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Extras cover in Australia
400+ policies crunched for popular treatments including dental, physio, massage and new specs.
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I'm Tim, your insurance expert.
Here to help you find the right cover for you!
Step 1/2 - About your cover
Which state do you live in?
QLD
NSW
ACT
VIC
TAS
SA
WA
NT
What's your age?
Depending on your age, you may be eligible for an
aged-based discount. This is used to estimate your
rebate.
Under 65
65 - 69
70 or older
What's your household's taxable income?
This is the combined income you and your spouse earn before tax. It's needed to calculate the correct Australian government rebate.
$93,000 and under
$93,001 to $108,000
$108,001 to $144,000
$144,001 and over
What kind of health insurance do you need?
Combined (Extras + Hospitals)
Extras
Hospital
What level of hospital coverage would you like?
You can change this at any time later.
Legend
Covered
Restricted cover, You may be partially covered for
this category.
Not covered. Optional for insurer to include.
*Prices updated October 2024, in line with Finder's database of health insurance policies. Prices reflect the cheapest available for a single individual with less than $97,000 income and living in Sydney with a $750 excess.
What extras cover do you need? (Optional)
Select as many as you want or move to the next step
Preventative & general dental
Major dental & implants
Optical
Physiotherapy
Podiatry
Non-PBS pharmaceuticals
Chiropractic
Emergency ambulance
Remedial massage
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Extras cover helps pay for non-hospital treatments like dental, optical, physiotherapy and more.
Most extras treatments are not covered by Medicare.
Extras cover starts at around $3 per week.
What is extras health insurance?
Extras cover helps pay for medical care that's not covered by Medicare. These treatments are usually done out-of-hospital and include dental, physio, psychology, optical and chiropractic services. You must serve a waiting period before you can claim money back and there are annual cover limits (a cap on how much you can claim per year).
What's the best extras insurance in Australia?
The extras policies below won 2024 Finder Awards. They came out on top for value for money – meaning they give you more bang for your buck than the other 400+ policies we analysed from 46 health funds.
This won Finder's Medium Extras cover award in 2023 and 2024. Flex 50 gives you $800 to split how you like across 12 popular services, including dental. You could use all of that $800 combined annual limit on dental if you like, or you could split it up – it's totally up to you.
Finder 2024 health insurer of the year.
Not-for-proft. Profits go back to members, not shareholders.
55.50% of extras treatments covered. One of the best out of 23 funds.
There are cheaper policies but you don't get as much.
Other insurers also offer flex options.
HBF Flex 50 was the winner of our Medium Extras category in the 2024 Finder Awards. It covered more treatments for less money than any other fund.
Consistently one of the cheapest dental insurance policies available. Westfund's Starter Extras option includes general dental cover and an optical benefit up to $180 per person. You can also choose how to spend $400 across a bunch of services including dental, optical, physio, chiro and more.
2024 Finder Award winner in the Core Extras category.
Excellent complaints record.
Not-for-profit.
There are some cheaper options.
This is a basic plan. There are more comprehensive plans.
Westfund Starter was the winner of our Core Extras category in the 2024 Finder Awards. It covered more treatments for less money than any other fund.
There's no way to find the best extras cover for everyone. We all have different circumstances and will use our extras cover for different things. However, the Finder Awards are one way of figuring out which extras policies offer the best value for money. Here's how we chose the winners.
Note: Prices for the products above are based on a single person earning less than $97,000 a year in Sydney.
Best Extras Insurance Awards - Comprehensive/Medium/Core
Products were assessed by weighing their coverage level against the national average price of a singles policy. Coverage level was obtained from by assessing coverage for the 15 treatment categories in the image below. This was compared to the price of each product, with policies offering the best value scoring the highest.
Eligible policies were divided into three tiers: Core, Medium and Comprehensive, based on the criteria below. Policies were only considered for the top category they were eligible for. The policies within each tier were then ranked.
Selection Criteria
The policy must be available for new policy holders as of April 2023
An insurer may only claim one place in the final winners' list in this category
The product must not be from a restricted fund
The product must be approved by the Commonwealth Ombudsman
Funds must have at least 0.5% national market share, according to the Commonwealth Ombudsman
The product must be classed at the appropriate tier for the awards (Comprehensive/Medium/Core)
Extras cover generally includes non-hospital services that aren't covered by Medicare, like dental and optical. The table below outlines some of the most common treatment categories.
