Private Health Information Statement - Hospital policy

GMHBA Silver Hospital NCP $500

Monthly Premium

$414.80 #

(before any rebate, loading or discount)

Covers 2 adults (and no-one else)

Available in Queensland

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 provides benefits for travel or accommodation (outside of hospital) - check with your insurer for details.

This policy does not provide accident cover.

This policy includes cover for

Hospital Cover Legend
Back, neck and spineEye (not cataracts)Male reproductive system
BloodGastrointestinal endoscopyMiscarriage and termination of pregnancy
Bone, joint and muscleGynaecologyPain management
Brain and nervous systemHeart and vascular systemPalliative care
Breast surgery (medically necessary)Hernia and appendixPlastic and reconstructive surgery (medically necessary)
Chemotherapy, radiotherapy and immunotherapy for cancerHospital psychiatric servicesPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
Dental surgeryImplantation of hearing devicesRehabilitation
Diabetes management (excluding insulin pumps)Joint reconstructionsSkin
Digestive systemKidney and bladderTonsils, adenoids and grommets
Ear, nose and throatLung and chest

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesInsulin pumpsPregnancy and birth
CataractsJoint replacementsSleep studies
Dialysis for chronic kidney failurePain management with deviceWeight loss surgery

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 of $500 per admission. This is limited to a maximum of $500 per person and $1000 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.

Other features of this hospital cover

Covers fund approved hospital-substitution & chronic disease management services. Rates discounted for premiums paid by direct debit. Dental implants performed in hospital & corneal transplants are excluded. Access to health programs.

Ambulance cover

Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au/). This includes cover whilst interstate.

Other features of this ambulance cover

All Queensland residents are automatically covered for the cost of emergency services Australia wide. This is paid for by the QLD state government.

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.