aids $200 per calendar year Lifetime letter
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
Repairs to Devices $100 per calendar year Lifetime letter 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

Up to $70 per outpatient service, to a maximum of $210 per policy per calendar year

12 month waiting period
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.

Forced Retrenchment Suspension

Suspension of membership for up to six months due to forced retrenchment

Available after 36 months

Protected Industrial Action Suspension
Suspension of membership for up to six months due to protected industrial action

Available after 36 months

Overseas Travel Suspension
Suspension of membership for up to 24 months due to overseas travel

Westfund Services

Available after 2 months