(before any rebate, loading or discount)
Covers only one person
Available in Tasmania
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, an age-based discount or an insurer discount. Check with your insurer for details.
This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover and benefits for travel or accommodation (outside of hospital) - check with your insurer for details.
| Back, neck and spine | Hernia and appendix | Rehabilitation |
| Blood | Implantation of hearing devices | Skin |
| Bone, joint and muscle | Insulin pumps | Sleep studies |
| Brain and nervous system | Joint reconstructions | Tonsils, adenoids and grommets |
| Breast surgery (medically necessary) | Kidney and bladder | Assisted reproductive services |
| Chemotherapy, radiotherapy and immunotherapy for cancer | Lung and chest | Cataracts |
| Dental surgery | Male reproductive system | Dialysis for chronic kidney failure |
| Diabetes management (excluding insulin pumps) | Miscarriage and termination of pregnancy | Heart and vascular system |
| Digestive system | Pain management | Hospital psychiatric services |
| Ear, nose and throat | Pain management with device | Pregnancy and birth |
| Eye (not cataracts) | Palliative care | Weight loss surgery |
| Gastrointestinal endoscopy | Plastic and reconstructive surgery (medically necessary) | |
| Gynaecology | Podiatric surgery (provided by a registered podiatric surgeon – limited benefits) |
| Joint replacements |
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.
Designed for young singles and couples, it provides cover for services such as appendicitis treatment, knee reconstructions and the removal of wisdom teeth whilst excluding other services, which may not be relevant to your stage of life. No excess applies for Dependent Children up to and including 21 years
https://www.queenslandcountry.health/siteassets/product-factsheet-download/singles-couples.pdf
By using this health insurer's "preferred providers" you will have lower out-of-pocket costs on selected allied health services and have access to more "no gap" services. See https://www.queenslandcountry.health/provider-search/premier-provider-network/.
| 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 - $42.00 Scale & clean - $67.00 Fluoride treatment - $18.00 |
| Major dental | 12 | $500 per policy (combined limit for major dental & endodontic) | Surgical tooth extraction - $135.00 Full crown veneered - $500.00 |
| Endodontic | 12 | Filling of one root canal - $128.00 | |
| Orthodontic | 12 | $500 per policy $1,000 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - $500.00 |
| Optical | 2 | $225 per policy | Single vision lenses & frames - $225.00 Multi-focal lenses & frames - $225.00 |
| Non PBS pharmaceuticals | 2 | $150 per policy (combined limit for non pbs pharmaceuticals & vaccinations - Sub-limits apply) | Per eligible prescription - $45.00 |
| Physiotherapy | 2 | $400 per policy | Initial visit - $42.00 Subsequent visit - $37.00 |
| Chiropractic | 2 | $300 per service up to $500 per policy (combined limit for chiropractic, podiatry, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, orthotics (podiatric orthoses), osteopathy & other services) | Initial visit - $42.00 Subsequent visit - $30.00 |
| Podiatry | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Acupuncture | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Remedial massage | 2 | Initial visit - $35.00 Subsequent visit - $35.00 | |
| Chinese medicine | 2 | Initial visit - $30.00 Subsequent visit - $30.00 | |
| Dietetics/dietary advice | 2 | Initial visit - $55.00 Subsequent visit - $35.00 | |
| Health management / Healthy lifestyle | 2 | $125 per policy | Health management - $125.00 |
| Orthotics (podiatric orthoses) | 2 | Combined limit - see Chiropractic | Orthotics supply & fit - 100% of charge |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $42.00 Subsequent visit - $30.00 |
| Vaccinations | 2 | Combined limit - see Non PBS pharmaceuticals | Per service - $45.00 |
| Blood glucose monitors | Psychology |
| Hearing aids | Other treatments - check with your insurer |
Health management (Healthy Living benefit) provides benefits towards the costs of metabolic dieticians or nutritionists consultations to assist with weight management, diabetes education consultations, quit smoking programs, skin checks for skin cancers (except where there is a Medicare benefit), bowel screening and bone density tests, a second yearly prostate specific antigen test not covered by Medicare, supermarket tours conducted by a dietitian or other allied health professional qualified to provide nutrition advice, and gym memberships/personal training sessions provided under an approved health management or chronic disease management program. Please contact the insurer for full details.
https://www.queenslandcountry.health/siteassets/product-factsheet-download/singles-couples.pdf
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.
When travelling to States/Territories not covered under the state arrangements, this product provides cover for one emergency ambulance transport service or on-the-spot emergency treatment per person per Membership Year. A 1 day waiting period and other conditions apply – for more information please visit https://www.queenslandcountry.health/cover-options/ambulance-cover/.
https://www.queenslandcountry.health/cover-options/ambulance-cover/
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.