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Covered
For the meaning of 'Covered' refer to Hospital product Fact Sheet.
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Please refer to ‘Understanding your Hospital cover’ section below.
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Please refer to ‘Understanding your Hospital cover’ section below.
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Covered for day procedures. Restricted for overnight stays. Refer to product Fact Sheet for more information.
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Midpoint Hospital (Silver Plus)

From

$*

Weekly Fortnightly Monthly Quarterly Yearly
Payment frequency Minimum direct debit frequency is fortnightly
Hospital excess
You will only pay one excess per person admitted per calendar year. Plus you won’t pay an excess if your dependant is admitted to hospital.
Includes 4% direct debit discount

Cover for a wide range of clinical categories for common procedures and peace of mind. Designed for singles, couples and families.

Cover includes non-student dependants aged 23 and over.
View Hospital Fact Sheet
View Product
Key Hospital inclusions+
  • Rehabilitation
    Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
    For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.
  • Ambulance Cover
    Ambulance transportation to hospital. You are covered for emergency ambulance transportation to hospital provided that the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority. Some state schemes already cover ambulance services.
  • Back, neck and spine
    Hospital treatment for the investigation and treatment of the back, neck and spinal column, including spinal fusion.

    For example: sciatica, prolapsed or herniated disc, spinal disc replacement and spine curvature disorders such as scoliosis, kyphosis and lordosis.

    Joint replacements are listed separately under joint replacements.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal cord conditions are listed separately under brain and nervous system.

    Management of back pain is listed separately under pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Chemotherapy, radiotherapy and immunotherapy for cancer
    Hospital treatment for chemotherapy, radiotherapy and immunotherapy for the treatment of cancer or benign tumours.

    Surgical treatment of cancer is listed separately under each body system.
  • Heart and vascular system
    Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.

    For example: heart failure and heart attack, monitoring of heart conditions, varicose veins and removal of plaque from arterial walls.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Rehabilitation
    Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
    For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.
  • Palliative care
    Hospital treatment for care where the intent is primarily providing quality of life for a patient with a terminal illness, including treatment to alleviate and manage pain.
  • Hospital psychiatric services
    Hospital treatment for the treatment and care of patients with psychiatric, mental, addiction or behavioural disorders.

    For example: psychoses such as schizophrenia, mood disorders such as depression, eating disorders and addiction therapy.
  • Ambulance Cover
    Ambulance transportation to hospital. You are covered for emergency ambulance transportation to hospital provided that the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority. Some state schemes already cover ambulance services.
  • Back, neck and spine
    Hospital treatment for the investigation and treatment of the back, neck and spinal column, including spinal fusion.

    For example: sciatica, prolapsed or herniated disc, spinal disc replacement and spine curvature disorders such as scoliosis, kyphosis and lordosis.

    Joint replacements are listed separately under joint replacements.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal cord conditions are listed separately under brain and nervous system.

    Management of back pain is listed separately under pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Blood
    Hospital treatment for the investigation and treatment of blood and blood-related conditions.

    For example: blood clotting disorders and bone marrow transplants.

    Treatment for cancers of the blood is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Bone, joint and muscle
    Hospital treatment for the investigation and treatment of diseases, disorders and injuries of the musculoskeletal system.

    For example: carpal tunnel, fractures, hand surgery, joint fusion, bone spurs, osteomyelitis and bone cancer.

    Chest surgery is listed separately under lung and chest.

    Spinal cord conditions are listed separately under brain and nervous system.

    Spinal column conditions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Joint replacements are listed separately under joint replacements.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).

    Management of back pain is listed separately under pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Brain and nervous system
    Hospital treatment for the investigation and treatment of the brain, brain-related conditions, spinal cord and peripheral nervous system.

    For example: stroke, brain or spinal cord tumours, head injuries, epilepsy and Parkinson's disease.

    Treatment of spinal column (back bone) conditions is listed separately under back, neck and spine.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Breast surgery (medically necessary)
    Hospital treatment for the investigation and treatment of breast disorders and associated lymph nodes, and reconstruction and/or reduction following breast surgery or a preventative mastectomy.

    For example: breast lesions, breast tumours, asymmetry due to breast cancer surgery, and gynecomastia.

    This clinical category does not require benefits to be paid for cosmetic breast surgery that is not medically necessary.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Chemotherapy, radiotherapy and immunotherapy for cancer
    Hospital treatment for chemotherapy, radiotherapy and immunotherapy for the treatment of cancer or benign tumours.

    Surgical treatment of cancer is listed separately under each body system.
  • Dental surgery
    Hospital treatment for surgery to the teeth and gums.

    For example: surgery to remove wisdom teeth, and dental implant surgery.
  • Diabetes management (excluding insulin pumps)
    Hospital treatment for the investigation and management of diabetes.

