Yes, our Pharmaceutical Benefits cover Mounjaro, but a recent change by the manufacturer of Mounjaro, Eli Lily, has affected how much members can claim in benefits.
Police Health pays benefits per dispensed pharmacy item, not per dose, and this condition applies to all medications.
On 27 June 2025, Eli Lily informed the Therapeutic Goods Administration that it has stopped producing one-dose Mounjaro vials due to commercial reasons. However, its four-dose Kwik Pen remains available.
Police Health members can still claim $60 in benefits per pharmacy item, but this change from the manufacturer means that the $60 claim covers four doses (Kwik Pen), not one-dose (Vials).
This reflects the manufacturer’s decision to change the dosage per pharmacy item, not a reduction in our cover. Annual Maximums also remain unchanged.
You can read more information about our pharmacy benefits by clicking here.
*Subject to waiting periods, and other terms and conditions
By law private health insurers aren’t allowed to cover out-patients’ consultations or treatments. Instead this cost will be covered by Medicare, but if you’re not bulk billed, you’ll most likely have to pay something too.
You’re considered an out-patient if you receive treatment at a doctor’s office, clinic, or emergency department (without or before being admitted to hospital). Examples include GP visits, specialist consultations, scans, injections, and minor procedures in clinics.
In these cases Medicare will pay 85% of the Medicare Scheduled Fee for these services, and you pay the remaining 15%.
An exception to this is visits to your GP. Medicare pays 100% of the Medicare Scheduled Fee for GP appointments, and you will only have to pay something if the GP charges above the Scheduled Fee (which means they don't bulk bill).
If you are thinking about having a baby, then it’s a good time for you to review your private health insurance and make sure you understand what your policy does and doesn’t cover.
Waiting Periods of up to 12 months can apply for pregnancy, birth and newborn related health services, so if you’re unsure whether you are on the right cover for your growing family, please read our pregnancy and private health insurance guide or contact us.
Updated July 2026
Yes, and you can save 20%^ as a Police Health member.
Police Health is excited to offer a member discount for PassportCard, 2025’s most awarded travel insurance.
They are Australia’s only travel insurance with instant payouts for approved common claims using the PassportCard.
For more information, click here.
^All benefits and covers are subject to the terms, conditions, limitations, and exclusions listed in the Combined Financial Services Guide and Product Disclosure Statement and on other policy documentation, including the schedule.In making this referral, we do not advise on PassportCard’s products and services. As a referrer Police Health forgoes commission payment to pass on a 20% discount to its members. You need to decide if the product is right for you.
For more information about the policy
Target market determination (TMD) – International Travel
Target market determination (TMD) – Domestic Travel
The PassportCard Terms & Conditions
PassportCard Australia Pty Ltd (PassportCard) ABN 76 621 476 220 (AFSL 551 057) is an Underwriting Agency acting under Binder from Guild Insurance Limited (Guild) ABN 55 004 538 863 (AFSL 233 791). Any advice provided by PassportCard in relation to PassportCard products and the PassportCard is general advice only. Please consider the Combined Financial Services Guide & Product Disclosure Statement and the PassportCard Terms and Conditions (available at www.passportcard.com.au) before deciding whether they are suitable for you.