Private Health Information Statement - Combined policy

Frank Freedom Saver Flexi-Bundle (Basic+)

Frank Health Insurance

Monthly Premium

$146.80 #

(before any rebate, loading or discount)

Covers 2 adults (and no-one else)

Available in Northern Territory

Closed to new members

# You may be entitled to an Australian Government rebate on the above premium. Your premium may also include a Lifetime Health Cover loading, an age-based discount or an insurer discount. Check with your insurer for details.

Hospital cover

This policy exempts you from the Medicare Levy Surcharge.

This policy does not provide accident cover or benefits for travel and accommodation (outside of hospital).

This policy includes cover for

Hospital Cover Legend
Dental surgeryJoint reconstructionsHospital psychiatric services
GynaecologyMiscarriage and termination of pregnancyPalliative care
Hernia and appendixTonsils, adenoids and grommetsRehabilitation

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesDigestive systemMale reproductive system
Back, neck and spineEar, nose and throatPain management
BloodEye (not cataracts)Pain management with device
Bone, joint and muscleGastrointestinal endoscopyPlastic and reconstructive surgery (medically necessary)
Brain and nervous systemHeart and vascular systemPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
Breast surgery (medically necessary)Implantation of hearing devicesPregnancy and birth
CataractsInsulin pumpsSkin
Chemotherapy, radiotherapy and immunotherapy for cancerJoint replacementsSleep studies
Diabetes management (excluding insulin pumps)Kidney and bladderWeight loss surgery
Dialysis for chronic kidney failureLung and chest

The benefits paid for hospital treatment will depend on the type of cover you purchase and whether your fund has an agreement in place with the hospital in which you are treated. See ‘Agreement Hospitals’ on privatehealth.gov.au for which hospitals have arrangements with your insurer – https://privatehealth.gov.au/dynamic/agreementhospitals.

Under this policy, you may have to pay out-of-pocket costs above what you get from Medicare or your private health insurer. Before you go to hospital, you should ask your doctors, hospital and health insurer about any out-of-pocket costs that may apply to you.

The following payments may also apply for hospital admissions

Excess: You will have to pay an excess on admission. This is limited to a maximum of $750 per person and $1500 per policy per year.

Co-payments: No co-payments

The following waiting periods for hospital admissions apply to new or upgrading members

Waiting periods:

  • 2 months for palliative care, rehabilitation and hospital psychiatric treatments, even if pre-existing
  • 12 months for other pre-existing conditions
  • 2 months for all other treatments

Gap Cover

This provider offers 'known gap' or 'no gap' cover for medical bills for this product.

The Medical Costs Finder lets you find out more about the cost of specialist medical services.

General Treatment Cover

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

General treatment legend
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$700 per person
(combined limit for general dental, endodontic, physiotherapy, chiropractic, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, exercise physiology & osteopathy)
Periodic oral examination - $26.60
Scale & clean - $54.20
Fluoride treatment - $16.10
Endodontic12Filling of one root canal - $91.40
Optical6$150 per personSingle vision lenses & frames - 100% of charge
Physiotherapy2Combined limit - see General dentalInitial visit - $32.00
Subsequent visit - $32.00
Chiropractic2Combined limit - see General dentalInitial visit - $28.00
Subsequent visit - $28.00
Acupuncture2Combined limit - see General dentalInitial visit - $25.00
Subsequent visit - $25.00
Remedial massage2Combined limit - see General dentalInitial visit - $22.00
Subsequent visit - $22.00
Chinese medicine2Combined limit - see General dentalInitial visit - $25.00
Subsequent visit - $25.00
Dietetics/dietary advice2Combined limit - see General dentalInitial visit - $25.00
Subsequent visit - $25.00
Exercise physiology2Combined limit - see General dentalInitial visit - $22.00
Subsequent visit - $22.00
Osteopathy2Combined limit - see General dentalInitial visit - $32.00
Subsequent visit - $32.00
With the Freedom Saver Flexi-Bundle (basic+) you receive a $700 Freedom Limit to spend on your included extras, with a separate limit of $150 to spend on Optical. In addition, Loyalty Benefit rewards you for staying with Frank by increasing your Freedom Limit for each full calendar year you serve (capped at 4 years).

This policy does not include General treatment (Extras) cover for

General treatment legend
Blood glucose monitorsNon PBS pharmaceuticalsPsychology
Hearing aidsOrthodonticOther treatments - check with your insurer
Major dentalPodiatry

Other features of this general treatment cover

Excludes chiropractic x-rays. Remember, Frank is all online. For more information contact Frank on 1300 437 265 or visit www.frankhealthinsurance.com.au

Ambulance cover

In Northern Territory this policy provides:

Emergency: Unlimited with no waiting period.

Call-out fees:  will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover

Benefits for emergency transportations are available on hospital and selected eligible extras covers. To avoid unexpected out of pockets, we strongly recommend taking out a subscription to be covered Australia wide, regardless of your health insurance. If you have eligible extras cover, provide us with the subscription receipt to receive a benefit up to 100% of the subscription cost.

Disclaimer

The information contained in this Private Health Information Statement was provided by the insurer and is intended as general information. It may not take into account your particular circumstances. For information please contact the insurer.

Covered

For information on what is covered under each category, see https://www.privatehealth.gov.au/categories

Restricted

Restricted categories partially cover your hospital costs as a private patient in a public hospital. You may incur significant expenses in a private room or private hospital.

Not Covered

These categories are not covered by this policy.