(before any rebate, loading or discount)
Covers only one person
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 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.
| Assisted reproductive services | Eye (not cataracts) | Pain management |
| Back, neck and spine | Gastrointestinal endoscopy | Palliative care |
| Blood | Gynaecology | Plastic and reconstructive surgery (medically necessary) |
| Bone, joint and muscle | Heart and vascular system | Podiatric surgery (provided by a registered podiatric surgeon – limited benefits) |
| Brain and nervous system | Hernia and appendix | Pregnancy and birth |
| Breast surgery (medically necessary) | Implantation of hearing devices | Skin |
| Chemotherapy, radiotherapy and immunotherapy for cancer | Joint reconstructions | Sleep studies |
| Dental surgery | Kidney and bladder | Tonsils, adenoids and grommets |
| Diabetes management (excluding insulin pumps) | Lung and chest | Hospital psychiatric services |
| Digestive system | Male reproductive system | Rehabilitation |
| Ear, nose and throat | Miscarriage and termination of pregnancy |
| Cataracts | Insulin pumps | Pain management with device |
| Dialysis for chronic kidney failure | Joint replacements | Weight 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.
Excess: You will have to pay an excess of $250 per admission. This is limited to a maximum of $250 per person and $250 per policy per year.
Co-payments: No co-payments
Waiting periods:
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.
Great value hospital cover for peace of mind. HCi will waive any applicable excess on dependants under 18 years of age.
This health insurer does not operate a preferred provider scheme.
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
|---|---|---|---|
| General dental | 2 | $500 per policy | Periodic oral examination - $33.00 Scale & clean - $61.00 Fluoride treatment - $22.00 Surgical tooth extraction - $100.00 |
| Major dental | 12 | $500 per policy (combined limit for major dental & endodontic - Sub-limits apply) | Full crown veneered - $500.00 |
| Endodontic | 12 | Filling of one root canal - $120.00 | |
| Optical | 6 | $220 per policy | Single vision lenses & frames - $220.00 Multi-focal lenses & frames - $220.00 |
| Physiotherapy | 2 | $400 per policy (combined limit for physiotherapy & exercise physiology) | Initial visit - $39.00 Subsequent visit - $39.00 |
| Chiropractic | 2 | $400 per policy (combined limit for chiropractic, acupuncture, remedial massage, chinese medicine & osteopathy) | Initial visit - $28.00 Subsequent visit - $28.00 |
| Acupuncture | 2 | Initial visit - $28.00 Subsequent visit - $28.00 | |
| Remedial massage | 2 | Initial visit - $28.00 Subsequent visit - $28.00 | |
| Chinese medicine | 2 | Initial visit - $28.00 Subsequent visit - $28.00 | |
| Exercise physiology | 2 | Combined limit - see Physiotherapy | Initial visit - $39.00 Subsequent visit - $39.00 |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $28.00 Subsequent visit - $28.00 |
| Vaccinations | 2 | $175 per policy | Per service - $35.00 |
| Group physio/hydrotherapy session $18 per service. Flu vaccination 1 per calendar year $25 per service. Other eligible vaccines $35 per service. | |||
| Blood glucose monitors | Orthodontic | Other treatments - check with your insurer |
| Hearing aids | Podiatry | |
| Non PBS pharmaceuticals | Psychology |
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).
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.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
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.
These categories are not covered by this policy.