    For example: stabilisation of hypo- or hyper- glycaemia, contour problems due to insulin injections.

    Treatment for diabetes-related conditions is listed separately under each body system affected. For example, treatment for diabetes-related eye conditions is listed separately under eye.

    Treatment for ulcers is listed separately under skin.

    Provision and replacement of insulin pumps is listed separately under insulin pumps.
  • Digestive system
    Hospital treatment for the investigation and treatment of the digestive system, including the oesophagus, stomach, gall bladder, pancreas, spleen, liver and bowel.

    For example: oesophageal cancer, irritable bowel syndrome, gall stones and haemorrhoids.

    Endoscopy is listed separately under gastrointestinal endoscopy.

    Hernia and appendicectomy procedures are listed separately under hernia and appendix.

    Bariatric surgery is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Ear, nose and throat
    Hospital treatment for the investigation and treatment of the ear, nose, throat, middle ear, thyroid, parathyroid, larynx, lymph nodes and related areas of the head and neck.

    For example: damaged ear drum, sinus surgery, removal of foreign bodies, stapedectomy and throat cancer.

    Tonsils, adenoids and grommets are listed separately under tonsils, adenoids and grommets.

    The implantation of a hearing device is listed separately under Implantation of hearing devices.

    Orthopaedic neck conditions are listed separately under back, neck and spine.

    Sleep studies are listed separately under sleep studies.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Eye (not cataracts)
    Hospital treatment for the investigation and treatment of the eye and the contents of the eye socket.

    For example: retinal detachment, tear duct conditions, eye infections and medically managed trauma to the eye.

    Cataract procedures are listed separately under cataracts.

    Eyelid procedures are listed separately under plastic and reconstructive surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Gastrointestinal endoscopy
    Hospital treatment for the diagnosis, investigation and treatment of the internal parts of the gastrointestinal system using an endoscope.

    For example: colonoscopy, gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP).

    Non-endoscopic procedures for the digestive system are listed separately under digestive system.
  • Gynaecology
    Hospital treatment for the investigation and treatment of the female reproductive system.

    For example: endometriosis, polycystic ovaries, female sterilisation and cervical cancer.

    Fertility treatments are listed separately under assisted reproductive services.

    Pregnancy and birth-related conditions are listed separately under pregnancy and birth.

    Miscarriage or termination of pregnancy is listed separately under miscarriage and termination of pregnancy.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Heart and vascular system
    Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.

    For example: heart failure and heart attack, monitoring of heart conditions, varicose veins and removal of plaque from arterial walls.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Hernia and appendix
    Hospital treatment for the investigation and treatment of a hernia or appendicitis.

    Digestive conditions are listed separately under digestive system.
  • Implantation of hearing devices
    Hospital treatment to correct hearing loss, including implantation of a prosthetic hearing device.

    Stapedectomy is listed separately under ear, nose and throat.
  • Joint reconstructions
    Hospital treatment for surgery for joint reconstructions.

    For example: torn tendons, rotator cuff tears and damaged ligaments.

    Joint replacements are listed separately under joint replacements.

    Bone fractures are listed separately under bone, joint and muscle.

    Procedures to the spinal column are listed separately under back, neck and spine.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Kidney and bladder
    Hospital treatment for the investigation and treatment of the kidney, adrenal gland and bladder.

    For example: kidney stones, adrenal gland tumour and incontinence.

    Dialysis is listed separately under dialysis for chronic kidney failure.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Lung and chest
    Hospital treatment for the investigation and treatment of the lungs, lung-related conditions, mediastinum and chest.

    For example: lung cancer, respiratory disorders such as asthma, pneumonia, and treatment of trauma to the chest.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Male reproductive system
    Hospital treatment for the investigation and treatment of the male reproductive system including the prostate.

    For example: male sterilisation, circumcision and prostate cancer.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Miscarriage and termination of pregnancy
    Hospital treatment for the investigation and treatment of a miscarriage or for termination of pregnancy.
  • Pain management
    Hospital treatment for pain management that does not require the insertion or surgical management of a device.

    For example: treatment of nerve pain and chest pain due to cancer by injection of a nerve block.

    Pain management using a device (for example an infusion pump or neurostimulator) is listed separately under pain management with device.
  • Plastic and reconstructive surgery (medically necessary)
    Hospital treatment which is medically necessary for the investigation and treatment of any physical deformity, whether acquired as a result of illness or Accident, or congenital.

    For example: burns requiring a graft, cleft palate, club foot and angioma.

