Top Extras. Increased benefits from 1 January 2025
- Health aids. You’ll be able to claim 80% of the cost of CPAP masks (up to your annual $100 sublimit under Health aids).
- Physio. Your physio benefits will increase. Your benefit for initial consultations will be $60 (up from $53). Benefits on subsequent consultations will also increase to $54 (up from $48).
- Chiro. Benefits for initial consultations will increase to $49 (up from $45). You’ll also get more when claiming on subsequent consultations, increasing to $39 (from $35).
- Osteo. You’ll get more back from osteo claims with initial consultations up from $45 to $49 and subsequent consultants also increasing from $35 to $39.
- Occupational therapy. Benefits will increase from $45 to $55 for initial consultants and from $40 to $50 for subsequent consultations.
- Dietetics. You’ll get more back on all consultations (up to $55 from $52).
- Speech therapy. You’ll get more benefits when claiming speech therapy, with great increases to benefits. You’ll be able to claim $60 for an initial consultation (up from $42) and $55 for subsequent consultations (up from $37.
- Swedish massage. Benefits will increase from $25 to $30.
- Myotherapy. Increased benefits up to $40 for initial consultations (up from $35) and $35 for subsequent consultations (currently $30).
- Dental. You’ll also be receiving increases across the board to several dental services. We’ve listed them out for your below.
Item code | Item description | Current benefit | Benefit from 1 January 2025 | Benefit increase |
X017 | Consultation by referral - extended (30 mins or more), includes examination | $82 | $86 | $4 |
X213 | Treatment of acute periodontal infection - per appointment | $55 | $56 | $1 |
X314 | Sectional removal of a tooth or part(s) thereof | $148 | $151 | $3 |
X455 | Additional visit for irrigation and/or dressing of root canal system - per tooth | $84 | $89 | $5 |
X522 | Adhesive restoration - two surfaces - anterior tooth - direct | $103 | $107 | $4 |
X613 | Full crown - non-metallic - indirect | $750 | $782 | $32 |
X615 | Full crown - veneered - indirect | $750 | $782 | $32 |
X643 | Bridge pontic - indirect - per pontic | $600 | $614 | $14 |
X661 | Fitting if implant abutment - pre abutment | $200 | $294 | $94 |
X721 | Partial maxillary denture - resin base | $300 | $342 | $42 |
X722 | Partial maxillary denture - resin base | $300 | $342 | $42 |
X965 | Occlusal appliance | $200 | $245 | $45 |