Private Health Information Statement - Hospital policy

Silver Plus Advantage 250

Monthly Premium

$364.47 #

(before any rebate, loading or discount)

Covers one adult & dependants (2 or more people, only one of whom is an adult)

Available in South Australia

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 or an insurer discount. Check with your insurer for details.

This policy covers children and other dependants up to and including the age of 22, students up to and including the age of 31, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.

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
Assisted reproductive servicesEye (not cataracts)Pain management
Back, neck and spineGastrointestinal endoscopyPalliative care
BloodGynaecologyPlastic and reconstructive surgery (medically necessary)
Bone, joint and muscleHeart and vascular systemPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
Brain and nervous systemHernia and appendixPregnancy and birth
Breast surgery (medically necessary)Implantation of hearing devicesSkin
Chemotherapy, radiotherapy and immunotherapy for cancerJoint reconstructionsSleep studies
Dental surgeryKidney and bladderTonsils, adenoids and grommets
Diabetes management (excluding insulin pumps)Lung and chestHospital psychiatric services
Digestive systemMale reproductive systemRehabilitation
Ear, nose and throatMiscarriage and termination of pregnancy

This policy does not include cover for

Hospital Cover Legend
CataractsInsulin pumpsPain management with device
Dialysis for chronic kidney failureJoint replacementsWeight 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 $250 per admission. This is limited to a maximum of $250 per person and $500 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
  • 12 months for pregnancy and birth (obstetrics)
  • 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

Great value hospital cover for peace of mind. HCi will waive any applicable excess on dependants under 18 years of age.

For further information about this policy see

https://hciltd.com.au/hospital-cover

Ambulance cover

South Australia has a subscription service to cover ambulance within the state, with an additional fee to cover interstate travel (http://www.saambulance.com.au/ProductsServices/AmbulanceCover.aspx).

For further information about this policy see

https://hciltd.com.au/hospital-cover

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.