Private Health Information Statement - Combined policy

Corporate Gold Hospital 250 and Starter Set Extras

Monthly Premium

$840.09 #

(before any rebate, loading or discount)

Covers 2 adults (and no-one else)

Available in Tasmania

# 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.

This is a corporate policy which is only available to employees/members of organisations with arrangements with this health insurer.

Hospital cover

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.

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: 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.

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)
  • 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

All policies include membership to AIA Vitality, the science-backed health and wellbeing program that rewards you for looking after your health. If you have held an AIA Health Insurance policy for a minimum of six months and have an AIA Vitality status of Silver or above, we will refund your Excess in the event that you’re admitted to hospital.

General Treatment Cover

Members can receive 2 x No Gap Dental on selected preventative dental services (excluded from dental limits) & lower treatment costs at smile.com.au dentists. See https://www.aia.com.au/en/products/health-insurance/find-a-provider.

This policy includes General treatment (Extras) cover for

General treatment legend
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental2$500 per person
(combined limit for general dental, major dental & endodontic)
Periodic oral examination - $30.00
Scale & clean - $51.00
Fluoride treatment - $22.00
Major dental12Surgical tooth extraction - $111.00
Full crown veneered - $631.00
Endodontic12Filling of one root canal - $121.00
Optical6$250 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$100 per person
(combined limit for non pbs pharmaceuticals & vaccinations)
Per eligible prescription - $40.00
Physiotherapy2$400 per person
(combined limit for physiotherapy & exercise physiology)
Initial visit - $40.00
Subsequent visit - $30.00
Chiropractic2$300 per person
(combined limit for chiropractic & osteopathy)
Initial visit - $40.00
Subsequent visit - $30.00
Podiatry2$200 per personInitial visit - $40.00
Subsequent visit - $30.00
Psychology2$300 per personInitial visit - $100.00
Subsequent visit - $50.00
Acupuncture2$200 per person
(combined limit for acupuncture & remedial massage)
Initial visit - $35.00
Subsequent visit - $30.00
Remedial massage2Initial visit - $35.00
Subsequent visit - $30.00
Blood glucose monitors12$250 per person
(combined limit for blood glucose monitors & orthotics (podiatric orthoses))
Per monitor - $100.00
Dietetics/dietary advice2$200 per personInitial visit - $40.00
Subsequent visit - $40.00
Exercise physiology2Combined limit - see PhysiotherapyInitial visit - $40.00
Subsequent visit - $30.00
Health management / Healthy lifestyle2$200 per personHealth management - $50.00
Orthotics (podiatric orthoses)12Combined limit - see Blood glucose monitorsOrthotics supply & fit - $100.00
Osteopathy2Combined limit - see ChiropracticInitial visit - $45.00
Subsequent visit - $35.00
Vaccinations2Combined limit - see Non PBS pharmaceuticalsPer service - $40.00
Psychology benefit also includes cover for counselling services. Swimming lessons are covered under this policy. Benefit limit $100 per person, per year. Smoking cessation is covered under this policy. Benefit limit $200 per person, per year.

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

General treatment legend
Hearing aidsOrthodonticOther treatments - check with your insurer

Ambulance cover

Ambulance cover is provided by the State government for residents of Tasmania. This may include cover whilst interstate, except for South Australia and Queensland where no cover applies. In other states please check with Ambulance Tasmania - https://www.health.tas.gov.au/ambulance/fees_and_accounts.

Other features of this ambulance cover

Cover for call-out fees where you're not taken to hospital are limited to 2 x ambulance attendances per insured person, per calendar year.

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.