Coverage for hearing aid devices and audiology services can be covered. You'll generally only be able to claim for hearing aids every few years (3 to 5 years is common).
How much does extras cover cost?
Everyone will pay a different amount for extras cover, because everyone's needs are different. Prices currently start from about $3 a week, but go up to well over $100 a week for the most comprehensive offerings.
We ask Australians how much they pay for extras cover every month, through Finder's Consumer Sentiment Tracker. In October 2024 the average price Australians paif for extras was $60 per month (about $15 a week).
Waiting periods for extras cover
Waiting periods for health insurance apply to both extras and hospital policies. You'll generally need to wait for a period of between 2 and 12 months before claiming a particular benefit. Some major treatments require waiting periods of up to 2 or more years but this is less common. A very small handful of insurers let you skip waiting periods.
General dental - 2 months
Optical (e.g. glasses or contact lenses) - 6 months
Major dental (e.g. crowns, bridges) - 12 months
Orthodontics - 1-3 years
"I've always taken out a policy that comes with no waiting periods. It means I can start claiming straight away. I once took out extras cover and was able toclaim $600 worth of benefits in a week."
Benefit limits for extras only health insurance are the maximum amounts you can claim for specific treatments each calendar year. Many funds also break these down into the following types:
Combined limits. This is where several different services are included in one shared limit, such as physiotherapy, chiropractic and remedial massage all falling under an overall physical therapy benefit.
Sub-limits. These apply to specific treatments under a certain service, such as $500 for dentures and $800 for crowns, even though they fall under a major dental benefit.
Lifetime limits. Fairly rare and generally only applied to orthodontics, this means that your limit does not renew each year, and is carried over even if you switch to a higher level of cover or switch funds.
Set benefits vs percentage benefits
Health funds use two methods to cover extras services. Set benefits apply a fixed amount to each service, such as $500 for general dental, while percentage benefits do what the name suggests and calculates the benefit as a percentage that covers all services, such as 50% back. Some pros and cons of each method are outlined below:
Cover method
Pros
Cons
Set benefits
You can customise your cover by picking a policy that pays the highest benefits for specific services.
Some funds increase the benefits each year that you continue to hold cover as a loyalty bonus.
Harder to calculate your out-of-pocket expenses, unless you know how much the provider charges for your treatment.
Percentage benefits
Provides more certainty as you know whatever the bill is a set percentage of it is covered.
You may be able to opt for a higher percentage back in exchange for paying a slightly higher premium.
No ability to prioritise specific services, since the percentage back applies to everything covered by the policy.
We currently don't have a partnership with that provider but we have other similar offers to choose from:
Finder Score - Health Insurance Extras
Each month we analyse over 10,000 extras insurance products and rate each one on price and features. What we end up with is a nice round number that helps you compare extras cover a bit faster.
Remember that Finder Score is just one factor to consider. Look at other aspects like fees, features, benefits and risks to make sure a product is suitable for you. Double-check details that matter to you before applying or buying.
9+ Excellent - Competitive pricing coupled with highly ranked extras.
7+ Great -Balanced pricing and features, offering overall good value.
5+ Satisfactory - These products offer a balance between price and features.
Less than 5 – Basic - These products usually offer fewer extras or above average pricing.
Pools and categories
We want to compare apples to apples, not apples to apple pie. It doesn't make sense to compare a top extras policy with coverage for hearing aids and braces against a policy designed only for dental. So we've separated all the extras policies on the market into pools and categories.
The Finder Score methodology is designed by our insights team and reviewed by our editorial team. Commercial partners carry no weight, and all products are reviewed objectively.
Once in their pools and categories, each product gets a Price Score and a Features Score, which are then combined to give the Final Score.
Pools
We've made 28 pools covering each state and lifestage. Each product is put into a pool, and can only be part of that 1 pool. This means each product is only compared against other products that make sense. Each pool has a unique combination of:
State - The state the policyholder resides in
Lifestage - Single / Single Parent Family / Couple / Family
With 7 states (Health Insurance is the same price in NSW and ACT) and 4 life stages, this multiplies out to the 28 pools. This process makes sure each product gets a score based on their position within a similar group of products.
