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HCF

Healthmate Starter Silver Plus

$246.80 / month

(Before Rebate, Discount & Loading)

Available in SA

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: Only one person.

This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover - check with insurer for details.
This policy provides benefits for travel or accommodation outside of hospital - check with insurer for details.

Policy ID: HCF/J11/SAFK10 Source: Private Health Information Statement (PHIS)

Hospital Cover

Covered

Restricted Cover

Not Covered

This policy includes cover for

Assisted reproductive services

Back, neck and spine

Blood

Bone, joint and muscle

Brain and nervous system

Breast surgery (medically necessary)

Cataracts

Chemotherapy, radiotherapy and immunotherapy for cancer

Dental surgery

Diabetes management (excluding insulin pumps)

Dialysis for chronic kidney failure

Digestive system

Ear, nose and throat

Eye (not cataracts)

Gastrointestinal endoscopy

Gynaecology

Heart and vascular system

Hernia and appendix

Hospital psychiatric services

Implantation of hearing devices

Insulin pumps

Joint reconstructions

Joint replacements

Kidney and bladder

Lung and chest

Male reproductive system

Miscarriage and termination of pregnancy

Pain management

Pain management with device

Palliative care

Plastic and reconstructive surgery (medically necessary)

Podiatric surgery (provided by a registered podiatric surgeon)

Pregnancy and birth

Rehabilitation

Skin

Sleep studies

Tonsils, adenoids and grommets

This policy does not include cover for

Weight loss surgery

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 $250 per policy per year.

Excess payments do not apply to hospital admissions for accidents.

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 (https://www.health.gov.au/resources/apps-and-tools/medical-costs-finder) lets you find out more about the cost of specialist medical services.

Other features of this hospital cover

Comprehensive hospital cover packaged with extras. No excess for accident related treatment and dependants under 25. Includes travel and accommodation benefits for hospital admission 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.

Policy ID: HCF/J11/SAFK10 Source: Private Health Information Statement (PHIS)

Extras Cover

This policy includes General treatment (Extras) cover for

Note, for treatments marked with * : Includes 100% back on 2 dental check-ups, and 100% back on an initial physio, chiro, osteo and podiatry consult, at participating providers and subject to annual limits.

Treatment & waiting period (months)

Benefit limits per 12 months unless otherwise stated

Examples of maximum benefits

Acupuncture

$250 per policy

combined limit for acupuncture, chinese medicine & remedial massage

sub-limits apply

Initial visit: $35
Subsequent visit: $20

Chinese medicine

$250 per policy

combined limit for acupuncture, chinese medicine & remedial massage

Initial visit: $35
Subsequent visit: $20

Chiropractic*

$330 per policy

combined limit for chiropractic & osteopathy

sub-limits apply

Initial visit: $35
Subsequent visit: $22

Dietetics/dietary advice

$500 per policy

combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, physiotherapy & speech therapy

Initial visit: $35
Subsequent visit: $25

Eye therapy (orthoptics)

$500 per policy

combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, physiotherapy & speech therapy

Initial visit: $35
Subsequent visit: $20

General dental*

$400 per policy

sub-limits apply

Fluoride treatment: $27
Scale & clean: $57
Periodic oral examination: $30

Health management / Healthy lifestyle

$100 per policy

Health management: $100

Major dental

No annual limit

Surgical tooth extraction: $156

Occupational therapy

$500 per policy

combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, physiotherapy & speech therapy

Initial visit: $40
Subsequent visit: $28

Optical

$180 per policy

Multi-focal lenses & frames: 100% of charge
Single vision lenses & frames: 100% of charge

Osteopathy*

$330 per policy

combined limit for chiropractic & osteopathy

Initial visit: $35
Subsequent visit: $28

Physiotherapy*

$500 per policy

combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, physiotherapy & speech therapy

sub-limits apply

Initial visit: $35
Subsequent visit: $25

Podiatry*

$150 per policy

sub-limits apply

Initial visit: $25
Subsequent visit: $20

Remedial massage

$250 per policy

combined limit for acupuncture, chinese medicine & remedial massage

sub-limits apply

Initial visit: $35
Subsequent visit: $20

Speech therapy

$500 per policy

combined limit for dietetics/dietary advice, eye therapy (orthoptics), occupational therapy, physiotherapy & speech therapy

Initial visit: $40
Subsequent visit: $29

Vaccinations

$100 per policy

Per service: $50

$400 combined limit per person per year ($800 per policy) for General dental includes Extractions, Basic Restoration and other restoration services and some general and some miscellaneous services. Vaccinations covers travel vaccines on HCFs approved pharmacy list only. Lower benefits apply for some services after the 15th visit. HCF-approved Online Cognitive Behavioural Therapy courses with a separate annual limit per person/ per policy.

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

Ante-natal/Post-natal classes

Audiology

Blood glucose monitors

Endodontic

Exercise physiology

Hearing aids

Home nursing

Non PBS pharmaceuticals

Orthodontic

Orthotics (podiatric orthoses)

Psychology

Other features of this general treatment cover: Health Dollars Loyalty Rewards accrue for 4 years up to a max of $100 per person /$200 per family policy, per year. These can be used to reduce hospital excess or top up current extras benefits

Ambulance cover

In SA 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.

Other features of this ambulance cover: If you are a resident of SA and you don't have an ambulance subscription with your state ambulance service and aren't offered cover under another arrangement, you have unlimited emergency ambulance services provided by state Ambulance Service Providers.

For further information about this policy see: https://www.hcf.com.au/faqs/faqs-cover#what-is-ambulance-cover

Insurer Details

HCF

Healthmate Starter Silver Plus

$246.80 / month

(Before Rebate, Discount & Loading)

Available in SA

Call now 13 13 34 Sponsor link

HCF

http://www.hcf.com.au

service@hcf.com.au

13 13 34

Disclaimer: This document is not a Private Health Information Statement (PHIS), and it is not intended to replace that document. The details contained in the healthslips.com.au Policy Information was provided by the insurer to the Australian Government. It is intended as general information. It may not take into account your circumstances. For further information contact the insurer. Information used is Licensed from the Commonwealth of Australia under a Creative Commons 3.0 licence.Private Health Information Statement is available from the Private Health Insurance Ombudsman website at https://privatehealth.gov.au/dynamic/Premium/PHIS/HCF/J11/SAFK10