Health Management

Peoplecare extras cover can help with the cost of certain health programs, equipment and screening services.

 

What does that mean? It means that if your doctor or other registered healthcare professional diagnoses you with a condition that needs things like gym equipment to treat it, you might be able to claim back some of the costs with us.

Important: to claim fitness equipment and exercise program benefits, you’ll need to fill out a  Declaration of condition form to let us know what condition is being treated.

Benefits are available for conditions or risk factors like:

  • Coronary artery disease
  • Joint health (arthritis & osteoporosis)
  • Diabetes
  • Mental health (stress & anxiety)
  • Lung conditions (asthma, COPD)
  • Weight management (obesity or malnutrition)
  • Chronic pain (back pain)
  • High blood pressure
  • High blood cholesterol
  • High blood glucose
  • Poor diet
  • Overweight
  • Stress
  • Smoking

These are just some examples, there are plenty of other conditions that you can claim health management benefits for. If you’d like more information give us a call.

What falls under Health Management?

  • Fitness equipment
  • Fitness programs
  • Improvement programs
  • Weight management programs
  • Parent and baby program
  • Health screening
Fitness equipment & programs

We can only pay benefits for fitness programs and equipment if it's part of a health management plan/program from your GP or other healthcare professional.

To claim these benefits, you'll need to fill in a Declaration of condition form.

Things that might be covered:

  • Gym membership
  • Pool entry fees
  • Aqua aerobics
  • Personal training
  • Group training
  • Swimming lessons (for asthma sufferers)

To find out if a program you’re doing is eligible for benefits, call us on 1800 808 690.

What you need:

  • Extras cover
  • To have served your 6-month waiting period
  • An approved Declaration of Condition form
  • A receipt showing the name of the patient, details of the program, date of payment and payment amount.

Please note: pregnancy isn’t considered a medical condition. For more information, download our Having a baby fact sheet.

Improvement & weight management programs 

Improvement programs: 

  • Health education services ( Diabetes Australia and Arthritis Foundations) 
  • Quit smoking programs (including nicotine replacement therapy) 

Approved weight loss program providers:*
We pay benefits towards membership fees only (no benefits for food or shakes)

  • Weight Watchers
  • Weight Watchers Digital
  • Jenny Craig
  • Tony Ferguson weight loss program
  • Lite n Easy (membership and/or dietician consultation only)
  • CSIRO Total Wellbeing Diet

To find out if a program you’re doing is eligible for benefits, call us on 1800 808 690.

*These providers are correct as of September 2023 and are subject to change without notice. Please give us a call if you would like to know more.

What you need:

  • Extras cover 
  • To have served your 6-month waiting period 
  • A receipt showing the name of the patient, details of the program, date of payment and payment amount. 
Parenting and baby programs

Parenting and baby programs: 

  • Nourish Baby

What you need:

  •  Combination hospital and extras cover
Health screening
  • Blood pressure testing
  • Cholesterol checks
  • Mammograms not covered by Medicare
  • Hearing tests not covered by Medicare
  • Mole mapping
  • MRIs & CT scans
  • Retinal photography/optical tomography/OCT/ultra-wide DRS
  • Screen for Life
  • Breathing tests
  • ThinPrep pap smear tests
  • Bowel cancer screening tests
  • Corneal mapping
  • Q fever screening

Any of the above tests must be requested by a medical professional and not claimable through Medicare. For more information on services that are eligible for benefits, call us on 1800 808 690.

What you need:

  • Extras cover
  • To have served your 6-month waiting period
  • A receipt showing the name of the patient, details of the service, date of payment and payment amount.

You need to have extras cover and have served your 6-month waits to use these benefits. We pay benefits for approved programs to manage or treat a specific health condition. Under the Private Health Insurance Act, we can’t pay benefits for goods and services that are for the purposes of sport, recreation or entertainment (such as gym sports shoes).

The benefits

Product Benefit Limit (reset every financial year)
Premium Extras 80% of the cost $250 (per person)
max $500 (per family)
High Extras 70% of the cost

$200 (per person)
max $400 (per family)

Mid Extras 60% of the cost $150 (per person)
max $300 (per family)
Simple Extras 50% of the cost $100 (per person)
max $200 (per family)
Comprehensive Extras^ 100% of the cost $150 (single cover)
$300 (all other covers)
Value Extras^ 100% of the cost $125 (single cover)
$250 (all other covers)
Standard Extras^ 100% of the cost $100 (single cover)
$200 (all other covers)

The Nourish Baby program attracts a benefit of 100% of the $90 cost up to the per person limit on all of the above Peoplecare extras covers when in combination with a hospital cover.

^ Please note that Comprehensive, Value and Standard Extras are closed to new members.

Ask our experts

We’re here to help. Our Health experts can provide assistance with:

  • Enquiries about our health programs
  • Questions about your upcoming hospital admission
  • How to access community and government health support services