November 20, 2017

Optical Cover In Health Insurance Policies In Australia

Although healthy eyesight is one of the most important functions of the body, the majority of people take it for granted. Our vision is an essential component of our daily lives and therefore it is something that we should be diligent in taking care of. One of the main reasons as to why people opt out of optical coverage is because of the cost, but there is cheap health insurance available if you look for it.

One of the major advantages of optometry coverage is that you are entitled to free glasses, you can also claim on prescription sunglasses, swimming goggles and contact lenses.

Investing in a health insurance policy means that you can make a claim on things that will make a difference to your eyesight. If you want optical coverage, you will need to consider what you will require your policy to cover.

What coverage am I entitled to?

Major coverage: This includes things such as lens and cataract procedures. Hospital policies will only partially cover laser eye treatments because it is not listed on the Medicare Benefits Schedule.

General cover: This includes eye checkups and glasses and is typically covered though extras insurance.

One of the major advantages of optometry coverage is that you are entitled to free glasses, you can also claim on prescription sunglasses, swimming goggles and contact lenses. Limitations do apply, there is a cap on the amount you can claim per year and you can only pick up your frames or lenses from designated stores.

Your annual limit is reset every year making you eligible for another claim. Therefore, a 5 year plan entitles you to at least 4 pairs of glasses.

Waiting periods

Wait times for an extra policy will differ in comparison to someone holding a policy with a different fund. This is due to health funds setting their own waiting periods for an extra policy, but hospital wait times are established by the government.

There are some general outlines for wait times that have been set by the Private Health Insurance Ombudsman (PHIO). Before claiming on lenses and glasses you should expect to wait for six months. However, if you have a pre-existing medical condition you may have a longer waiting period.

There are some insurers who will waive their wait times when they are running a promotion. You should take advantage of this if you can, but make sure that you read your policy brochure so that you are clear on what you are signing up for.

Final thought

If optical cover is something that you would be interested in make sure that you spend time researching the different types of health care plans that are available to you before making an investment.

About the author  ⁄ Marxa Dillan

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