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AIA Health Insurance Pty Ltd

Corporate Silver Plus Advanced Hospital 0 and Starter Set Extras

Corporate Policy

$570.76 / 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, an Age-based Discount or an insurer discount. Check with your insurer for details.

This policy covers: One adult & dependants, including non-student dependants (2 or more people, only one of whom is an adult).

Children (0 - 17), students (18 - 24) and non-students (18 to 24), as well as persons with a disability who qualify as a child, student and non-student in these age ranges.

Corporate policy: This is a corporate policy which is only available to employees/members of organisations with arrangements with this health insurer.

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: MYO/JC11/SUOH1Y 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)

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)

Rehabilitation

Skin

Sleep studies

Tonsils, adenoids and grommets

This policy does not include cover for

Assisted reproductive services

Pregnancy and birth

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
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

Also provides access to AIA Vitality, where you can earn rewards for leading a healthy lifestyle! https://www.aiavitality.com.au

Members can receive 2 x No Gap Dental on selected preventative dental services (excluded from dental limits) & lower treatment costs at smile.com.au dentists. See https://www.aia.com.au/en/products/health-insurance/find-a-provider.

Policy ID: MYO/JC11/SUOH1Y 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

$200 per person

combined limit for acupuncture & remedial massage

Initial visit: $35
Subsequent visit: $30

Blood glucose monitors

$250 per person

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

Per monitor: $100

Chiropractic

$300 per person

combined limit for chiropractic & osteopathy

Initial visit: $40
Subsequent visit: $30

Dietetics/dietary advice

$200 per person

Initial visit: $40
Subsequent visit: $40

Endodontic

$500 per person

combined limit for endodontic, general dental & major dental

Filling of one root canal: $121

Exercise physiology

$400 per person

combined limit for exercise physiology & physiotherapy

Initial visit: $40
Subsequent visit: $30

General dental

$500 per person

combined limit for endodontic, general dental & major dental

Fluoride treatment: $22
Scale & clean: $51
Periodic oral examination: $30

Health management / Healthy lifestyle

$200 per person

Health management: $50

Major dental

$500 per person

combined limit for endodontic, general dental & major dental

Surgical tooth extraction: $111
Full crown veneered: $631

Non PBS pharmaceuticals

$100 per person

combined limit for non pbs pharmaceuticals & vaccinations

Per eligible prescription: $40

Optical

$250 per person

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

Orthotics (podiatric orthoses)

$250 per person

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

Orthotics supply & fit: $100

Osteopathy

$300 per person

combined limit for chiropractic & osteopathy

Initial visit: $45
Subsequent visit: $35

Physiotherapy

$400 per person

combined limit for exercise physiology & physiotherapy

Initial visit: $40
Subsequent visit: $30

Podiatry

$200 per person

Initial visit: $40
Subsequent visit: $30

Psychology

$300 per person

Initial visit: $100
Subsequent visit: $50

Remedial massage

$200 per person

combined limit for acupuncture & remedial massage

Initial visit: $35
Subsequent visit: $30

Vaccinations

$100 per person

combined limit for non pbs pharmaceuticals & vaccinations

Per service: $40

Psychology benefit also includes cover for counselling services. Swimming lessons are covered under this policy. Benefit limit $100 per person, per year. Smoking cessation is covered under this policy. Benefit limit $200 per person, per year.

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

Ante-natal/Post-natal classes

Audiology

Chinese medicine

Eye therapy (orthoptics)

Hearing aids

Home nursing

Occupational therapy

Orthodontic

Speech therapy

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: 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

Corporate Silver Plus Advanced Hospital 0 and Starter Set Extras

Corporate Policy

$570.76 / month

(Before Rebate, Discount & Loading)

Available in SA

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/JC11/SUOH1Y