GMHBA extras cover
Is GMHBA Mid Extras 65% Benefits 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 $98.95 a month before the rebate, $75.09 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
$901 behind
That costs $200 with no cover. On this policy you’d pay $901 in premiums and get $0 back.
161st of the 219 policies from funds anyone can join that cover this. nib’s DentalPass does best, $891 better off over the year.
Two dental visits and new glasses
$706 behind
That costs $700 with no cover. On this policy you’d pay $901 in premiums and get $195 back.
141st of the 189 policies from funds anyone can join that cover this. Latrobe’s Core Essential Extras does best, $755 better off over the year.
Two dental visits, new glasses and six physio sessions
$706 behind
That costs $1,240 with no cover. On this policy you’d pay $901 in premiums and get $195 back.
162nd of the 181 policies from funds anyone can join that cover this. HCF’s Flex My Extras does best, $1,075 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
| Service | Benefit | Yearly limit | Wait |
|---|---|---|---|
| General Dental | Covered, amount not published as a set figure | $1,500shared with major dental, endodontic (root canal) and orthodontic | 2 months |
| Major Dental | Covered, amount not published as a set figure | $1,500shared with general dental, endodontic (root canal) and orthodontic | 12 months |
| Endodontic (Root Canal) | 65% of the fee | $1,500shared with general dental, major dental and orthodontic | 12 months |
| Orthodontic | Covered, amount not published as a set figure | $1,500shared with general dental, major dental and endodontic (root canal) | 12 months |
| Optical | 65% of the fee | $200 | 6 months |
| Non-PBS Medications | Covered, amount not published as a set figure | $250shared with vaccinations | 2 months |
| Physiotherapy | Covered, amount not published as a set figure | $400 | 2 months |
| Chiropractic | Covered, amount not published as a set figure | $300shared with osteopathy | 2 months |
| Podiatry | Covered, amount not published as a set figure | $250 | 2 months |
| Psychology | Covered, amount not published as a set figure | $350 | 2 months |
| Acupuncture | 65% of the fee | $300shared with remedial massage | 2 months |
| Remedial Massage | 65% of the fee | $300shared with acupuncture | 2 months |
| Hearing Aids | Covered, amount not published as a set figure | $1,200 | 12 months |
| Glucose Monitor | 65% of the fee | $150 | 12 months |
| Audiology | 65% of the fee | $400 | 2 months |
| Dietetics | 65% of the fee | $400 | 2 months |
| Orthoptics | 65% of the fee | $400shared with speech therapy | 2 months |
| Occupational Therapy | 65% of the fee | $400 | 2 months |
| Orthotics | 65% of the fee | $115 | 2 months |
| Osteopathy | 65% of the fee | $300shared with chiropractic | 2 months |
| Speech Therapy | 65% of the fee | $400shared with orthoptics | 2 months |
| Vaccinations | 65% of the fee | $250shared with non-pbs medications | 2 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.
Conditions to know
This policy has special conditions that may affect your benefits. Review the details below.
What it costs
| State | Single | Couple | Family | Single parent |
|---|---|---|---|---|
| NSW | $98.95 | $197.90 | $197.90 | $197.90 |
| VIC | $95.65 | $191.35 | $191.35 | $191.35 |
| QLD | $93.50 | $186.95 | $186.95 | $186.95 |
| WA | $91.50 | $182.95 | $182.95 | $182.95 |
| SA | $96.50 | $193.05 | $193.05 | $193.05 |
| TAS | $80.15 | $160.25 | $160.25 | $160.25 |
| NT | $74.35 | $148.70 | $148.70 | $148.70 |
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:
- 1Latrobe Core Essential Extras+$49 ahead
- 2Health Partners Flex Extras: Eyes+$47 ahead
- 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 I3D/NGRE10 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.