Private Health Information Statement - Combined policy

Silver Plus Standard Hospital $250 Excess and Smart Extras

RT Health - a division of The Hospitals Contribution Fund

Monthly Premium

$325.06 #

(before any rebate, loading or discount)

Covers one adult & dependants (2 or more people, only one of whom is an adult)

Available in Northern Territory

# 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 covers children and other dependants up to and including the age of 21, students up to and including the age of 30, as well as persons with a disability who qualify as a child or other dependant or student in these age ranges.

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
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 devicesRehabilitation
Chemotherapy, radiotherapy and immunotherapy for cancerJoint reconstructionsSkin
Dental surgeryKidney and bladderSleep studies
Diabetes management (excluding insulin pumps)Lung and chestTonsils, adenoids and grommets
Digestive systemMale reproductive systemHospital psychiatric services
Ear, nose and throatMiscarriage and termination of pregnancy
Eye (not cataracts)Pain management

This policy does not include cover for

Hospital Cover Legend
Assisted reproductive servicesInsulin pumpsWeight loss surgery
CataractsJoint replacements
Dialysis for chronic kidney failurePregnancy and birth

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
  • 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

$100 cap for day admissions. No excess for dependents under the age of 22.

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 *: 100% back on a range of no-gap services through our More for program, and no-gap network providers, subject to your cover, waiting periods and annual & membership limits. Find out more: https://www.rthealth.com.au/health-services/find-a-dental-clinic and https://www.rthealth.com.au/health-services/find-an-optical-provider.
TreatmentWaiting period (months)Benefit limits (per 12 months unless otherwise stated)Examples of maximum benefits
General dental*2$1,000 per person up to $2,000 per policyPeriodic oral examination - $35.00
Scale & clean - $64.00
Fluoride treatment - $44.00
Surgical tooth extraction - $171.00
Major dental12$1,200 per person up to $2,400 per policy
(combined limit for major dental & endodontic)
Full crown veneered - $660.00
Endodontic12Filling of one root canal - $174.00
Optical*2$250 per personSingle vision lenses & frames - 100% of charge
Multi-focal lenses & frames - 100% of charge
Non PBS pharmaceuticals2$500 per person up to $1,000 per policyPer eligible prescription - $60.00
Physiotherapy2$450 per person up to $900 per policyInitial visit - $50.00
Subsequent visit - $45.00
Chiropractic2$400 per person up to $800 per policy
(combined limit for chiropractic, osteopathy & other services)
Initial visit - $43.00
Subsequent visit - $33.00
Podiatry2$400 per person up to $800 per policyInitial visit - $40.00
Subsequent visit - $35.00
Psychology2$400 per person up to $800 per policy
(combined limit for psychology & other services)
Initial visit - $70.00
Subsequent visit - $55.00
Acupuncture2$500 per person up to $1,000 per policy
(combined limit for acupuncture, remedial massage, chinese medicine, exercise physiology & other services)
Initial visit - $33.00
Subsequent visit - $28.00
Remedial massage2Initial visit - $35.00
Subsequent visit - $35.00
Hearing aids24$900 per person
2 service(s) every 3 years
(Sub-limits apply)
Hearing aid - $450.00
Blood glucose monitors12$480 per person
(combined limit for blood glucose monitors & other services - Sub-limits apply)
Per monitor - 80% of charge
Audiology2$120 per person up to $240 per policyInitial visit - $60.00
Subsequent visit - $60.00
Ante-natal/Post-natal classes2$200 per person up to $220 per policyInitial visit - $20.00
Subsequent visit - $20.00
Chinese medicine2Combined limit - see AcupunctureInitial visit - $25.00
Subsequent visit - $20.00
Dietetics/dietary advice2$400 per person up to $800 per policyInitial visit - $45.00
Subsequent visit - $45.00
Exercise physiology2Combined limit - see AcupunctureInitial visit - $30.00
Subsequent visit - $30.00
Eye therapy (orthoptics)2$500 per person up to $1,000 per policyInitial visit - $35.00
Subsequent visit - $30.00
Health management / Healthy lifestyle2$150 per person up to $300 per policyHealth management - 100% of charge
Home nursing2$450 per person up to $900 per policyInitial visit - $20.00
Subsequent visit - $20.00
Occupational therapy2$400 per person up to $800 per policyInitial visit - $50.00
Subsequent visit - $43.00
Orthotics (podiatric orthoses)12$200 per person up to $280 per policyOrthotics supply & fit - 100% of charge
Osteopathy2Combined limit - see ChiropracticInitial visit - $47.00
Subsequent visit - $35.00
Speech therapy2$400 per person up to $800 per policyInitial visit - $55.00
Subsequent visit - $45.00
Vaccinations2$150 per personPer service - $50.00
RT Health members pay no gap on a range of popular dental and optical services through HCF Dental or Optical Centres and the More for provider network. Includes mental health services (psychology, approved counselling, mental health social worker and OCBT courses). Health aids include blood pressure monitors, CPAP machines & masks, tens machines, wheelchairs, wigs (conditions apply). Annual, membership, service and sub limits apply.

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

General treatment legend
OrthodonticOther treatments - check with your insurer

Other features of this general treatment cover

Health management / Healthy lifestyle includes benefits towards gym membership and Tai Chi, Yoga & Pilates. Combined limit is $150 per person, $300 per membership per calendar year. For more details contact our member care team on 1300 886 123 or visit rthealthfund.com.au.

Ambulance cover

In Northern Territory this policy provides:

Emergency: with a waiting period of 1 day, limited to $5,000 per person per year.

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

Other features of this ambulance cover

Up to $5,000 per person per year for emergency ambulance attendance or transportation in the case of accident or illness. Cover applies anywhere in Australia. You can also purchase additional ambulance cover through a state government ambulance service.

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.