Private Health Information Statement - Combined policy

Saver Bronze+ Hospital & Extras 65

Monthly Premium

$342.58 #

(before any rebate, loading or discount)

Covers two adults & dependants (3 or more people, only 2 of whom are adults)

Available in Western Australia

# 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 21, 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.

Membership of this insurer is restricted to Cover for the ADF community - serving, ex-serving ADF, employees of contractors to ADF and families.

Hospital cover

This policy exempts you from the Medicare Levy Surcharge.

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
BloodEye (not cataracts)Miscarriage and termination of pregnancy
Bone, joint and muscleGastrointestinal endoscopyPain management
Brain and nervous systemGynaecologyPalliative care
Breast surgery (medically necessary)Hernia and appendixPlastic and reconstructive surgery (medically necessary)
Chemotherapy, radiotherapy and immunotherapy for cancerImplantation of hearing devicesPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
Dental surgeryJoint reconstructionsSkin
Diabetes management (excluding insulin pumps)Kidney and bladderTonsils, adenoids and grommets
Digestive systemLung and chestHospital psychiatric services
Ear, nose and throatMale reproductive systemRehabilitation

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesHeart and vascular systemPregnancy and birth
Back, neck and spineInsulin pumpsSleep studies
CataractsJoint replacementsWeight loss surgery
Dialysis for chronic kidney failurePain management with device

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.

Excess payments do not apply to hospital admissions for dependants.

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

Hospital Accommodation

Covered as a private patient in a private hospital for any included services on your policy. Navy Health’s cover includes hospital accommodation fees, intensive care fees, theatre fees, and up to 100% of the Medicare Benefits Scheduled fee (MBS) for day admissions or overnight stays. For services that are listed as restricted, you are covered as a private patient in a public hospital. If you are treated in a private hospital for a restricted service, you may be significantly out of pocket. For services that are listed as excluded, no benefits are payable.

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

If you’re young, fit, healthy and looking for simple hospital cover, consider Saver Bronze+ Hospital. It has the services you’re usually likely to use – like treatment for accidents, wisdom teeth, knee reconstructions and more. You are also covered for unlimited ambulance cover Australia-wide, which means you are not required to take out ambulance cover elsewhere.

For further information about this policy see

https://navyhealth.com.au/saver-bronze-hospital-and-extras-65-cover

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$600 per person
(combined limit for general dental, major dental & endodontic)
Periodic oral examination - 65% of charge
Scale & clean - 65% of charge
Fluoride treatment - 65% of charge
Major dental12Surgical tooth extraction - 65% of charge
Full crown veneered - 65% of charge
Endodontic12Filling of one root canal - 65% of charge
Optical6$200 per personSingle vision lenses & frames - 65% of charge
Multi-focal lenses & frames - 65% of charge
Non PBS pharmaceuticals2$200 per person
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - 65% of charge
Physiotherapy2$300 per person
(combined limit for physiotherapy, chiropractic & osteopathy)
Initial visit - 65% of charge
Subsequent visit - 65% of charge
Chiropractic2Initial visit - 65% of charge
Subsequent visit - 65% of charge
Acupuncture2$200 per person
(combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology)
Initial visit - 65% of charge
Subsequent visit - 65% of charge
Remedial massage2Initial visit - 65% of charge
Subsequent visit - 65% of charge
Chinese medicine2Initial visit - 65% of charge
Subsequent visit - 65% of charge
Exercise physiology2Initial visit - 65% of charge
Subsequent visit - 65% of charge
Osteopathy2Combined limit - see PhysiotherapyInitial visit - 65% of charge
Subsequent visit - 65% of charge
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - 65% of charge
Members can access special offers from any of Navy Health’s preferred optical providers: OPSM, Laubman & Pank, Specsavers, Teachers Eye Care, Eyebenefit and Q Optical Network (QON). General treatment benefit year runs from 1 July to 30 June.

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

General treatment legend
Blood glucose monitorsOrthodonticPsychology
Hearing aidsPodiatryOther treatments - check with your insurer

Other features of this general treatment cover

Telehealth services available for Physiotherapy.

For further information about this policy see

https://navyhealth.com.au/saver-bronze-hospital-and-extras-65-cover

Ambulance cover

In Western Australia this policy provides:

Emergency: Unlimited with a waiting period of 2 months.

Non-emergency: Unlimited transport with a waiting period of 2 months, or 2 months for pre-existing conditions.

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

Other features of this ambulance cover

We cover 100% of the cost of ambulance services within Australia, provided it is provided by a state based run Ambulance service, by either air/sea or land. We do not provide benefits for privately run patient transport services.

For further information about this policy see

https://navyhealth.com.au/saver-bronze-hospital-and-extras-65-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.