Categories
Category: We also give each product a Category, depending on the number of extras that are provided. Extras that only cover Ambulance are excluded from receiving a Finder Score. The categories are Core, Medium and Comprehensive. Policies are only considered in the highest category they are eligible for.
Price Score
The monthly price for each product is compared against other products within its assigned product pool and category. Each product is assigned a score between 1 - 10, with the lower the price, the higher the score.
Features Score
We calculate a score between 1 - 10 for each extras treatment category the product offers. 3 factors are scored individually based on their position in the pool, and are averaged to determine the individual score for each extra
The limit associated with the extra,
How many extras is the particular extra combined with, and
The waiting period.
We calculate the score for each extras treatment category after assigning them a pool depending on their position within the assigned pool. The extras treatment categories that are scored are based on the classification of 'core extras' from the Australian government.
We calculate the weighted average for each extras treatment category, based on the product category.
Health insurance extras
Treatment category
Final Score
The Cost Component scores and Features Component scores are combined and normalised to determine each product's Finder Score.
Why you can trust Finder's health insurance experts
Addicted to details. We reviewed literally thousands of extra policies – when we say some are better value than others, it's because we've gone deep into the ts & cs.
No extra cost. Pay the same amount with us as going direct. Features like dental, and your new specs get verified from 400+ policies, so you can make a decision without having to check hundreds of extras limits yourself.
No BS. We say it like it is. We aren't owned by an insurer and our editorial opinions are our own. There's no call centre, heck you don't even need to give us your email.
Frequently asked questions
Extras cover is a type of health insurance that helps you pay for treatments and services such as dental, physio and glasses. These aren't usually covered by Medicare and are typically done out-of-hospital.
We looked at 236 extras policies. At around $12 per month, Bupa Extras Saver offers the cheapest extras insurance cover according to our research. It only covers general dental.
Extras benefits usually reset either on 1 January or 1 July, depending on your insurer. These dates represent the start of the calendar year or the financial year. Occasionally, it may be based on the date you took out your policy, also known as your policy anniversary. You can see details on when each fund resets extras benefits here.
No, extras insurance will not exempt you from the Medicare Levy Surcharge. For high-earners to be exempt from the MLS you'll need private hospital cover, rather than extras. The hospital policy must have an excess of $750 or less for singles, or $1,500 or less for couples and families.
If you're breaking even in cost, but are going to the dentist and using more health services than before, you're coming out ahead in both health and cost. This is because preventative measures, such as dental cleaning, which is included in many extras policies, mean you're less likely to need more expensive treatments later.
General dental cover, in particular, is one of the stars of any extras policy. It's available with the most inexpensive and basic plans. Some extras policies even cover 100% of the cost of up to two dental checks per year.
Children who have regular dental check-ups in general tend to be at lower risk of oral disease as they get older; and adults can also take advantage of regular checks and professional dental cleaning to help stave off more complex and expensive conditions. Health extras can start delivering benefits almost immediately, but much like other forms of insurance some of the advantages only pay off years later.
No, you will not need to pay an excess on extras health insurance cover. Excesses are only applicable to hospital claims.
How we calculate Health Insurance Extras Finder Scores
Tim Bennett is a Finder insurance & utilities expert. For over 10 years he's reported on news, politics, finance and other topics as a journalist and radio presenter. Tim's roles have included radio news reader and breakfast at the ABC, news producer for SBS and producer for Fairfax Media. Tim regularly appears as a health insurance expert on programs like Sunrise and SBS news, as well as in the Australian, The Daily Telegraph, The Courier Mail and more. See full bio
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finder.com.au is one of Australia's leading comparison websites. We are committed to our readers and stands by our editorial principles
We try to take an open and transparent approach and provide a broad-based comparison service. However, you should be aware that while we are an independently owned service, our comparison service does not include all providers or all products available in the market.
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We update our data regularly, but information can change between updates. Confirm details with the provider you're interested in before making a decision.
Addicted to details. We reviewed literally thousands of extra policies – when we say some are better value than others, it's because we've gone deep into the ts & cs.
No extra cost. Pay the same amount with us as going direct. Features like dental, and your new specs get verified from 400+ policies, so you can make a decision without having to check hundreds of extras limits yourself.
No BS. We say it like it is. We aren't owned by an insurer and our editorial opinions are our own. There's no call centre, heck you don't even need to give us your email.