    Plastic surgery that is medically necessary relating to the treatment of a skin-related condition is listed separately under skin.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Podiatric surgery (provided by a registered surgical podiatrist)
    Hospital treatment for the investigation and treatment of conditions affecting the foot and/or ankle, provided by a registered surgical podiatrist, but limited to cover for:
    • accommodation; and
    • the cost of a prosthesis as listed in the prostheses list set out in the Private Health Insurance (Prostheses) Rules, as in force from time to time.

    Note: Insurers are not required to pay for any other benefits for hospital treatment for this clinical category but may choose to do so.
  • Skin
    Hospital treatment for the investigation and treatment of skin, skin-related conditions and nails. The removal of foreign bodies is also included. Plastic surgery that is medically necessary and relating to the treatment of a skin-related condition is also included.

    For example: melanoma, minor wound repair and abscesses.

    Removal of excess skin due to weight loss is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Sleep studies
    Hospital treatment for the investigation of sleep patterns and anomalies.

    For example: sleep apnoea and snoring.
  • Tonsils, adenoids and grommets
    Hospital treatment of the tonsils, adenoids and insertion or removal of grommets.
  • Assisted reproductive services
    Hospital treatment for fertility treatments or procedures.

    For example: retrieval of eggs or sperm, In vitro Fertilisation (IVF), and Gamete Intra-fallopian Transfer (GIFT).

    Treatment of the female reproductive system is listed separately under gynaecology.

    Pregnancy and birth-related services are listed separately under pregnancy and birth.
  • Cataracts
    Hospital treatment for surgery to remove a cataract and replace with an artificial lens.
  • Dialysis for chronic kidney failure
    Hospital treatment for dialysis treatment for chronic kidney failure.

    For example: peritoneal dialysis and haemodialysis.
  • Insulin pumps
    Hospital treatment for the provision and replacement of insulin pumps for treatment of diabetes.
  • Joint replacements
    Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.

    For example: replacement of shoulder, wrist, finger, hip, knee, ankle, or toe joint.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal fusions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Pain management with device
    Hospital treatment for the implantation, replacement or other surgical management of a device required for the treatment of pain.

    For example: treatment of nerve pain, back pain, and pain caused by coronary heart disease with a device (for example an infusion pump or neurostimulator).

    Treatment of pain that does not require a device is listed separately under pain management.
  • Pregnancy and birth
    Hospital treatment for investigation and treatment of conditions associated with pregnancy and child birth.

    Treatment for the baby is covered under the clinical category relevant to their condition (provided your baby is included under your cover). For example, respiratory conditions are covered under lung and chest.

    Female reproductive conditions are listed separately under gynaecology.

    Fertility treatments are listed separately under assisted reproductive services.

    Miscarriage and termination of pregnancy is listed separately under miscarriage and termination of pregnancy.
  • Weight loss surgery
    Hospital treatment for surgery that is designed to reduce a person's weight, remove excess skin due to weight loss and reversal of a bariatric procedure.

    For example: gastric banding, gastric bypass, sleeve gastrectomy.

Value Hospital (Silver Plus) with $100 daily co-payment

From

$*

Weekly Fortnightly Monthly Quarterly Yearly
Payment frequency Minimum direct debit frequency is fortnightly
Hospital excess
You will only pay one excess per person admitted per calendar year. Co-payments apply daily up to $500 per admission. And excesses and co-payments are waived for dependants.
Includes 4% direct debit discount

Cover for most clinical categories, with lower premiums in exchange for paying an excess and daily co-payment for hospital admissions

Cover includes non-student dependants aged 23 and over.
View Hospital Fact Sheet
View Product
Key Hospital inclusions+
  • Rehabilitation
    Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
    For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.
  • Ambulance Cover
    Ambulance transportation to hospital. You are covered for emergency ambulance transportation to hospital provided that the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority. Some state schemes already cover ambulance services.
  • Heart and vascular system
    Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.

    For example: heart failure and heart attack, monitoring of heart conditions, varicose veins and removal of plaque from arterial walls.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Joint replacements
    Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.

    For example: replacement of shoulder, wrist, finger, hip, knee, ankle, or toe joint.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal fusions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Rehabilitation
    Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
    For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.
  • Palliative care
    Hospital treatment for care where the intent is primarily providing quality of life for a patient with a terminal illness, including treatment to alleviate and manage pain.
  • Hospital psychiatric services
    Hospital treatment for the treatment and care of patients with psychiatric, mental, addiction or behavioural disorders.

    For example: psychoses such as schizophrenia, mood disorders such as depression, eating disorders and addiction therapy.
  • Ambulance Cover
    Ambulance transportation to hospital. You are covered for emergency ambulance transportation to hospital provided that the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority. Some state schemes already cover ambulance services.
  • Back, neck and spine
    Hospital treatment for the investigation and treatment of the back, neck and spinal column, including spinal fusion.

