Finding the best extras cover
The best extras policy isn't the one with the longest list of covered services. The best extras policy for you is the one that pays for the treatments you actually use. We've done the hard work of comparing policies from more than 40 funds to find the ones that offer the best value for real people. Browse our picks below, or use the comparison tool at the top of the page to find something tailored to your situation.
Best extras health insurance policies
- Best core extras health insurance: Extras Saver
- Best medium extras health insurance: value extras
- Best comprehensive extras health insurance: Family Extras
What is extras cover, and how is it different from hospital cover?
Private health insurance in Australia comes in two types, and it helps to understand what each one does before you buy:
- Hospital cover is what protects you if you're admitted as a private patient. It can help cover the cost of accommodation, surgery, theatre fees and in-hospital treatment. If you don't have private health insurance and you need treatment in a hospital, you'll be treated as a public patient, which means you go on the public waiting list and have no choice over your doctor.
- Extras cover helps pay for out-of-hospital health services that Medicare simply doesn't cover. This means things like dental, optical, physiotherapy, chiropractic, remedial massage, psychology and speech therapy.
Hospital and extras cover are sold separately and you don't have to purchase both. You can hold hospital-only cover, extras-only cover or a combined policy that bundles both together.
Hot tip
Extras cover has nothing to do with the Medicare Levy Surcharge (MLS). The MLS is only avoided by holding hospital cover.
Annual limits and waiting periods: how to make your cover work for you
Annual limits and waiting periods are the two features of extras cover that catch people out most often. Understanding how they work before you join, not after you try to claim, can save you a lot of frustration.
Policy limits
Not all health funds structure their limits in the same way. Here are some of the most common limit types you might come across during your search:
A per-service limit gives each type of treatment its own separate annual cap. For example, you might have $500 for dental, $300 for optical, and $400 for physiotherapy — each ring-fenced from the others. If you use your full dental limit, your optical and physio limits are unaffected.
A combined limit pools multiple services under one shared annual cap. If your policy groups major dental, general dental and endodontic services together, you'll only have a set amount to use across all those services. This can work in your favour if you only need one of those services heavily in a given year, but it also means one big dental bill can wipe out your limit for everything else in that group.
Many policies also have sub-limits sitting inside a broader category. For example, a $1,200 annual limit for major dental services, but a sub-limit of $550 for dentures. These are easy to miss when comparing policies, but they can significantly affect how much you actually get back.
Finally, some services carry lifetime limits rather than annual ones. Lifetime limits carry across providers where if you reach your lifetime limit with one fund, it won't reset if you switch to another. Orthodontics is the most common example, with most funds setting a lifetime cap regardless of how many years you hold cover.
Waiting periods
When you take out a new extras policy, you'll generally need to serve a waiting period before you can claim. Fortunately, most funds tend to follow a similar structure with their waiting periods:
- General dental (check-ups, cleans, fillings and x-rays): typically 2 months
- Optical (glasses or contact lenses): typically 2 months, though some funds require up to 6 months
- Physiotherapy, chiropractic or osteopathy: typically 2 months
- Psychology and other specialist therapies: typically 2 months
- Major dental (crowns, bridges, dentures, root canals): typically 6–12 months
- Orthodontics: typically 12 months
- Hearing aids: typically 12–36 months
"The best way to get the most out of your extras insurance is to use it! I like to think of extras cover a bit like those big coupon books you used to buy in school fundraisers (showing my age much?). If you paid $50 for the coupon book, you needed to get at least $50 worth of savings to make it worthwhile. For extras, that might mean 2 dental check-ups, a new pair of glasses and seeing the physio a few times every year. On mid-tier policies, even that could be getting close to your yearly premiums."
How to choose the right extras cover for you
The biggest mistake people make with extras is buying based on what sounds good rather than what they'll actually use. A policy covering 20 services is only good value if you're going to use close to all of them.
- Start with what you spent last year. Look back at what you paid out of pocket over the past 12 months. That's your baseline. If your likely annual claims don't exceed the cost of premiums, extras may not be worth it at your current tier.
- Match the tier to your usage. Basic policies suit people who mainly want cover for routine dental check-ups and glasses. Mid-tier policies include health services like physio, chiropractic and psychology, which can be great if you see these providers regularly. Comprehensive policies make the most sense for families (especially with kids who may need orthodontics) or anyone with significant recurring health costs.
- Compare limits, not just services. Two policies that both list "physiotherapy" can have very different annual limits, so it's worth always checking the actual dollar limits for the services you care about most.
- Check your provider network. Many funds offer 100% back when you visit providers in their preferred network. If your regular dentist or physio isn't in-network, you'll likely get less back than the headline benefit suggests.
- Think about waiting periods. Most services have a 2-month wait, major dental is 6–12 months and orthodontics is almost always 12 months. Some funds periodically waive the shorter waiting periods for new members, which is worth looking out for if timing is important.
- Reassess every year. Your needs change and so do the policies on the market. If you're consistently not hitting your limits, consider downgrading your cover. If you're regularly paying the gap, it may be worth stepping up.
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