Essential Pro 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
$1020 lifetime limit per member

Surgical extraction of wisdom teeth only

12 month waiting period
$1020 lifetime limit per member
$250 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
$250 per member per calendar year
$400 per calendar year for singles
$800 per calendar year for couples or families

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 period
$400 per calendar year for singles
$800 per calendar year for couples or families
$500 per calendar year for singles
$1000 per calendar year for couples of families
2 month waiting period
12 months for surgical treatment by a Podiatrist
Complementary Therapies Sublimits and Rebates for Essential Pro Extras
Type Maximum rebate per service Single sub-limits
per calendar year
Family or couple sub-limits
per calendar year
Physiotherapy
Exercise Physiology
$25 $150 $300
Chiropractic
Osteopathic
Chiropractic X-ray
$25
$40 (X-ray)
$150 $300
Remedial Massage and Myotherapy $25 $150 $300
Acupuncture $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 $25 $250 $300
Speech Therapy $48 (initial)
$36 (subsequent)
$300 $588
$500 per calendar year for singles
$1000 per calendar year for couples of families
$400 per member per calendar year

$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)

2 month waiting period
$400 per member per calendar year
$75 per calendar year for singles
$150 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
$75 per calendar year for singles
$150 per calendar year for couples or families
Preventative Health Rebates and Annual Group Limits for Essential Pro 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% $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 Lifetime Limit per member
2 month waiting period
12 months for Antenatal
12 month waiting period
Non Surgically Implanted Prostheses Rebates for Essential Pro Extras
Health Aid or Appliance Sublimit 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
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

$50 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

$40 per member to use towards out of pocket costs, accrues to $80 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