    For example: sciatica, prolapsed or herniated disc, spinal disc replacement and spine curvature disorders such as scoliosis, kyphosis and lordosis.

    Joint replacements are listed separately under joint replacements.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal cord conditions are listed separately under brain and nervous system.

    Management of back pain is listed separately under pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Blood
    Hospital treatment for the investigation and treatment of blood and blood-related conditions.

    For example: blood clotting disorders and bone marrow transplants.

    Treatment for cancers of the blood is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Bone, joint and muscle
    Hospital treatment for the investigation and treatment of diseases, disorders and injuries of the musculoskeletal system.

    For example: carpal tunnel, fractures, hand surgery, joint fusion, bone spurs, osteomyelitis and bone cancer.

    Chest surgery is listed separately under lung and chest.

    Spinal cord conditions are listed separately under brain and nervous system.

    Spinal column conditions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Joint replacements are listed separately under joint replacements.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).

    Management of back pain is listed separately under pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Brain and nervous system
    Hospital treatment for the investigation and treatment of the brain, brain-related conditions, spinal cord and peripheral nervous system.

    For example: stroke, brain or spinal cord tumours, head injuries, epilepsy and Parkinson's disease.

    Treatment of spinal column (back bone) conditions is listed separately under back, neck and spine.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Breast surgery (medically necessary)
    Hospital treatment for the investigation and treatment of breast disorders and associated lymph nodes, and reconstruction and/or reduction following breast surgery or a preventative mastectomy.

    For example: breast lesions, breast tumours, asymmetry due to breast cancer surgery, and gynecomastia.

    This clinical category does not require benefits to be paid for cosmetic breast surgery that is not medically necessary.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Cataracts
    Hospital treatment for surgery to remove a cataract and replace with an artificial lens.
  • Chemotherapy, radiotherapy and immunotherapy for cancer
    Hospital treatment for chemotherapy, radiotherapy and immunotherapy for the treatment of cancer or benign tumours.

    Surgical treatment of cancer is listed separately under each body system.
  • Dental surgery
    Hospital treatment for surgery to the teeth and gums.

    For example: surgery to remove wisdom teeth, and dental implant surgery.
  • Diabetes management (excluding insulin pumps)
    Hospital treatment for the investigation and management of diabetes.

    For example: stabilisation of hypo- or hyper- glycaemia, contour problems due to insulin injections.

    Treatment for diabetes-related conditions is listed separately under each body system affected. For example, treatment for diabetes-related eye conditions is listed separately under eye.

    Treatment for ulcers is listed separately under skin.

    Provision and replacement of insulin pumps is listed separately under insulin pumps.
  • Digestive system
    Hospital treatment for the investigation and treatment of the digestive system, including the oesophagus, stomach, gall bladder, pancreas, spleen, liver and bowel.

    For example: oesophageal cancer, irritable bowel syndrome, gall stones and haemorrhoids.

    Endoscopy is listed separately under gastrointestinal endoscopy.

    Hernia and appendicectomy procedures are listed separately under hernia and appendix.

    Bariatric surgery is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Ear, nose and throat
    Hospital treatment for the investigation and treatment of the ear, nose, throat, middle ear, thyroid, parathyroid, larynx, lymph nodes and related areas of the head and neck.

    For example: damaged ear drum, sinus surgery, removal of foreign bodies, stapedectomy and throat cancer.

    Tonsils, adenoids and grommets are listed separately under tonsils, adenoids and grommets.

    The implantation of a hearing device is listed separately under implantation of hearing devices.

    Orthopaedic neck conditions are listed separately under back, neck and spine.

    Sleep studies are listed separately under sleep studies.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Eye (not cataracts)
    Hospital treatment for the investigation and treatment of the eye and the contents of the eye socket.

    For example: retinal detachment, tear duct conditions, eye infections and medically managed trauma to the eye.

    Cataract procedures are listed separately under cataracts.

    Eyelid procedures are listed separately under plastic and reconstructive surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Gastrointestinal endoscopy
    Hospital treatment for the diagnosis, investigation and treatment of the internal parts of the gastrointestinal system using an endoscope.

    For example: colonoscopy, gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP).

    Non-endoscopic procedures for the digestive system are listed separately under digestive system.
  • Gynaecology
    Hospital treatment for the investigation and treatment of the female reproductive system.

    For example: endometriosis, polycystic ovaries, female sterilisation and cervical cancer.

    Fertility treatments are listed separately under assisted reproductive services.

    Pregnancy and birth-related conditions are listed separately under pregnancy and birth.

    Miscarriage or termination of pregnancy is listed separately under miscarriage and termination of pregnancy.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Heart and vascular system
    Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.

