Private Health Information Statement - Hospital policy

Classic Hospital Silver Plus

Monthly Premium

$183.17 #

(before any rebate, loading or discount)

Covers only one person

Available in NSW & ACT

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.

Hospital cover

This policy exempts you from the Medicare Levy Surcharge.

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

This policy includes cover for

Hospital Cover Legend
Back, neck and spineEye (not cataracts)Miscarriage and termination of pregnancy
BloodGastrointestinal endoscopyPain management
Bone, joint and muscleGynaecologyPain management with device
Brain and nervous systemHeart and vascular systemPalliative care
Breast surgery (medically necessary)Hernia and appendixPlastic and reconstructive surgery (medically necessary)
CataractsImplantation of hearing devicesPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
Chemotherapy, radiotherapy and immunotherapy for cancerInsulin pumpsSkin
Dental surgeryJoint reconstructionsSleep studies
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 servicesJoint replacementsWeight loss surgery
Dialysis for chronic kidney failurePregnancy and birth

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: Every time you go to hospital you will have to pay:

  • $50 per day for a shared room for overnight admissions - up to $250 per hospital stay
  • $50 per day for a private room for overnight admissions - up to $250 per hospital stay
  • $50 for day surgery (no overnight stay)
  • The maximum co-payment is $250 per year

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

Health Partners Support Programs: Hospital to Home; which includes Hospital Guide, Hospital in the Home and Rehab in the Home. Additional support and benefits directly related to an admission and medically necessary: PBS approved prescriptions - unlimited & 100% benefit, non-PBS prescriptions benefit 100% with $500 limit, Aids for recovery benefit 75% with $250 limit, non-surgically implanted medical devices and human tissue products benefit 75% with $500 limit. 12 month waiting period for insulin pumps, hearing devices & home nursing. Maximum co-payment is $250 per person per year and maximum of $500 per policy.

For further information about this policy see

https://www.healthpartners.com.au/health-insurance/hospital-cover/

Ambulance cover

In NSW & ACT this policy provides:

Emergency: with a waiting period of 2 months, limited to $20,000 per policy and 1 services per year.

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

Other features of this ambulance cover

Ambulance is limited to 1 per person, per year up to $20,000 - limit 2 per policy per year. You will be covered for the cost of service required on medical grounds (excluding clinic-car type transport) that is deemed or classed as ‘emergency’ only (emergency classification determined by approved ambulance provider). Additionally, you will be covered for treatment where no transport is required. This will count towards your annual limit.

For further information about this policy see

https://www.healthpartners.com.au/health-insurance/understanding-private-health-insurance/

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.