Case Study | Extras Cover

Manage the GAP Case Study

Let’s explore ”the dreaded GAP“ using Betty who wants to have a dental implant for her missing tooth as she is sick of the removable denture which is not attractive.

Assumptions for the case study:

Betty has had

  1. Health cover for 10 years and has been paying $1825 per year,
  2. Spends on an average of $1000 per year on extras health needs
  3. Gap payable is 46.84%

Cost of the dental implant procedure is $5000

Xtras Health PlanPrivate Health Extras Cover
1Total investment over 10 years $18250Total Premium paid over 10 years $18250
2Total spend over 10 years $10,000Total Spend over 10 years $10,000
3GAP paid on treatment $0GAP paid on treatment $4684
4Balance at end of 10th year $5,889Balance at end of 10th year $0
5Cost of dental Implant $5,000Cost of dental Implant $5,000
6GAP for dental implant treatment $0GAP for dental implant treatment $2,342
7Net benefit received on dental implant  $5,000Net benefit received on dental implant $2,658
8Net cost over 10 years(Contribution fee+Management fee ($2361)Net Cost over 10 years ($18,250 +  $4,684+$2,342) $25,276
9Net benefits received from XHP funds ($10,000 +$5,000) $15,000Net benefit received over 10 years ($10,000 +$2,658)  $12,658
10Account Balance after $15,000 spend – $889Account Balance after $15,000 spend – $0

Explore costs and compare

Xtras Health Plan Saving Scheme
 Fees and ChargesTotal over 10 years
1Platform fee $199$1990
2Total Fees and Cost (Management and Contribution fee)$2361
3Sum total cost over 10 years$ 4,351
4Cost per day with XHP over 10 years$1.20
Private Health Extras Cover
 Fees and ChargesTotal over 10 years
1Total Premium per year $1825$18250
2Total GAP paid$7,026
3Total Benefit received $12,658
4Total GAP over 10 years less benefits received$12,618
5Cost per day with Private health extras cover (premiums plus GAP paid) over 10 years$6.92

Saving of $ 5.72 per day – Now you be the judge. It is your money after all.

Join XHP and save the smarter way. You and your family will be glad you did.

You are advised to check with your private health extras insurance provider, in case there is a change in their offering in which case you may be better off with private health insurance providers

Information provided is General Information only. Your personal circumstances have not been considered and does not constitute financial, legal, accounting or tax advice. Past performance is not indicative of future performance. Information used here is based on assumptions as above and as having occurred in the past, is not a future forecast. Account balance calculation is based on no spend for health with either PHI or XHP. The return for health insurance assumes no claim on a health insurance policy over the relevant period. No value has been attributed to holding a health insurance policy in the relevant period however it may be desirable to hold health insurance based on your personal circumstances. 

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Suite2, 36 Macaree Street,
Berserker, Rockhampton,
Queensland 4701
Phone (07) 4807 6424
Email [email protected]

Xtras Health Plan Ltd – AFSL500574
Xtras Health Plan Savings Scheme – ARSN 627076411
Xtras Health Plan Ltd – ACN 618020885

Xtras Health Plan Savings Scheme (Xtras) is not an insurance policy and you should consider your personal circumstances before deciding whether to open an account. Funds deposited to an account will not be eligible for a private health insurance rebate. Xtras may be considered as a replacement for or to act supplementary to private health insurance depending on your personal circumstances. Xtras Health Plan Ltd does not warrant that Xtras is suitable for your personal circumstances and you should consider your health and financial needs before deciding whether to open an account. There is a risk that you may have insufficient funds in your account to meet the costs of health treatment depending on the treatment required and amount deposited to your account.