    For example: heart failure and heart attack, monitoring of heart conditions, varicose veins and removal of plaque from arterial walls.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Hernia and appendix
    Hospital treatment for the investigation and treatment of a hernia or appendicitis.

    Digestive conditions are listed separately under digestive system.
  • Implantation of hearing devices
    Hospital treatment to correct hearing loss, including implantation of a prosthetic hearing device.

    Stapedectomy is listed separately under ear, nose and throat.
  • Insulin pumps
    Hospital treatment for the provision and replacement of insulin pumps for treatment of diabetes.
  • Joint reconstructions
    Hospital treatment for surgery for joint reconstructions.

    For example: torn tendons, rotator cuff tears and damaged ligaments.

    Joint replacements are listed separately under joint replacements.

    Bone fractures are listed separately under bone, joint and muscle.

    Procedures to the spinal column are listed separately under back, neck and spine.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Joint replacements
    Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.

    For example: replacement of shoulder, wrist, finger, hip, knee, ankle, or toe joint.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal fusions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Kidney and bladder
    Hospital treatment for the investigation and treatment of the kidney, adrenal gland and bladder.

    For example: kidney stones, adrenal gland tumour and incontinence.

    Dialysis is listed separately under dialysis for chronic kidney failure.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Lung and chest
    Hospital treatment for the investigation and treatment of the lungs, lung-related conditions, mediastinum and chest.

    For example: lung cancer, respiratory disorders such as asthma, pneumonia, and treatment of trauma to the chest.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Male reproductive system
    Hospital treatment for the investigation and treatment of the male reproductive system including the prostate.

    For example: male sterilisation, circumcision and prostate cancer.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Miscarriage and termination of pregnancy
    Hospital treatment for the investigation and treatment of a miscarriage or for termination of pregnancy.
  • Pain management
    Hospital treatment for pain management that does not require the insertion or surgical management of a device.

    For example: treatment of nerve pain and chest pain due to cancer by injection of a nerve block.

    Pain management using a device (for example an infusion pump or neurostimulator) is listed separately under Pain management with device.
  • Pain management with device
    Hospital treatment for the implantation, replacement or other surgical management of a device required for the treatment of pain.

    For example: treatment of nerve pain, back pain, and pain caused by coronary heart disease with a device (for example an infusion pump or neurostimulator).

    Treatment of pain that does not require a device is listed separately under pain management.
  • Plastic and reconstructive surgery (medically necessary)
    Hospital treatment which is medically necessary for the investigation and treatment of any physical deformity, whether acquired as a result of illness or Accident, or congenital.

    For example: burns requiring a graft, cleft palate, club foot and angioma.

    Plastic surgery that is medically necessary relating to the treatment of a skin-related condition is listed separately under skin.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Podiatric surgery (provided by a registered surgical podiatrist)
    Hospital treatment for the investigation and treatment of conditions affecting the foot and/or ankle, provided by a registered surgical podiatrist, but limited to cover for:
    • - accommodation; and
    • - the cost of a prosthesis as listed in the prostheses list set out in the Private Health Insurance (Prostheses) Rules, as in force from time to time.

    Note: Insurers are not required to pay for any other benefits for hospital treatment for this clinical category but may choose to do so.
  • Skin
    Hospital treatment for the investigation and treatment of skin, skin-related conditions and nails. The removal of foreign bodies is also included. Plastic surgery that is medically necessary and relating to the treatment of a skin-related condition is also included.

    For example: melanoma, minor wound repair and abscesses.

    Removal of excess skin due to weight loss is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Sleep studies
    Hospital treatment for the investigation of sleep patterns and anomalies.

    For example: sleep apnoea and snoring.
  • Tonsils, adenoids and grommets
    Hospital treatment of the tonsils, adenoids and insertion or removal of grommets.
  • Assisted reproductive services
    Hospital treatment for fertility treatments or procedures.

    For example: retrieval of eggs or sperm, In vitro Fertilisation (IVF), and Gamete Intra-fallopian Transfer (GIFT).

    Treatment of the female reproductive system is listed separately under gynaecology.

    Pregnancy and birth-related services are listed separately under pregnancy and birth.
  • Dialysis for chronic kidney failure
    Hospital treatment for dialysis treatment for chronic kidney failure.

    For example: peritoneal dialysis and haemodialysis.
  • Pregnancy and birth
    Hospital treatment for investigation and treatment of conditions associated with pregnancy and child birth.

    Treatment for the baby is covered under the clinical category relevant to their condition (provided your baby is included under your cover). For example, respiratory conditions are covered under lung and chest.

    Female reproductive conditions are listed separately under gynaecology.

    Fertility treatments are listed separately under assisted reproductive services.

