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HCF

TOP ADVANCED HOSPITAL GOLD NIL EXCESS & MULTICOVER

$568.66 / month

(Before Rebate, Discount & Loading)

Available in NT

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: Two adults & dependants (3 or more people, only 2 of whom are adults).

Children (0 - 17), non-classified* dependant (18 - 21) and students (22 - 30), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: Dependent aged 18-21 inclusive

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/J13A/DAHX2D 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

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: No excess

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

Top hospital cover for peace of mind. No excess for accident related treatment, dependants under 25 and same day procedures. Includes involuntary unemployment assistance, 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/J13A/DAHX2D Source: Private Health Information Statement (PHIS)

Extras Cover

This policy includes General treatment (Extras) cover for

Note, for treatments marked with * : A higher psychology benefit ($75) may apply after Medicare Mental Health Treatment Plan is used up for the remainder of the calendar year. Sub-limits may apply. See fund rules for more information.

Treatment & waiting period (months)

Benefit limits per 12 months unless otherwise stated

Examples of maximum benefits

Acupuncture

$200 per person

combined limit for acupuncture & chinese medicine

sub-limits apply

Initial visit: $32
Subsequent visit: $25

Audiology

$500 per person

sub-limits apply

Initial visit: $52
Subsequent visit: $35

Blood glucose monitors*

$500 per person

Per monitor: $150

Chinese medicine

$200 per person

combined limit for acupuncture & chinese medicine

Initial visit: $32
Subsequent visit: $25

Chiropractic*

$375 per person

combined limit for chiropractic, exercise physiology & osteopathy

Initial visit: $35
Subsequent visit: $28

Dietetics/dietary advice

$300 per person

Initial visit: $50
Subsequent visit: $40

Endodontic*

$2,220 per person

combined limit for endodontic, major dental & other services

sub-limits apply

Filling of one root canal: $164

Exercise physiology

$375 per person

combined limit for chiropractic, exercise physiology & osteopathy

Initial visit: $32
Subsequent visit: $30

General dental*

$550 per person

sub-limits apply

Fluoride treatment: $27
Scale & clean: $69
Periodic oral examination: $34

Health management / Healthy lifestyle

$150 per person up to $300 per policy

Health management: $150

Hearing aids*

$600 per person

Hearing aid: $600

Major dental*

$2,220 per person

combined limit for endodontic, major dental & other services

sub-limits apply

Surgical tooth extraction: $182
Full crown veneered: $580

Non PBS pharmaceuticals

$600 per person

Per eligible prescription: $50

Occupational therapy

$500 per person

Initial visit: $62
Subsequent visit: $40

Optical

$220 per person

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

Orthodontic*

$440 per person

$2,640 lifetime limit

Braces for upper & lower teeth, including removal plus fitting of retainer: $440

Osteopathy

$375 per person

combined limit for chiropractic, exercise physiology & osteopathy

Initial visit: $40
Subsequent visit: $30

Physiotherapy*

$600 per person

Initial visit: $46
Subsequent visit: $36

Podiatry

$200 per person

Initial visit: $35
Subsequent visit: $27

Psychology*

$300 per person

Initial visit: $44
Subsequent visit: $44

Remedial massage

$200 per person

Initial visit: $32
Subsequent visit: $25

General dental includes dental check-ups with service limits not in annual limit. Endodontic, periodontic, oral surgery & occlusal treatment - combined limit of $500. Dentures - $800 every 3 yrs. Ortho accrues at $440 per calendar year up to lifetime limit of $2,640 for Orthodontist ($1,000 for General Dentist). Includes mental health services (psychology, HCF-approved counselling, accredited mental health social worker and HCF-approved online cognitive behavioural therapy courses).

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

Ante-natal/Post-natal classes

Eye therapy (orthoptics)

Home nursing

Orthotics (podiatric orthoses)

Speech therapy

Vaccinations

Other features of this general treatment cover: $200 limit per person applies to Audiology. Combined Chiropractic limit increases at $100 per year, up to $1,000. A sublimit of $375 per person applies to chiropractic, osteopathy and exercise physiology. Hearing aid limit increases from $600 to $1,600 based on tenure. Per hearing aid benefit is the total payable for hearing aids. Health Management Program limit of $150pp / $300 per family. Lower benefits apply for physio, chiro & osteo after 11th visit. A higher psychology benefit ($75) may apply after Medicare Mental Health Treatment Plan is used up for the remainder of the calendar year.

Ambulance cover

In NT 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: Cover for unlimited air, land and sea emergency ambulance trips and treatment by paramedics in Australia for services provided by recognised Ambulance Service Providers. Benefits are not payable when covered by another third party or other funding arrangement, such as a State government scheme. See fund rules for more information.

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

Insurer Details

HCF

TOP ADVANCED HOSPITAL GOLD NIL EXCESS & MULTICOVER

$568.66 / month

(Before Rebate, Discount & Loading)

Available in NT

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/J13A/DAHX2D