Private Health Information Statement - Combined policy

LiveLife (Gold)

Monthly Premium

$761.28 #

(before any rebate, loading or discount)

Covers 2 adults (and no-one else)

Available in Western Australia

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.

Membership of this insurer is restricted to current and past employees of Commonwealth Bank Group, franchisees, contractors, and their 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
Assisted reproductive servicesEye (not cataracts)Miscarriage and termination of pregnancy
Back, neck and spineGastrointestinal endoscopyPain management
BloodGynaecologyPain management with device
Bone, joint and muscleHeart and vascular systemPalliative care
Brain and nervous systemHernia and appendixPlastic and reconstructive surgery (medically necessary)
Breast surgery (medically necessary)Hospital psychiatric servicesPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
CataractsImplantation of hearing devicesPregnancy and birth
Chemotherapy, radiotherapy and immunotherapy for cancerInsulin pumpsRehabilitation
Dental surgeryJoint reconstructionsSkin
Diabetes management (excluding insulin pumps)Joint replacementsSleep studies
Dialysis for chronic kidney failureKidney and bladderTonsils, adenoids and grommets
Digestive systemLung and chestWeight loss surgery
Ear, nose and throatMale reproductive 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.

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: No excess

Co-payments: Every time you go to hospital you will have to pay:

  • $70 per day for a shared room for overnight admissions
  • $70 per day for a private room for overnight admissions
  • $70 for day surgery (no overnight stay)
  • The maximum co-payment is $840 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
  • 12 months for pregnancy and birth (obstetrics)
  • 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

Co-payment is payable to a maximum of six days per person or 12 days per couple/family each calendar year. Co-payments do not apply to any dependants on the policy. Gap Assist benefit of $200 per person per calendar year.

General Treatment Cover

By using a CBHS Choice Network provider you will have lower out-of-pocket costs on Dental and Optical and have access to more "no gap" services. A list of providers is available on the CBHS website.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: MAJOR DENTAL: Is over any 5 years (please see insurer for further details) OCCLUSAL THERAPY: Is a life time limit. HEARING AIDS: Is over any 3 years (please see insurer for further details) BLOOD GLUCOSE MONITORS: Is over any 3 years (please see insurer for further details)
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 - $38.00
Scale & clean - $68.00
Fluoride treatment - $27.00
Surgical tooth extraction - $182.00
Major dental*12$8,060 per person
(Sub-limits apply)
Full crown veneered - $750.00
Endodontic6$700 per personFilling of one root canal - $157.00
Orthodontic12$3,200 per person
$3,200 lifetime limit
Braces for upper & lower teeth, including removal plus fitting of retainer - $3,200.00
Optical6$450 per personSingle vision lenses & frames - $270.00
Multi-focal lenses & frames - $350.00
Non PBS pharmaceuticals2$1,000 per person
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - $150.00
Physiotherapy2$900 per personInitial visit - $61.00
Subsequent visit - $43.00
Chiropractic2$1,000 per person
(combined limit for chiropractic & osteopathy)
Initial visit - $61.00
Subsequent visit - $40.00
Podiatry2$400 per personInitial visit - $50.00
Subsequent visit - $35.00
Psychology2$500 per personInitial visit - $140.00
Subsequent visit - $80.00
Acupuncture2$1,000 per person
(combined limit for acupuncture, remedial massage, chinese medicine & other services)
Initial visit - $33.00
Subsequent visit - $33.00
Remedial massage2Initial visit - $33.00
Subsequent visit - $33.00
Hearing aids*12$2,200 per personHearing aid - 100% of charge
Blood glucose monitors*12$500 per person
(combined limit for blood glucose monitors & other services)
Per monitor - 100% of charge
Audiology2$360 per personInitial visit - $60.00
Subsequent visit - $60.00
Ante-natal/Post-natal classes2$105 per personInitial visit - 100% of charge
Subsequent visit - 100% of charge
Chinese medicine2Combined limit - see AcupunctureInitial visit - $33.00
Subsequent visit - $33.00
Dietetics/dietary advice2$360 per personInitial visit - $75.00
Subsequent visit - $42.00
Exercise physiology2$360 per personInitial visit - $35.00
Subsequent visit - $35.00
Eye therapy (orthoptics)2$455 per personInitial visit - $60.00
Subsequent visit - $60.00
Health management / Healthy lifestyle2$730 per person
(Sub-limits apply)
Health management - 100% of charge
Home nursing2$2,800 per personInitial visit - $80.00
Subsequent visit - $80.00
Occupational therapy2$800 per personInitial visit - $61.00
Subsequent visit - $35.00
Orthotics (podiatric orthoses)12$1,500 per person
(combined limit for orthotics (podiatric orthoses) & other services)
Orthotics supply & fit - $145.00
Osteopathy2Combined limit - see ChiropracticInitial visit - $61.00
Subsequent visit - $35.00
Speech therapy2$1,850 per personInitial visit - $95.00
Subsequent visit - $46.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $150.00

This policy does not include General treatment (Extras) cover for

General treatment legend
Other treatments - check with your insurer

Ambulance cover

In Western Australia this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

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

Other features of this ambulance cover

Coverage for emergency ambulance services if you’re transported directly to a hospital or treated at the scene during a medical emergency. This transport or treatment must be provided by a State Government or a private ambulance service that we recognise, e.g., the Royal Flying Doctor Service. Cover includes transport from the scene of an accident or medical event such as a heart attack. Residents of WA holding appropriate Hospital/package cover are also eligible to claim a benefit for non-emergency ambulance transport services up to a maximum of $5,000 per person per calendar year.

For further information about this policy see

https://www.cbhs.com.au/health-insurance/ambulance-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.