Private Health Information Statement - Combined policy

Saver Bronze+ Hospital & Premium Extras

Monthly Premium

$205.88 #

(before any rebate, loading or discount)

Covers only one person

Available in Northern Territory

# 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.

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 $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

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-premium-extras-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 dental2No annual limit
(no limit on preventative dental)
Periodic oral examination - $47.50
Scale & clean - $84.50
Fluoride treatment - $26.30
Major dental12$2,000 per policy
(combined limit for major dental, endodontic & other services - Sub-limits apply)
Surgical tooth extraction - $168.80
Full crown veneered - $773.80
Endodontic12Filling of one root canal - $161.30
Orthodontic12$2,500 per policy
1 service(s) every 3 years
Braces for upper & lower teeth, including removal plus fitting of retainer - 80% of charge
Optical6$350 per policySingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$600 per policy
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - $120.00
Physiotherapy2$850 per policyInitial visit - $67.00
Subsequent visit - $52.00
Chiropractic2$750 per policy
(combined limit for chiropractic, osteopathy & other services)
Initial visit - $60.00
Subsequent visit - $41.00
Podiatry2$500 per policyInitial visit - $57.00
Subsequent visit - $44.00
Psychology2$600 per policyInitial visit - $110.00
Subsequent visit - $80.00
Acupuncture2$550 per policy
(combined limit for acupuncture, remedial massage, chinese medicine & exercise physiology)
Initial visit - $38.00
Subsequent visit - $38.00
Remedial massage2Initial visit - $38.00
Subsequent visit - $38.00
Hearing aids12$1,300 per policy
1 appliance(s) every 3 years
Hearing aid - 100% of charge
Blood glucose monitors6$700 per policyPer monitor - 85% of charge
Audiology2$500 per policyInitial visit - $70.00
Subsequent visit - $55.00
Chinese medicine2Combined limit - see AcupunctureInitial visit - $38.00
Subsequent visit - $38.00
Dietetics/dietary advice2$500 per policyInitial visit - $80.00
Subsequent visit - $55.00
Exercise physiology2Combined limit - see AcupunctureInitial visit - $38.00
Subsequent visit - $38.00
Eye therapy (orthoptics)2$500 per policyInitial visit - $70.00
Subsequent visit - $55.00
Home nursing2$1,000 per policyInitial visit - $60.00
Subsequent visit - $60.00
Occupational therapy2$500 per policyInitial visit - $60.00
Subsequent visit - $40.00
Orthotics (podiatric orthoses)2$300 per policyOrthotics supply & fit - 85% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $60.00
Subsequent visit - $41.00
Speech therapy2$500 per policyInitial visit - $110.00
Subsequent visit - $55.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $120.00
Other treatments covered include: Laser Eye Surgery ($1,500 per person per benefit year), Medically Prescribed Appliances (includes Blood Glucose Monitors) ($700 per person per benefit year), CPAP Devices ($1,000 per benefit year) and School Accidents ($800 per person per benefit year). 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
Other treatments - check with your insurer

Other features of this general treatment cover

Telehealth services available for Physiotherapy, Psychology, Dietetics and Speech Therapy.

For further information about this policy see

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

Ambulance cover

In Northern Territory 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-premium-extras-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.