For diagnostic and preventative dental, periodontics, endodontics, fillings and extractions or oral surgery.
Set item benefits depending on service or item number
To use on major dental treatment like crowns, bridges, implants and veneers.
Dentures are available with no annual limit.
Set item benefits depending on service or item number
Limit accrues at $500 per member per policy year to use on orthodontics completed by a registered orthodontist with a maximum accrued lifetime benefit of $2500.
General Dentist sub-limit
Sublimit of $400 per member per policy year to use on orthodontics completed by a general dentist with a maximum accrued lifetime benefit of $2000.
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.
Annual limit shared by all members on the policy.
| Group / Class Item Limit | Individual Item Limit | |
|---|---|---|
| Physiotherapy | $10 | $30 |
| Exercise Physiology | $10 | $30 |
Annual limit shared by all members on the policy.
| Item Limit | |
|---|---|
| Chiropractic | $30 |
| Chiropractic X-ray | $40 |
| Osteopathic | $30 |
| Type | Maximum rebate per service | Single sub-limits per calendar year |
Family or couple sub-limits per calendar year |
|---|---|---|---|
| Remedial Massage and Myotherapy | $25 | $150 | $300 |
| Acupuncture and Chinese Herbalism | $25 | $150 | $300 |
| Dietetics and Nutrition | $30 | $150 | $300 |
| Home Nursing | $12 (up to 6 hours) $48 (over 6 hours) | $150 | $300 |
| Vision (Eye) Therapy | $25 | $150 | $300 |
| Occupational Therapy | $40 | $150 | $300 |
| Podiatry Podiatry Surgical Treatment |
$25 100% |
$150 | $300 |
| Clinical Psychology | $50 | $300 | $600 |
| Speech Therapy | $48 (initial) $36 (subsequent) |
$300 | $588 |
$50 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)
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.
| Type | Rebate per service | Annual Group Limit (unless otherwise stated) |
|---|---|---|
| Preventative Health Tests (Bone Density Test, Bowel Testing Kit, Calcium Score, Mammogram, Mole Scan, Thin Prep Pap Test) |
100% | $30 per member |
| Ear and Eye Preventative Health Checks (Audiology Test, Corneal Topography, Optical Coherence Tomography, Retinal Photography) |
$80 | $120 per member |
| Antenatal Classes 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 |
| Health Aid or Appliance | Item limit per member | Letter of recommendation required |
|---|---|---|
| Braces | $120 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 |
| INR Monitor | $200 every 2 years | Lifetime letter |
| Mammary Prostheses and Brassieres | $225 per calendar year | Lifetime letter unless relevant hospitalisation is recorded with Westfund |
| Nebuliser | $110 per calendar year | No |
| Custom Made Orthopaedic Boots | $200 per calendar year | Every 12 months |
| Custom Made/Preformed Orthotics | $200 per calendar year | Every 12 months |
| Peak Flow Meter | $35 per calendar year | No |
| Wigs | $150 per calendar year | Lifetime letter unless relevant hospitalisation is recorded with Westfund |
Unlimited medically necessary emergency ambulance transport
1 day waiting periodUp to $5,000 per member per calendar year for non-emergency patient transport (eg. Hospital to Hospital transfer)
2 month waiting periodThere's amazing benefits you'll receive because you choose Westfund.
$50 per member to use towards out of pocket costs, accrues to $100 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
$50 per member per calendar year
Available only at Westfund Care Centres
Available after 2 months
Waiver of premiums up to six months due to forced retrenchment or protected industrial action.
Available after 36 months
Member Fees at any Provider of Choice or Westfund provider.
