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AIA Health Insurance Pty Ltd

Corporate Silver Plus Advanced Hospital 750 and 60 Extras

Corporate Policy

$494.32 / 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/JC12/SSCT1Y 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: You will have to pay an excess on admission. This is limited to a maximum of $750 per person and $750 per policy per year.

Excess payments do not apply to hospital admissions for dependants.

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 your Excess in the event that you’re admitted to hospital. Exclusions apply on some clinical categories.

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/JC12/SSCT1Y 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: 60% of charge
Subsequent visit: 60% of charge

Blood glucose monitors

$250 per person

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

Per monitor: 60% of charge

Chiropractic

$300 per person

combined limit for chiropractic & osteopathy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Dietetics/dietary advice

$200 per person

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Endodontic

$1,000 per person

combined limit for endodontic, general dental & major dental

Filling of one root canal: 60% of charge

Exercise physiology

$400 per person

combined limit for exercise physiology & physiotherapy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

General dental

$1,000 per person

combined limit for endodontic, general dental & major dental

Fluoride treatment: 60% of charge
Scale & clean: 60% of charge
Periodic oral examination: 60% of charge

Health management / Healthy lifestyle

$200 per person

Health management: 60% of charge

Major dental

$1,000 per person

combined limit for endodontic, general dental & major dental

Surgical tooth extraction: 60% of charge
Full crown veneered: 60% of charge

Non PBS pharmaceuticals

$100 per person

combined limit for non pbs pharmaceuticals & vaccinations

Per eligible prescription: 60% of charge

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: 60% of charge

Osteopathy

$300 per person

combined limit for chiropractic & osteopathy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Physiotherapy

$400 per person

combined limit for exercise physiology & physiotherapy

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Podiatry

$200 per person

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Psychology

$300 per person

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Remedial massage

$200 per person

combined limit for acupuncture & remedial massage

Initial visit: 60% of charge
Subsequent visit: 60% of charge

Vaccinations

$100 per person

combined limit for non pbs pharmaceuticals & vaccinations

Per service: 60% of charge

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

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

Other features of this general treatment cover: A Corporate Extras Bonus of $200 per person per calendar year applies when you reach and maintain an AIA Vitality Silver status or higher. A Family Limit of $200 applies for a Single Parent policy and $400 for a Family policy.

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 750 and 60 Extras

Corporate Policy

$494.32 / 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/JC12/SSCT1Y