Health management programs

Do you have extras cover with RBHS? We might be able to help with the cost of certain health programs & screening services.*

Read on for all the details including the applicable waiting periods (in bold below, from 2 months to 12 months).

If your doctor or other registered healthcare professional diagnoses you with a condition that needs things like fitness programs to treat it, you might be able to claim back some of the costs with us.

Important: to be able to claim fitness benefits, you need to fill out a Declaration of condition form to let us know what condition is being treated.

Fitness benefits are available for conditions or risk factors like:

  • Diabetes
  • Obesity
  • Stress
  • Anxiety
  • High blood pressure
  • Osteoporosis
  • Lower back pain

Improvement benefits are available for:

  • Diabetes
  • Obesity
  • Stress
  • Smoking

The benefits on Premium Extras

Service Benefit Limit per person
Health screening

90% of the cost up to $610

  • 1st year $203
  • 2nd year $406
  • 3rd year $610

 $610 in any 3 rolling years
Mammography

90% of the cost up to $210

• 1st year $105

• 2nd year $210


 $210 in any 2 rolling years
Serum and vaccines 90% of the cost No limit
Fitness and improvement programs 90% of the cost up to $200 $200 per calendar year

What falls under Health Management?

There are three areas of Health Management:

  • fitness programs
  • improvement and weight management programs
  • health screening.

 

What is included: Things you will need:

We can only pay benefits for fitness programs 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 are doing is eligible for benefits, call us on 1800 027 299.
  • Extras cover
  • To have served your 2-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 is not considered a medical condition. For more information, download our Obstetrics Fact Sheet.

What is included: Things you will need:

Improvement programs:

  • Health education services (e.g. Diabetes or Arthritis Foundations)
  • Quit smoking programs (including nicotine replacement therapy)

Weight loss (approved weight loss programs):

  • Weight Watchers (including Weight Watchers Online) – meeting/membership fees only
  • CSIRO diet
  • Extras cover
  • To have served your 2-month waiting period
  • A receipt showing the name of the patient, details of the program, date of payment and payment amount.
What is included: Things you will need:
  • MRIs and CT scans
  • Blood tests
  • Mammograms
  • Hearing tests
  • Skin checks
  • Diagnostic testing for ADHD and autism

Any of the above tests must be requested by a medical professional and not claimable through Medicare. For more information call us on 1800 027 299.
  • Extras cover
  • To have served your 12-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 & have served your waiting periods 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 cannot pay benefits for goods and services that are for the purposes of sport, recreation or entertainment (like sports shoes).