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AIA Health Insurance Pty Ltd

Silver Hospital 500 and Better Set Extras

$251.36 / month

(Before Rebate, Discount & Loading)

Available in VIC

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include a Lifetime Health Cover Loading, an Age-based Discount 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 does not provide benefits for travel or accommodation outside of hospital.

Policy ID: MYO/J26A/VMDP10 Source: Private Health Information Statement (PHIS)

Hospital Cover

Covered

Restricted Cover

Not Covered

This policy includes cover for

Back, neck and spine

Blood

Bone, joint and muscle

Brain and nervous system

Breast surgery (medically necessary)

Chemotherapy, radiotherapy and immunotherapy for cancer

Dental surgery

Diabetes management (excluding insulin pumps)

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

Joint reconstructions

Kidney and bladder

Lung and chest

Male reproductive system

Miscarriage and termination of pregnancy

Pain management

Palliative care

Plastic and reconstructive surgery (medically necessary)

Podiatric surgery (provided by a registered podiatric surgeon)

Rehabilitation

Skin

Tonsils, adenoids and grommets

This policy does not include cover for

Assisted reproductive services

Cataracts

Dialysis for chronic kidney failure

Insulin pumps

Joint replacements

Pain management with device

Pregnancy and birth

Sleep studies

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 $500 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 (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

All policies include membership to AIA Vitality, the science-backed health and wellbeing program that rewards you for looking after your health. If you have held an AIA Health Insurance policy for a minimum of six months and have an AIA Vitality status of Silver or above, we will refund $250 of your excess (Excess Refund) in the event that you’re admitted to hospital.

Members can receive up to 60% back on dental services, No Gap Dental on selected preventative dental services & lower treatment costs at smile.com.au dentists. See https://www.aia.com.au/en/products/health-insurance/find-a-provider.

Policy ID: MYO/J26A/VMDP10 Source: Private Health Information Statement (PHIS)

Extras Cover

This policy includes General treatment (Extras) cover for

Treatment & waiting period (months)

Benefit limits per 12 months unless otherwise stated

Examples of maximum benefits

Acupuncture

$150 per policy

Initial visit: $35
Subsequent visit: $30

Audiology

$120 per policy

Initial visit: $70
Subsequent visit: $70

Blood glucose monitors

$250 per policy

combined limit for blood glucose monitors & orthotics (podiatric orthoses)

Per monitor: $100

Chiropractic

$450 per policy

combined limit for chiropractic & osteopathy

Initial visit: $40
Subsequent visit: $30

Dietetics/dietary advice

$200 per policy

combined limit for dietetics/dietary advice & health management / healthy lifestyle

Initial visit: $40
Subsequent visit: $40

Endodontic

$700 per policy

combined limit for endodontic & major dental

Filling of one root canal: $140

Exercise physiology

$450 per policy

combined limit for exercise physiology & physiotherapy

Initial visit: $40
Subsequent visit: $30

General dental

$700 per policy

Fluoride treatment: $25
Scale & clean: $61.2
Periodic oral examination: $35

Health management / Healthy lifestyle

$200 per policy

combined limit for dietetics/dietary advice & health management / healthy lifestyle

Health management: $40

Hearing aids

$300 per policy

Hearing aid: $200

Major dental

$700 per policy

combined limit for endodontic & major dental

Surgical tooth extraction: $150
Full crown veneered: $630

Non PBS pharmaceuticals

$350 per policy

Per eligible prescription: $40

Optical

$200 per policy

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

Orthodontic

$600 per policy

$2,400 lifetime limit

Braces for upper & lower teeth, including removal plus fitting of retainer: $600

Orthotics (podiatric orthoses)

$250 per policy

combined limit for blood glucose monitors & orthotics (podiatric orthoses)

Orthotics supply & fit: $45

Osteopathy

$450 per policy

combined limit for chiropractic & osteopathy

Initial visit: $45
Subsequent visit: $35

Physiotherapy

$450 per policy

combined limit for exercise physiology & physiotherapy

Initial visit: $40
Subsequent visit: $30

Podiatry

$200 per policy

Initial visit: $40
Subsequent visit: $30

Psychology

$300 per policy

Initial visit: $100
Subsequent visit: $50

Remedial massage

$150 per policy

Initial visit: $35
Subsequent visit: $30

Health Checks such as mammograms, bowel cancer testing kit, prostate cancer checks and skin cancer checks are also covered under this policy. $50 per health check, per person, up to the annual limit of $100. Swimming Lessons are also covered under this policy, $50 per swimming lesson, per person, up to the annual limit of $100. Psychology benefit includes counselling services.

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

Ante-natal/Post-natal classes

Chinese medicine

Eye therapy (orthoptics)

Home nursing

Occupational therapy

Speech therapy

Vaccinations

Ambulance cover

In VIC 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 call-out fees where you're not taken to hospital are limited to 2 x ambulance attendances per insured person, per calendar year.

Insurer Details

AIA Health Insurance Pty Ltd

Silver Hospital 500 and Better Set Extras

$251.36 / month

(Before Rebate, Discount & Loading)

Available in VIC

Call now 1800333004 Sponsor link

AIA Health Insurance Pty Ltd

http://www.aia.com.au/health

Health.MemberServices@aia.com.au

1800333004

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/MYO/J26A/VMDP10