Private and Public Hospitals
You are covered in your choice of participating private or public hospitals Australia-wide. This includes 100% cover for the following in-hospital services:
- Same-day and overnight accommodation
- Operating theatre, labour ward and special unit care
- All prescriptions covered by the Government Pharmaceutical Benefits Scheme prescribed and used in hospital for treatment directly related to the hospital admission
- An extensive range of Government-recognised surgically implanted prostheses.
Restrictions may apply for procedures such as cosmetic surgery (please contact us for more information).
We recommend that you contact us prior to your admission to ensure that you receive the highest possible benefits and avoid any unexpected gaps. Participating private hospitals are hospitals which have an agreement with Health Partners. This ensures you receive quality benefits and services at most hospitals Australia-wide. For more information, contact us.
Additional Benefits
- Home nursing benefits up to $50 per person per day — $500 limit
- 100% for all discharge pharmaceutical prescriptions approved by the fund for benefits up to $500
- Other benefits for certain hospital-based services not requiring hospitalisation such as education classes and outpatient services
- 75% of the fee charged for mammary prostheses and prosthetic bras and wigs — $500 limit
- 75% of fee charged on purchase or hire of recovery aids such as compression garments, braces and casts — $250 limit.
What you are not covered for
- benefits towards pregnancy and birth-related procedures, assisted reproductive services, joint replacement and dialysis for chronic kidney failure
- benefits towards medical fees charged in excess of the Medicare Scheduled Fee unless your doctor is participating in Access Gap Cover
- benefits towards any emergency and non-emergency ambulance transport
- benefits where the medical service is NOT rendered to an in-patient of an approved hospital (eg X-ray in doctor’s rooms, unregistered day facilities, MRI services, emergency department facilities).
Restrictions
For cosmetic surgery, laser eye surgery, sterilisation reversal and any other admission where a Medicare rebate does not apply to the treatment procedure, restricted benefits apply which may result in large out-of-pocket expenses. Benefits paid are in accordance with the Federal Government default payment schedule.
Members who have been in hospital for more than 35 days and have been reclassified as Nursing Home Type Patients are required by law to make a significant contribution to hospital charges.
Your Options
Bronze Hospital 500: Top hospital accommodation with a $500 excess and $50 per day co-payment.
The excess stated is limited to once per year per person, commencing on the first day of any admission to hospital.
Refer to Excess and Co-payment summary here for further information.
Standard Information Statements
To view a Standard Information Statement (SIS) for Bronze Hospital please visit privatehealth.gov.au. For more information on the SIS please click here.
Rates
For a list of rates click here. |