(before any rebate, loading or discount)
Covers 2 adults (and no-one else)
Available in Northern Territory
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 or an insurer discount. Check with your insurer for details.
This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover and benefits for travel or accommodation (outside of hospital) - check with your insurer for details.
| Assisted reproductive services | Eye (not cataracts) | Miscarriage and termination of pregnancy |
| Back, neck and spine | Gastrointestinal endoscopy | Pain management |
| Blood | Gynaecology | Pain management with device |
| Bone, joint and muscle | Heart and vascular system | Palliative care |
| Brain and nervous system | Hernia and appendix | Plastic and reconstructive surgery (medically necessary) |
| Breast surgery (medically necessary) | Hospital psychiatric services | Podiatric surgery (provided by a registered podiatric surgeon – limited benefits) |
| Cataracts | Implantation of hearing devices | Pregnancy and birth |
| Chemotherapy, radiotherapy and immunotherapy for cancer | Insulin pumps | Rehabilitation |
| Dental surgery | Joint reconstructions | Skin |
| Diabetes management (excluding insulin pumps) | Joint replacements | Sleep studies |
| Dialysis for chronic kidney failure | Kidney and bladder | Tonsils, adenoids and grommets |
| Digestive system | Lung and chest | Weight loss surgery |
| Ear, nose and throat | Male 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.
Excess: You will have to pay an excess on admission. This is limited to a maximum of $250 per person and $500 per policy per year.
Excess payments do not apply to hospital admissions for accidents.
Co-payments: No co-payments
Waiting periods:
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.
Comprehensive corporate hospital and extras cover designed for families. No excess for accident related treatment and dependants under 25. Includes involuntary unemployment assistance, travel and accommodation benefits for hospital admissions and cover for unlimited emergency ambulance trips. See fund rules for more information. Access to over 100 exclusive offers through HCF Thank You program. For more information visit: www.hcf.com.au/thankyou.
Our nationwide network of No-Gap participating providers gives you access to comprehensive extras cover at an affordable price. Find out more See https://www.hcf.com.au/locations/find-a-participating-provider.
| Note, for items marked with an asterisk *: A higher psychology benefit ($45) may apply after Medicare Mental Health Treatment Plan is used up for the remainder of the calendar year. Sub-limits may apply. See fund rules for more information. | |||
|---|---|---|---|
| Treatment | Waiting period (months) | Benefit limits (per 12 months unless otherwise stated) | Examples of maximum benefits |
| General dental* | 2 | $400 per person (Sub-limits apply) | Periodic oral examination - $32.00 Scale & clean - $60.00 Fluoride treatment - $27.00 |
| Major dental* | 12 | $700 per person (Sub-limits apply) | Surgical tooth extraction - $167.00 Full crown veneered - $650.00 |
| Endodontic* | 12 | $400 per person (Sub-limits apply) | Filling of one root canal - $147.00 |
| Orthodontic* | 12 | $400 per person $1,800 lifetime limit | Braces for upper & lower teeth, including removal plus fitting of retainer - $400.00 |
| Optical | 2 | $200 per person | Single vision lenses & frames - 100% of charge Multi-focal lenses & frames - 100% of charge |
| Non PBS pharmaceuticals | 2 | $600 per person | Per eligible prescription - $50.00 |
| Physiotherapy | 2 | $700 per person (combined limit for physiotherapy, dietetics/dietary advice, occupational therapy, speech therapy & other services) | Initial visit - $35.00 Subsequent visit - $28.00 |
| Chiropractic | 2 | $350 per person (combined limit for chiropractic, exercise physiology, osteopathy & other services) | Initial visit - $35.00 Subsequent visit - $22.00 |
| Podiatry | 2 | $200 per person | Initial visit - $33.00 Subsequent visit - $27.00 |
| Psychology* | 2 | $300 per person | Initial visit - $26.00 Subsequent visit - $26.00 |
| Acupuncture | 2 | $300 per person (combined limit for acupuncture, remedial massage & chinese medicine) | Initial visit - $35.00 Subsequent visit - $20.00 |
| Remedial massage | 2 | Initial visit - $35.00 Subsequent visit - $20.00 | |
| Chinese medicine | 2 | Initial visit - $35.00 Subsequent visit - $20.00 | |
| Dietetics/dietary advice | 2 | Combined limit - see Physiotherapy | Initial visit - $40.00 Subsequent visit - $29.00 |
| Exercise physiology | 2 | Combined limit - see Chiropractic | Initial visit - $30.00 Subsequent visit - $25.00 |
| Health management / Healthy lifestyle | 2 | $150 per person up to $300 per policy | Health management - $150.00 |
| Occupational therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $44.00 Subsequent visit - $30.00 |
| Orthotics (podiatric orthoses) | 12 | $120 per person | Orthotics supply & fit - $120.00 |
| Osteopathy | 2 | Combined limit - see Chiropractic | Initial visit - $40.00 Subsequent visit - $32.00 |
| Speech therapy | 2 | Combined limit - see Physiotherapy | Initial visit - $45.00 Subsequent visit - $35.00 |
| Preventative & diagnostic dental have service limits which are not included in the annual limit. Basic fillings, extractions and Occlusal therapy have a combined limit of $400. Endodontic, periodontic & oral surgery have a combined limit of $400. Crowns and bridges have a combined limit of $700. Orthodontic accrues at $400 per calendar year, up to lifetime limit of $1,800 for Orthodontist ($1,500 for General Dentist). Includes mental health services (psychology, HCF-approved counselling, accredited mental health social worker and HCF-approved online cognitive behavioural therapy courses). | |||
| Blood glucose monitors | Hearing aids | Other treatments - check with your insurer |
Range of no-gap services delivered through participating dentists, chiropractors, osteopaths, physiotherapists, podiatrists and optical providers in selected states, depending on level of cover. Includes Health Management Programs to a limit of $150 per person / $300 per family policy. Health Dollars Loyalty Rewards accrue for 4 years up to a max of $150 per person /$300 per family policy, per year. Health Dollars can be used to reduce hospital excess or top up current extras benefits. A higher psychology benefit ($45) may apply after Medicare Mental Health Treatment Plan is used up for the remainder of the calendar year.
In Northern Territory 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.
Cover for unlimited air, land and sea emergency ambulance trips and treatment by paramedics in Australia for services provided by recognised Ambulance Service Providers. Benefits are not payable when covered by another third party or other funding arrangement, such as a State government scheme. See fund rules for more information.
https://www.hcf.com.au/faqs/faqs-cover#what-is-ambulance-cover
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.
For information on what is covered under each category, see https://www.privatehealth.gov.au/categories
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.
These categories are not covered by this policy.