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My Private Health Report
My Private Health Report
My Private Health Report
The Private Health Information Statements (PHIS) for the policies you selected are attached.
You can use these PHIS to compare selected features of health insurance policies but please
bear in mind that it is only a summary of key product features. If you are unsure, contact the
insurer to confirm whether a specific item is covered.
As with all types of insurance, conditions will apply, so don't just rely on the Statement. Once you
have full details from a fund, make sure you read the policy carefully before signing up and
paying your premium.
Benefits will vary depending on the treatments you are having, who treats you and in what
hospital. Please make sure you discuss possible out-of-pocket costs with your doctor, insurer
and the hospital before undergoing treatment.
The premiums shown on the PHIS are the standard premiums which do not include any
applicable Government rebates, Lifetime Health Cover loading, 18-29-year-old discounts or
insurer discounts. The actual premium will vary depending on your circumstances.
If you have any queries about these Private Health Information Statements, please contact the
relevant health fund (contact details are at the top left of each PHIS).
You can find more information on private health insurance and search for additional policies that
match your needs on our website https://privatehealth.gov.au
Bone, joint and muscle Heart and vascular system Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Breast surgery (medically necessary) Pregnancy and birth
devices
Assisted reproductive services Dialysis for chronic kidney failure Weight loss surgery
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.
Co-payments: No co-payment
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
2 months for all other treatments
Ambulance cover
Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If
you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or
take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).
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.
This policy does not provide benefits for travel or Not Covered
These categories are not covered by this policy.
accommodation (outside of hospital).
Assisted reproductive services Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Back, neck and spine Pain management
endoscopy
Brain and nervous system Hernia and appendix Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Cataracts Pregnancy and birth
devices
Dialysis for chronic kidney failure Kidney and bladder Tonsils, adenoids and grommets
Male reproductive
Ear, nose and throat
system
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.
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
2 months for all other treatments
Ambulance cover
In All States this policy provides:
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
State schemes provide ambulance services for residents of Tasmania (https://www.dhhs.tas.gov.au/ambulance) and
Queensland (https://www.ambulance.qld.gov.au/).
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.
Not Covered
These categories are not covered by this policy.
Assisted reproductive services Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Back, neck and spine Pain management
endoscopy
Brain and nervous system Hernia and appendix Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Cataracts Pregnancy and birth
devices
Dialysis for chronic kidney failure Kidney and bladder Tonsils, adenoids and grommets
Male reproductive
Ear, nose and throat
system
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.
Co-payments: No co-payment
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
2 months for all other treatments
Ambulance cover
Ambulance cover is provided by the State government in Tasmania (https://www.dhhs.tas.gov.au/ambulance) and
Queensland (https://www.ambulance.qld.gov.au/). In other states concession card holders may have free cover and
there are subscription services in several states
(https://privatehealth.gov.au/health_insurance/what_is_covered/ambulance.htm)
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.
Not Covered
These categories are not covered by this policy.
Assisted reproductive services Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Back, neck and spine Pain management
endoscopy
Brain and nervous system Hernia and appendix Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Cataracts Pregnancy and birth
devices
Dialysis for chronic kidney failure Kidney and bladder Tonsils, adenoids and grommets
Male reproductive
Ear, nose and throat
system
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.
Co-payments: No co-payment
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
2 months for all other treatments
Ambulance cover
In Victoria this policy provides:
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
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.