    Miscarriage and termination of pregnancy is listed separately under miscarriage and termination of pregnancy.
  • Weight loss surgery
    Hospital treatment for surgery that is designed to reduce a person's weight, remove excess skin due to weight loss and reversal of a bariatric procedure.

    For example: gastric banding, gastric bypass, sleeve gastrectomy.

Assured Hospital (Silver Plus)

From

$*

Weekly Fortnightly Monthly Quarterly Yearly
Payment frequency Minimum direct debit frequency is fortnightly
Hospital excess
On Assured Hospital (Silver Plus), you will only have to pay half the excess for day surgeries. If the applicable total excess isn't paid after your first hospital admission you will have to pay the remaining balance of the excess on any subsequent admission(s) within the same calendar year. Plus you won't pay an excess if any dependants listed on your membership are admitted to hospital.
Includes 4% direct debit discount

One of our highest level of cover for peace of mind, but without the things you may not need such as pregnancy and birth. Plus, the flexibility to choose a low excess option (from $250) and pair with any level of extras you like.

Cover includes non-student dependants aged 23 and over.
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Key Hospital inclusions+
  • Ambulance Cover
    Ambulance transportation to hospital. You are covered for emergency ambulance transportation to hospital provided that the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority. Some state schemes already cover ambulance services. Also includes Unlimited ambulance attendances per person per calendar year, where you are not taken to hospital.
  • Cataracts
    Hospital treatment for surgery to remove a cataract and replace with an artificial lens.
  • Digestive system
    Hospital treatment for the investigation and treatment of the digestive system, including the oesophagus, stomach, gall bladder, pancreas, spleen, liver and bowel.

    For example: oesophageal cancer, irritable bowel syndrome, gall stones and haemorrhoids.

    Endoscopy is listed separately under gastrointestinal endoscopy.

    Hernia and appendicectomy procedures are listed separately under hernia and appendix.

    Bariatric surgery is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Heart and vascular system
    Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.

    For example: heart failure and heart attack, monitoring of heart conditions, varicose veins and removal of plaque from arterial walls.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Joint replacements
    Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.

    For example: replacement of shoulder, wrist, finger, hip, knee, ankle, or toe joint.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal fusions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Rehabilitation
    Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
    For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.
  • Hospital psychiatric services
    Hospital treatment for the treatment and care of patients with psychiatric, mental, addiction or behavioural disorders.
    For example: psychoses such as schizophrenia, mood disorders such as depression, eating disorders and addiction therapy.
  • Ambulance Cover
    Ambulance transportation to hospital. You are covered for emergency ambulance transportation to hospital provided that the transport is coded and invoiced as emergency transport by a recognised State Ambulance authority. Some state schemes already cover ambulance services. Also includes Unlimited ambulance attendances per person per calendar year, where you are not taken to hospital.
  • Back, neck and spine
    Hospital treatment for the investigation and treatment of the back, neck and spinal column, including spinal fusion.

    For example: sciatica, prolapsed or herniated disc, spinal disc replacement, and spine curvature disorders such as scoliosis, kyphosis and lordosis.

    Joint replacements are listed separately under joint replacemenbr/>
    Joint fusions are listed separately under bone, joint and muscle.

    Spinal cord conditions are listed separately under brain and nervous system.

    Management of back pain is listed separately under Pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Blood
    Hospital treatment for the investigation and treatment of blood and blood-related conditions.

    For example: blood clotting disorders and bone marrow transplants.

    Treatment for cancers of the blood is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Bone, joint and muscle
    Hospital treatment for the investigation and treatment of diseases, disorders and injuries of the musculoskeletal system.

    For example: carpal tunnel, fractures, hand surgery, joint fusion, bone spurs, osteomyelitis and bone cancer.

    Chest surgery is listed separately under lung and chest.

    Spinal cord conditions are listed separately under brain and nervous system.

    Spinal column conditions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Joint replacements are listed separately under joint replacements.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).

    Management of back pain is listed separately under pain management. Pain management that requires a device is listed separately under pain management with device.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Brain and nervous system
    Hospital treatment for the investigation and treatment of the brain, brain-related conditions, spinal cord and peripheral nervous system.

    For example: stroke, brain or spinal cord tumours, head injuries, epilepsy and Parkinson's disease.

    Treatment of spinal column (back bone) conditions is listed separately under back, neck and spine.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Breast surgery (medically necessary)
    Hospital treatment for the investigation and treatment of breast disorders and associated lymph nodes, and reconstruction and/or reduction following breast surgery or a preventative mastectomy.

    For example: breast lesions, breast tumours, asymmetry due to breast cancer surgery, and gynecomastia.

