A list of extras services

Complex dental includes dental procedures like root canal therapy (endodontics), root planning, jaw injuries and non-tooth related surgery (periodontics).

Major dental covers procedures like crowns, bridgework, veneers, implants and dentures. Unfortunately, major dental does not include orthodontic treatments.

We define this as specialist dentistry treatment to align teeth and jaws.

Treatments can include braces, plates and retainers.

Optical includes things like the cost of glasses, frames, lenses, repairs, and contact lenses.

Only payable on scripted sight correcting products.

We define laser eye surgery (refractive or sight correcting) as a surgical procedure to correct vision problems by reshaping the surface of the eye.

Benefits back from ahm are paid per eye and lifetime limits apply.

Physiotherapy includes one-on-one consultations, as well as group or class sessions for hydrotherapy, clinical pilates (by a recognised physiotherapist), antenatal exercise and rehabilitation.

Chiropractic treatment involves the manipulation or adjustment of the spine and the diagnosis and management of spinal health related problems. 

Osteopathy refers to consults with a register Osteopath.

Treatment of the body, typically in the form of massage, to assist in rehabilitation, pain and injury management.

The use of needles at specific acupuncture points to balance the body’s energy pathways.

Evidence-based movement, physical activity, and exercise-based interventions aimed to facilitate and optimise health.

A holistic approach to disease and prophylactic care, treatment can include Chinese herbal medicine and acupuncture.

Evidence-informed assessment, treatment and rehabilitation of pain associated with musculoskeletal conditions.

We define pharmacy as being pharmacy items that are prescription only, prescribed by a medical practitioner and aren’t part of the Pharmaceutical Benefits Scheme (PBS).

This includes contraceptives for medical conditions, travel and other vaccinations, and hormonal implants that are essential to treat a particular illness, injury or condition.

We can help with the bill for each item, after the set PBS amount has been paid. Items available without a prescription including over the counter, off the shelf, herbal medicines and vitamins can’t be claimed.

Health improvement services and treatments are designed to keep you healthy.

They include things like:

* Some restrictions apply and you may need medical evidence that you qualify for some benefits. 

This includes dietitian and nutritionist consultations, and weight loss classes and courses, provided you meet certain eligibility criteria.

There’s a shared limit across psychology, counselling and hypnotherapy. Use it all on one of them or spread it across. Psychology consultations with a recognised Psychologist, click here to find out more about counselling.

There’s a shared limit across psychology, counselling and hypnotherapy. Use it all on one of them or spread it across. Hypnotherapy consultations with a recognised Psychologist.

This refers to the benefits we can pay towards consultations with a Speech Therapist.

This refers to the benefits we can pay towards consultations, in person or via telehealth, with an Occupational Therapist.

This refers to the benefits we can pay towards consultations with an Orthoptist.

We define podiatry as consultations, biomechanical assessments, castings and podiatric surgery.

This includes consultations with an Audiologist (where Medicare hasn’t covered the service). Please note that consultations with an Audiometrist aren’t included here.

This refers to custom-made orthotics, and repairs to custom-made orthotics. We accept referrals from ahm-recognised physiotherapists and chiropractors for orthotic devices. Please note that pre-moulded, pre-fabricated or off-the-shelf orthotics such as sporthotics or formthotics aren’t included.

This includes birthing classes and courses, lactation consultant services and pre or postnatal visits from a registered midwife.

This refers to the costs related to the use of oxygen gases and oxygen concentrators.

This refers to fluid injections to joints including the knee, hip and shoulder, such as visco-supplemental treatments to alleviate the pain of osteoarthritis. On this one, your limits begin when you first receive the service, instead of at the beginning each financial year. They will reset when that date rolls around again the following year.

Help with travel and accommodation bills can be available if you need to travel more than 200km return for a specialist medical appointment or for an outpatient procedure. This doesn’t include travel and accommodation related to hospitalisations, dental or extras services and IVF treatment.

This includes room fees for procedures performed in a surgeon’s office or surgery rather than an operating room or theatre (i.e. not a hospital or day surgery).

We include post-operative aids, medical aids, braces and support devices and non-surgical prosthesis here. Note that some restrictions apply, and you may need medical evidence that you require the aid or device.

We define this as emergency transport to hospital due to a sudden or unexpected event. Ambulance cover applies where the only practical way of getting to hospital is by ambulance.

You won’t receive benefits for ambulance rides that aren’t essential, like transfers between hospitals, moving hospitals to be closer to home or travelling from home to hospital for tests.

Tasmania and Queensland have State schemes that cover ambulance services for residents of those States.

Help with the bill for the cost of hearing aids and hearing aid repairs. Limits are applied every 3 years.