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

HIF extras cover

Is HIF Essential 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 $73.90 a month before the rebate, $56.08 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

    $619 behind

    That costs $200 with no cover. On this policy you’d pay $673 in premiums and get $54 back.

    112th of the 219 policies from funds anyone can join that cover this. nib’s DentalPass does best, $609 better off over the year.

  • Two dental visits and new glasses

    $364 behind

    That costs $700 with no cover. On this policy you’d pay $673 in premiums and get $309 back.

    86th of the 189 policies from funds anyone can join that cover this. Latrobe’s Core Essential Extras does best, $413 better off over the year.

  • Two dental visits, new glasses and six physio sessions

    $154 behind

    That costs $1,240 with no cover. On this policy you’d pay $673 in premiums and get $519 back.

    80th of the 181 policies from funds anyone can join that cover this. HCF’s Flex My Extras does best, $524 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$54 a visit$1,250shared with major dental, endodontic (root canal) and orthodontic2 months
Major Dental$720 a visit$1,250shared with general dental, endodontic (root canal) and orthodontic12 months
Endodontic (Root Canal)$129 a visit$1,250shared with general dental, major dental and orthodontic12 months
Orthodontic100% of the fee$1,250shared with general dental, major dental and endodontic (root canal)12 months
Optical100% of the fee$2002 months
Non-PBS Medications$80 a visit$2002 months
Physiotherapy$35 a visit$400shared with chiropractic, podiatry, dietetics, exercise physiology and osteopathy2 months
Chiropractic$28 a visit$400shared with physiotherapy, podiatry, dietetics, exercise physiology and osteopathy2 months
Podiatry$28 a visit$400shared with physiotherapy, chiropractic, dietetics, exercise physiology and osteopathy2 months
Acupuncture$28 a visit$150shared with remedial massage and chinese herbal medicine2 months
Remedial Massage$28 a visit$150shared with acupuncture and chinese herbal medicine2 months
Chinese Herbal Medicine$28 a visit$150shared with acupuncture and remedial massage2 months
Dietetics$30 a visit$400shared with physiotherapy, chiropractic, podiatry, exercise physiology and osteopathy2 months
Exercise Physiology$25 a visit$400shared with physiotherapy, chiropractic, podiatry, dietetics and osteopathy2 months
Health Management100% of the fee$752 months
Osteopathy$28 a visit$400shared with physiotherapy, chiropractic, podiatry, dietetics and exercise physiology2 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

Service exclusionsLikely to reduce benefits

Some services are explicitly not covered under this policy.

What it costs

StateSingleCoupleFamilySingle parent
NSW$73.90$147.80$151.50$147.80
VIC$71.85$143.70$147.30$143.70
QLD$70.20$140.40$143.90$140.40
WA$66.95$133.90$137.25$133.90
SA$69.50$139.00$142.50$139.00
TAS$67.80$135.60$139.00$135.60
NT$61.15$122.30$125.35$122.30

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:

  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 A9/NBWL10 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.