    This clinical category does not require benefits to be paid for cosmetic breast surgery that is not medically necessary.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Cataracts
    Hospital treatment for surgery to remove a cataract and replace with an artificial lens.
  • Chemotherapy, radiotherapy and immunotherapy for cancer
    Hospital treatment for chemotherapy, radiotherapy and immunotherapy for the treatment of cancer or benign tumours.

    Surgical treatment of cancer is listed separately under each body system.
  • Dental surgery
    Hospital treatment for surgery to the teeth and gums.

    For example: surgery to remove wisdom teeth, and dental implant surgery.
  • Diabetes management (excluding insulin pumps)
    Hospital treatment for the investigation and management of diabetes.

    For example: stabilisation of hypo- or hyper- glycaemia, contour problems due to insulin injections.

    Treatment for diabetes-related conditions is listed separately under each body system affected. For example, treatment for diabetes-related eye conditions is listed separately under eye.

    Treatment for ulcers is listed separately under skin.

    Provision and replacement of insulin pumps is listed separately under insulin pumps.
  • Dialysis for chronic kidney failure
    Hospital treatment for dialysis treatment for chronic kidney failure.

    For example: peritoneal dialysis and haemodialysis.
  • Digestive system
    Hospital treatment for the investigation and treatment of the digestive system, including the oesophagus, stomach, gall bladder, pancreas, spleen, liver and bowel.

    For example: oesophageal cancer, irritable bowel syndrome, gall stones and haemorrhoids.

    Endoscopy is listed separately under gastrointestinal endoscopy.

    Hernia and appendicectomy procedures are listed separately under hernia and appendix.

    Bariatric surgery is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Ear, nose and throat
    Hospital treatment for the investigation and treatment of the ear, nose, throat, middle ear, thyroid, parathyroid, larynx, lymph nodes and related areas of the head and neck.

    For example: damaged ear drum, sinus surgery, removal of foreign bodies, stapedectomy and throat cancer.

    Tonsils, adenoids and grommets are listed separately under tonsils, adenoids and grommets.

    The implantation of a hearing device is listed separately under Implantation of hearing devices.

    Orthopaedic neck conditions are listed separately under back, neck and spine.

    Sleep studies are listed separately under sleep studies.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Eye (not cataracts)
    Hospital treatment for the investigation and treatment of the eye and the contents of the eye socket.

    For example: retinal detachment, tear duct conditions, eye infections and medically managed trauma to the eye.

    Cataract procedures are listed separately under cataracts.

    Eyelid procedures are listed separately under plastic and reconstructive surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Gastrointestinal endoscopy
    Hospital treatment for the diagnosis, investigation and treatment of the internal parts of the gastrointestinal system using an endoscope.

    For example: colonoscopy, gastroscopy, endoscopic retrograde cholangiopancreatography (ERCP).

    Non-endoscopic procedures for the digestive system are listed separately under digestive system.
  • Gynaecology
    Hospital treatment for the investigation and treatment of the female reproductive system.

    For example: endometriosis, polycystic ovaries, female sterilisation and cervical cancer.

    Fertility treatments are listed separately under assisted reproductive services.

    Pregnancy and birth-related conditions are listed separately under pregnancy and birth.

    Miscarriage or termination of pregnancy is listed separately under miscarriage and termination of pregnancy.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Heart and vascular system
    Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.

    For example: heart failure and heart attack, monitoring of heart conditions, varicose veins and removal of plaque from arterial walls.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Hernia and appendix
    Hospital treatment for the investigation and treatment of a hernia or appendicitis.

    Digestive conditions are listed separately under digestive system.
  • Implantation of hearing devices
    Hospital treatment to correct hearing loss, including implantation of a prosthetic hearing device.

    Stapedectomy is listed separately under ear, nose and throat.
  • Insulin pumps
    Hospital treatment for the provision and replacement of insulin pumps for treatment of diabetes.
  • Joint reconstructions
    Hospital treatment for surgery for joint reconstructions.

    For example: torn tendons, rotator cuff tears and damaged ligaments.

    Joint replacements are listed separately under joint replacements.

    Bone fractures are listed separately under bone, joint and muscle.

    Procedures to the spinal column are listed separately under back, neck and spine.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Joint replacements
    Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.

    For example: replacement of shoulder, wrist, finger, hip, knee, ankle, or toe joint.

    Joint fusions are listed separately under bone, joint and muscle.

    Spinal fusions are listed separately under back, neck and spine.

    Joint reconstructions are listed separately under joint reconstructions.

    Podiatric surgery performed by a registered podiatric surgeon is listed separately under podiatric surgery (provided by a registered podiatric surgeon).
  • Kidney and bladder
    Hospital treatment for the investigation and treatment of the kidney, adrenal gland and bladder.

