Private Health Information Statement - Combined policy

Nt My Choice Silver Plus Hospital And Added Value Benefits (Single)

Monthly Premium

$402.92 #

(before any rebate, loading or discount)

Covers only one person

Available in All States

# You may be entitled to an Australian Government rebate on the above premium. Your premium may also include a Lifetime Health Cover loading or an insurer discount. Check with your insurer for details.

Employees/members of organisations with arrangements with this health insurer.

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 spineGastrointestinal endoscopyPain management with device
BloodGynaecologyPalliative care
Bone, joint and muscleHeart and vascular systemPlastic and reconstructive surgery (medically necessary)
Brain and nervous systemHernia and appendixPodiatric surgery (provided by a registered podiatric surgeon – limited benefits)
Breast surgery (medically necessary)Implantation of hearing devicesPregnancy and birth
Chemotherapy, radiotherapy and immunotherapy for cancerInsulin pumpsSkin
Dental surgeryJoint reconstructionsSleep studies
Diabetes management (excluding insulin pumps)Kidney and bladderTonsils, adenoids and grommets
Dialysis for chronic kidney failureLung and chestWeight loss surgery
Digestive systemMale reproductive systemHospital psychiatric services
Ear, nose and throatMiscarriage and termination of pregnancyRehabilitation
Eye (not cataracts)Pain management

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesCataractsJoint 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.

The following payments may also apply for hospital admissions

Excess: No excess

Co-payments: No co-payments

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)
  • 0 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

Access to the Mental Health waiver and Home support services and programs. This program allows you to leave hospital early and continue to receive expert in-home care, so you can recover in the comfort of your own home.

For further information about this policy see

https://www.guhealth.com.au/

General Treatment Cover

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

General treatment legend
Note, for items marked with an asterisk *: Pharmaceutical Benefit paid for items with an official pharmacy receipt, after you pay a sum equal to the Australian Government’s highest current PBS co-payment. Hearing Aids are limited to one appliance per person every five years.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental0$1,000 per policyPeriodic oral examination - 80% of charge
Scale & clean - 80% of charge
Fluoride treatment - 80% of charge
Surgical tooth extraction - 80% of charge
Major dental12$1,500 per policy
(combined limit for major dental, endodontic & orthodontic)
Full crown veneered - 80% of charge
Endodontic12Filling of one root canal - 80% of charge
Orthodontic12Braces for upper & lower teeth, including removal plus fitting of retainer - 80% of charge
Optical0$300 per policySingle vision lenses & frames - 80% of charge
Multi-focal lenses & frames - 80% of charge
Non PBS pharmaceuticals*0$350 per policyPer eligible prescription - 100% of charge
Physiotherapy0$700 per policy
(combined limit for physiotherapy, ante-natal/post-natal classes, eye therapy (orthoptics), occupational therapy & speech therapy)
Initial visit - 100% of charge
Subsequent visit - 100% of charge
Chiropractic0$400 per policy
(combined limit for chiropractic & osteopathy)
Initial visit - 80% of charge
Subsequent visit - 80% of charge
Podiatry0$250 per policyInitial visit - 80% of charge
Subsequent visit - 80% of charge
Psychology0$400 per policy
(combined limit for psychology, acupuncture, remedial massage, chinese medicine, dietetics/dietary advice, exercise physiology & other services)
Initial visit - 80% of charge
Subsequent visit - 80% of charge
Acupuncture0Initial visit - 80% of charge
Subsequent visit - 80% of charge
Remedial massage0Initial visit - 80% of charge
Subsequent visit - 80% of charge
Hearing aids*12$425 per policyHearing aid - 100% of charge
Blood glucose monitors12$400 per policy
(combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services)
Per monitor - 80% of charge
Ante-natal/Post-natal classes0Combined limit - see PhysiotherapyInitial visit - 100% of charge
Subsequent visit - 100% of charge
Chinese medicine0Combined limit - see PsychologyInitial visit - 80% of charge
Subsequent visit - 80% of charge
Dietetics/dietary advice0Combined limit - see PsychologyInitial visit - 100% of charge
Subsequent visit - 100% of charge
Exercise physiology0Combined limit - see PsychologyInitial visit - 80% of charge
Subsequent visit - 80% of charge
Eye therapy (orthoptics)0Combined limit - see PhysiotherapyInitial visit - 100% of charge
Subsequent visit - 100% of charge
Occupational therapy0Combined limit - see PhysiotherapyInitial visit - 100% of charge
Subsequent visit - 100% of charge
Orthotics (podiatric orthoses)12Combined limit - see Blood glucose monitorsOrthotics supply & fit - 80% of charge
Osteopathy0Combined limit - see ChiropracticInitial visit - 80% of charge
Subsequent visit - 80% of charge
Speech therapy0Combined limit - see PhysiotherapyInitial visit - 100% of charge
Subsequent visit - 100% of charge

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

General treatment legend
Other treatments - check with your insurer

Other features of this general treatment cover

GU Health specialises in corporate health cover, providing superior health plans with executive benefits. Enjoy a generous 100% back on a range of selected consultations including physiotherapy, speech, eye and occupational therapy, antenatal and dietetics.

For further information about this policy see

https://www.guhealth.com.au/

Ambulance cover

In All States this policy provides:

Emergency: Unlimited with no waiting period.

Non-emergency: Unlimited transport with no waiting period.

Call-out fees: will not be paid.

State schemes provide ambulance services for residents of Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au/).

For further information about this policy see

https://www.guhealth.com.au/forms-and-publications/fact-sheets

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.