Other extras

There are a few additional services that are covered by our Extras options.

The table below outlines these services and the limits that apply.

Type of ServiceWaiting PeriodsWhat we'll pay
  Essential ExtrasPremium ExtrasSingles and Couples Combined coverYoung Extras
Childbirth education12 months$38$60N/AN/A
Pharmaceutical2 monthsUp to $30
Limit of $300 per person per membership year
Up to $50
Limit of $500 per person per membership year
Up to $30
Limit of $150 per person up to $300 per policy per membership year
Up to $30
Limit of $150 per person up to $300 per policy per membership year
School accidents2 months100%
Limit of $450 per dependent child per membership year
100%
Limit of $750 per dependent child per membership year
N/AN/A
Healthy living2 months$125
per person per membership year
$150
per person per membership year
$125 per person
up to $250 per policy per membership year
$125 per person
up to $250 per policy per membership year

Pharmaceuticals

The Pharmaceutical Benefits Scheme (PBS) is a national pharmaceutical scheme funded by the Federal Government where patients contribute to the cost of prescribed drugs.

Queensland Country doesn't cover pharmaceutical prescriptions covered by the Pharmaceutical Benefits Scheme or for contraceptives and items normally available without prescriptions.

We’ll pay benefits as outlined in the Extras table up to the claim limit for this category, with consideration to the maximum individual script benefit limit. The benefit amount per script is calculated by deducting the PBS general patient contribution amount from the purchase price (up to script benefit limit). This is conditional on the pharmaceutical prescription being listed in the MIMs Schedule as S4 or S8 and being dispensed in quantities in accordance with this schedule. We also pay for compound pharmacy scripts, as long as one of the ingredients meet this criteria.

The PBS contribution amount is reviewed annually by the Government and changes every year on 1 January. As at 1 January 2017, the PBS contribution is set at $38.80.

It’s important to note that a doctor's letter may be required for some pharmacy items.

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