Private Health Information Statement - Hospital policy

Basic Plus Active Hospital $750

Monthly Premium

$126.60 #

(before any rebate, loading or discount)

Covers only one person

Available in Tasmania

# 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 can only be purchased with certain general treatment policies.

This policy provides accident cover - check with your insurer for details.

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

This policy includes cover for

Hospital Cover Legend
Bone, joint and muscleJoint reconstructionsHospital psychiatric services
Dental surgeryMale reproductive systemPalliative care
Diabetes management (excluding insulin pumps)Miscarriage and termination of pregnancyRehabilitation
Eye (not cataracts)Pain management
GynaecologySleep studies

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesEar, nose and throatPain management with device
Back, neck and spineGastrointestinal endoscopyPlastic and reconstructive surgery (medically necessary)
BloodHeart and vascular systemPodiatric surgery (provided by a registered surgical podiatrist – limited benefits)
Brain and nervous systemHernia and appendixPregnancy and birth
Breast surgery (medically necessary)Implantation of hearing devicesSkin
CataractsInsulin pumpsTonsils, adenoids and grommets
Chemotherapy, radiotherapy and immunotherapy for cancerJoint replacementsWeight loss surgery
Dialysis for chronic kidney failureKidney and bladder
Digestive systemLung 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 of $750 per admission. This is limited to a maximum of $750 per person and $1500 per policy per year.

Excess payments do not apply to hospital admissions for accidents.

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

Each person only pays the excess once per calendar year. Families pay only two excesses per calendar year. Additional medical gap benefits are payable on this policy. This product includes Supported Discharge, Hospital Substitute and Chronic Disease Management Programs - see latrobehealth.com.au for more information.

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

For further information about this policy see

https://www.latrobehealth.com.au/health-cover/emergency-ambulance-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.