    For example: kidney stones, adrenal gland tumour and incontinence.

    Dialysis is listed separately under dialysis for chronic kidney failure.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Lung and chest
    Hospital treatment for the investigation and treatment of the lungs, lung-related conditions, mediastinum and chest.

    For example: lung cancer, respiratory disorders such as asthma, pneumonia, and treatment of trauma to the chest.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Male reproductive system
    Hospital treatment for the investigation and treatment of the male reproductive system including the prostate.

    For example: male sterilisation, circumcision and prostate cancer.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Miscarriage and termination of pregnancy
    Hospital treatment for the investigation and treatment of a miscarriage or for termination of pregnancy.
  • Pain management
    Hospital treatment for pain management that does not require the insertion or surgical management of a device.

    For example: treatment of nerve pain and chest pain due to cancer by injection of a nerve block.

    Pain management using a device (for example an infusion pump or neurostimulator) is listed separately under pain management with device.
  • Pain management with device
    Hospital treatment for the implantation, replacement or other surgical management of a device required for the treatment of pain.

    For example: treatment of nerve pain, back pain, and pain caused by coronary heart disease with a device (for example an infusion pump or neurostimulator).

    Treatment of pain that does not require a device is listed separately under pain management.
  • Palliative care
    Hospital treatment for care where the intent is primarily providing quality of life for a patient with a terminal illness, including treatment to alleviate and manage pain.
  • Plastic and reconstructive surgery (medically necessary)
    Hospital treatment which is medically necessary for the investigation and treatment of any physical deformity, whether acquired as a result of illness or Accident, or congenital.

    For example: burns requiring a graft, cleft palate, club foot and angioma.

    Plastic surgery that is medically necessary relating to the treatment of a skin-related condition is listed separately under skin.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Podiatric surgery (provided by a registered surgical podiatrist)
    Hospital treatment for the investigation and treatment of conditions affecting the foot and/or ankle, provided by a registered surgical podiatrist, but limited to cover for:
    • - accommodation; and
    • - the cost of a prosthesis as listed in the prostheses list set out in the Private Health Insurance (Prostheses) Rules, as in force from time to time.

    Note: Insurers are not required to pay for any other benefits for hospital treatment for this clinical category but may choose to do so.
  • Rehabilitation
    Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
    For example: inpatient and admitted day patient rehabilitation, stroke recovery, cardiac rehabilitation.
  • Skin
    Hospital treatment for the investigation and treatment of skin, skin-related conditions and nails. The removal of foreign bodies is also included. Plastic surgery that is medically necessary and relating to the treatment of a skin-related condition is also included.

    For example: melanoma, minor wound repair and abscesses.

    Removal of excess skin due to weight loss is listed separately under weight loss surgery.

    Chemotherapy and radiotherapy for cancer is listed separately under chemotherapy, radiotherapy and immunotherapy for cancer.
  • Sleep studies
    Hospital treatment for the investigation of sleep patterns and anomalies.

    For example: sleep apnoea and snoring.
  • Tonsils, adenoids and grommets
    Hospital treatment of the tonsils, adenoids and insertion or removal of grommets.
  • Assisted reproductive services
    Hospital treatment for fertility treatments or procedures.

    For example: retrieval of eggs or sperm, In vitro Fertilisation (IVF), and Gamete Intra-fallopian Transfer (GIFT).

    Treatment of the female reproductive system is listed separately under gynaecology.

    Pregnancy and birth-related services are listed separately under pregnancy and birth.
  • Pregnancy and birth
    Hospital treatment for investigation and treatment of conditions associated with pregnancy and child birth.

    Treatment for the baby is covered under the clinical category relevant to their condition (provided your baby is included under your cover). For example, respiratory conditions are covered under lung and chest.

    Female reproductive conditions are listed separately under gynaecology.

    Fertility treatments are listed separately under assisted reproductive services.

    Miscarriage and termination of pregnancy is listed separately under miscarriage and termination of pregnancy.
  • Weight loss surgery
    Hospital treatment for surgery that is designed to reduce a person's weight, remove excess skin due to weight loss and reversal of a bariatric procedure.

    For example: gastric banding, gastric bypass, sleeve gastrectomy.
* Assumes a 4% direct debit discount and no age-based discount. Any rebate shown above is included in the price. The price does not include any applicable Lifetime Health Cover loading. Price includes cover for non-student dependants aged 23 and over.Price excludes cover for non-student dependants aged 23 and over.
+ Waiting periods may apply.
The information on this page is a summary only. Please read the product Fact Sheet to understand the benefits, limits, restrictions, exclusions, waiting periods, pre-existing conditions and excesses that apply, and what it means to be 'Covered' including out-of-pocket costs.
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