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Frequently Asked Questions

What are the benefit limits?

Benefits are subject to annual and maximum benefit limits on extras covers. An annual limit is the maximum amount we'll pay for included items or services in a calendar year. The benefit we pay for a particular item or service may be less than your annual limit and less than your provider's charge which means you may have out-of-pocket expenses to pay. Benefits will be subject to the maximum price a Members' Choice provider is permitted to charge or the maximum benefit payable set by Medibank at a Non Members' Choice provider.