GMHBA extras cover
Is GMHBA SmartCare Starter Extras with sub-limits worth it?
For one adult in NSW, it pays back more than it costs in one of the three ways of using extras worked through below, and costs more than it pays back in the other two. It is $29.15 a month before the rebate, $22.12 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
$65 behind
That costs $200 with no cover. On this policy you’d pay $265 in premiums and get $200 back.
4th of the 219 policies from funds anyone can join that cover this. nib’s DentalPass does best, $55 better off over the year.
Two dental visits and new glasses
$15 behind
That costs $700 with no cover. On this policy you’d pay $265 in premiums and get $250 back. It pays nothing towards optical.
Against the 189 policies from funds anyone can join that cover this, it would sit 7th. Latrobe’s Core Essential Extras does best, $65 better off over the year.
Two dental visits, new glasses and six physio sessions
+$235 ahead
That costs $1,240 with no cover. On this policy you’d pay $265 in premiums and get $500 back. It pays nothing towards optical.
Against the 181 policies from funds anyone can join that cover this, it would sit 8th. HCF’s Flex My Extras does best, $135 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 | 100% of the fee | $250shared with physiotherapy, chiropractic and osteopathy | 2 months |
| Physiotherapy | 60% of the fee | $250shared with general dental, chiropractic and osteopathy | 2 months |
| Chiropractic | 60% of the fee | $250shared with general dental, physiotherapy and osteopathy | 2 months |
| Osteopathy | 60% of the fee | $250shared with general dental, physiotherapy and chiropractic | 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
Some services within this category have lower limits than the main annual cap.
What it costs
| State | Single | Couple | Family | Single parent |
|---|---|---|---|---|
| NSW | $29.15 | $58.30 | $72.85 | $58.30 |
| VIC | $29.15 | $58.30 | $72.85 | $58.30 |
| QLD | $29.15 | $58.30 | $72.85 | $58.30 |
| WA | $29.15 | $58.30 | $72.85 | $58.30 |
| SA | $29.15 | $58.30 | $72.85 | $58.30 |
| TAS | $29.15 | $58.30 | $72.85 | $58.30 |
| NT | $29.15 | $58.30 | $72.85 | $58.30 |
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 I51/NMJU10 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.