Private Hospital Cover | Annual Benefit limits^
|
---|---|
Standalone benefits | |
Surgical Benefit | $300,000 Includes oral surgery, mohs surgery and varicose vein treatment Includes extraction of unerupted or impacted teeth after a 12-month waiting period |
Non-Surgical Benefit | $200,000 |
Included under standalone benefits | |
Cancer Treatment | In Hospital: up to Non-Surgical Benefit At Home: up to $10,000 |
Non-PHARMAC Cancer Treatment | $10,000 |
Follow-up Investigations for Cancer Benefit | $3,000 |
Specialist Consultations | Up to Surgical/Non-Surgical Benefit Must relate to and be within 6 months before and after being admitted to private hospital for surgery or treatment |
Diagnostics Tests | Up to Surgical/Non-Surgical Benefit Must relate to and be within 6 months before and after being admitted to private hospital for surgery or treatment |
CT, MRI and PET Scan Benefit | N/A |
Physiotherapy Benefit | $750 Must relate to and be within 6 months after hospital discharge Must have a referral from the specialist who treated you while you were in the hospital |
Therapeutic Care Benefit | $250 Must relate to and be within 6 months after hospital discharge |
Home Care Benefit | $150/ day, $6,000 per year Must relate to and be within 6 months after hospital discharge |
Ambulance Transfer Benefit | Up to Surgical/Non-Surgical limit From public/private to closest private hospital |
Travel and Accommodation Benefit | Accommodation Up to $300 per night Travel Surgery/ medical treatment: Up to $3,000 Cancer treatment: Up to the Surgical/Non-Surgical Benefit |
Parent Accommodation Benefit | $200 per night, up to $3,000 |
High-Risk Pregnancy Benefit | N/A |
Pre-existing cover for newborns | Pre-existing conditions (except congenital conditions) are covered when a child is added within 4 months of birth General exclusions apply |
GP Surgery Benefit | N/A |
Skin lesion Surgery Benefit | $6,000 Surgery as well as related biopsies by a specialist or other health professional |
Eye injections Benefit | N/A |
ACC Top Up Benefit | Up to Surgical /Non-Surgical Benefit |
ACC Treatment Injury Benefit | Up to Surgical/Non-Surgical Benefit |
Waiver of Premium Benefit | N/A |
Loyalty – Suspending your cover Benefit | Unemployment, redundancy, parental leave, or overseas travel or residence After 1-year continuous cover |
Loyalty – Sterilisation Benefit | N/A |
Pre-existing Conditions | Pre-existing conditions covered after 3 years of continuous cover Cardiovascular, cancer, hip or knee, back, transplant surgery and reconstructive or reparative surgery will never be covered Permanent exclusion doesn’t apply to cancer if it is pre-malignant and has been appropriately treated by a GP or specialist who is suitably qualified to carry out that treatment |