Government data · 01-Oct-2026 · No fund pays us

GMHBA extras cover

Is GMHBA Frank Max Extras worth it?

For one adult in NSW, it costs more than it pays back in all three of the ways of using extras worked through below. It is $78.70 a month before the rebate, $59.72 after.

Three ways of using it

Worked for one adult in NSW, under 65, on the 24.118% rebate, over a year, at typical prices: $200 for general dental, $300 for optical and $90 for physiotherapy.

  • One dental check-up a year

    $681 behind

    That costs $200 with no cover. On this policy you’d pay $717 in premiums and get $36 back.

    129th of the 219 policies from funds anyone can join that cover this. nib’s DentalPass does best, $671 better off over the year.

  • Two dental visits and new glasses

    $396 behind

    That costs $700 with no cover. On this policy you’d pay $717 in premiums and get $321 back.

    91st of the 189 policies from funds anyone can join that cover this. Latrobe’s Core Essential Extras does best, $445 better off over the year.

  • Two dental visits, new glasses and six physio sessions

    $132 behind

    That costs $1,240 with no cover. On this policy you’d pay $717 in premiums and get $585 back.

    77th of the 181 policies from funds anyone can join that cover this. HCF’s Flex My Extras does best, $501 better off over the year.

Your year won’t look like any of those.

Put in what you actually use and the calculator sets this policy beside every other one, with the working.

What it pays

ServiceBenefitYearly limitWait
General Dental$36 a visit$6002 months
Major Dental$125 a visit$1,000shared with endodontic (root canal)12 months
Endodontic (Root Canal)$114 a visit$1,000shared with major dental12 months
Orthodontic100% of the fee$60012 months
Optical100% of the fee$2506 months
Non-PBS Medications$50 a visit$400shared with vaccinations2 months
Physiotherapy$44 a visit$400shared with exercise physiology2 months
Chiropractic$39 a visit$400shared with osteopathy2 months
Podiatry$50 a visit$400shared with orthotics2 months
Psychology$60 a visit$4002 months
Acupuncture$36 a visit$400shared with remedial massage and chinese herbal medicine2 months
Remedial Massage$30 a visit$400shared with acupuncture and chinese herbal medicine2 months
Chinese Herbal Medicine$36 a visit$400shared with acupuncture and remedial massage2 months
Dietetics$50 a visit$4002 months
Exercise Physiology$35 a visit$400shared with physiotherapy2 months
Orthoptics$50 a visit$400shared with occupational therapy and speech therapy2 months
Occupational Therapy$50 a visit$400shared with orthoptics and speech therapy2 months
Orthotics$200 a visit$400shared with podiatry12 months
Osteopathy$39 a visit$400shared with chiropractic2 months
Speech Therapy$50 a visit$400shared with orthoptics and occupational therapy2 months
Vaccinations$50 a visit$400shared with non-pbs medications2 months

As listed for one adult in NSW. A percentage is of the provider’s fee; a dollar figure is the most paid per visit. Where a benefit differs by item, the commonest one is shown.

What it costs

StateSingleCoupleFamilySingle parent
NSW$78.70$157.40$157.40$157.40
VIC$83.20$166.40$166.40$166.40
QLD$80.15$160.30$160.30$160.30
WA$70.70$141.40$141.40$141.40
SA$74.00$148.00$148.00$148.00
TAS$74.10$148.20$148.20$148.20
NT$71.75$143.50$143.50$143.50

Listed premiums a month, before the rebate. The rebate takes 24.118% off for most households under 65.

What beats it

For two dental visits and new glasses, from funds anyone can join:

  1. 1Latrobe Core Essential Extras+$49 ahead
  2. 2Health Partners Flex Extras: Eyes+$47 ahead
  3. 3HCF Flex My Extras+$45 ahead

Worked from the Australian Government’s Private Health Open Listing, 01-Oct-2026, with the same sums as the calculator: listed premiums after the rebate, benefits capped by each policy’s limits and waiting periods. Product code I26/NJSQ10 on privatehealth.gov.au. How the sums work.

This is general information, not personal financial advice. Confirm the premium and benefits with the fund before you buy or switch. Independent of every fund listed · No affiliate fees, no commissions.