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GU Health

Cl Inpatriate Silver Plus Hospital And Cl Ancillary Boost Benefits (Family)

Corporate Policy

$610.20 / month

(Before Rebate, Discount & Loading)

Available in All States

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 - 20) and students (21 - 24), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: For GUHealthPolicies means a person who is not a Policy Holder or Partner and who: is aged under 21 years of age; is not married and does not have a defacto Partner; and includes a Foster Child, legally adopted child or stepchild.

Corporate policy: Overseas resident and employees/members of organisations with arrangements with this health insurer.

Policy ID: FAI/J6/AAKV2D

Source: Private Health Information Statement (PHIS)

Hospital Cover

  • This policy exempts you from the Medicare Levy Surcharge.
  • This policy does not provide accident cover.
  • This policy does not provide benefits for travel or accommodation outside of hospital.
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)
Pregnancy and birth
Rehabilitation
Skin
Sleep studies
Tonsils, adenoids and grommets
Weight loss surgery
This policy does not include cover for
Assisted reproductive services

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: 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

Home support services and programs: This program provides you to leave hospital early so you can recover in the comfort of your own home, and provides experienced medical professionals to deliver the assistance you need while you need it.

For further information about this policy see: https://www.guhealth.com.au/

Extras Cover

This health insurer does not operate a preferred provider scheme.

This policy includes General treatment (Extras) cover for

Treatment & waiting period (months)
Benefit limits per 12 months unless otherwise stated
Examples of maximum benefits
Blood glucose monitors 0

No annual limit

  • Per monitor: 100% of charge
Chiropractic 0

No annual limit

  • Initial visit: 100% of charge
  • Subsequent visit: 100% of charge
Endodontic 0

$1,500 per person

combined limit for endodontic, major dental & orthodontic

  • Filling of one root canal: 80% of charge
General dental 0

$2,000 per policy

  • Fluoride treatment: 80% of charge
  • Scale & clean: 80% of charge
  • Surgical tooth extraction: 80% of charge
  • Periodic oral examination: 80% of charge
Major dental 0

$1,500 per person

combined limit for endodontic, major dental & orthodontic

  • Full crown veneered: 80% of charge
Non PBS pharmaceuticals* 0

No annual limit

  • Per eligible prescription: 100% of charge
Optical 0

$300 per person

  • Multi-focal lenses & frames: 80% of charge
  • Single vision lenses & frames: 80% of charge
Orthodontic 0

$1,500 per person

$1,500 lifetime limit

combined limit for endodontic, major dental & orthodontic

  • Braces for upper & lower teeth, including removal plus fitting of retainer: 80% of charge
Physiotherapy 0

No annual limit

  • Initial visit: 100% of charge
  • Subsequent visit: 100% of charge
Psychology 0

No annual limit

  • Initial visit: 100% of charge
  • Subsequent visit: 100% of charge
Blood glucose monitors

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Per monitor: 100% of charge}

Chiropractic

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Initial visit: 100% of charge}

{Subsequent visit: 100% of charge}

Endodontic

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{combined limit for endodontic, major dental & orthodontic}

Examples of maximum benefits

{Filling of one root canal: 80% of charge}

General dental

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$2,000 per policy}

Examples of maximum benefits

{Fluoride treatment: 80% of charge}

{Scale & clean: 80% of charge}

{Surgical tooth extraction: 80% of charge}

{Periodic oral examination: 80% of charge}

Major dental

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{combined limit for endodontic, major dental & orthodontic}

Examples of maximum benefits

{Full crown veneered: 80% of charge}

Non PBS pharmaceuticals*

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Per eligible prescription: 100% of charge}

Optical

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$300 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 80% of charge}

{Single vision lenses & frames: 80% of charge}

Orthodontic

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{$1,500 per person}

{$1,500 lifetime limit}

{combined limit for endodontic, major dental & orthodontic}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 80% of charge}

Physiotherapy

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Initial visit: 100% of charge}

{Subsequent visit: 100% of charge}

Psychology

Waiting period:  0 month

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Initial visit: 100% of charge}

{Subsequent visit: 100% of charge}

This policy does not include General treatment (Extras) cover for
Acupuncture
Ante-natal/Post-natal classes
Audiology
Chinese medicine
Dietetics/dietary advice
Exercise physiology
Eye therapy (orthoptics)
Health management / Healthy lifestyle
Hearing aids
Home nursing
Occupational therapy
Orthotics (podiatric orthoses)
Osteopathy
Podiatry
Remedial massage
Speech therapy
Vaccinations

Other features of this general treatment cover: Orthodontic has a limit of $1500 per course of treatment.

For further information about this policy see: https://www.guhealth.com.au/

Ambulance cover

In all states this policy provides:

Emergency: Unlimited with no waiting period.

State schemes provide ambulance services for residents of Tasmania (https://www.health.tas.gov.au/ambulance/fees_and_accounts) and Queensland (https://www.ambulance.qld.gov.au).

For further information about this policy see: https://www.guhealth.com.au/forms-and-publications/fact-sheets

Insurer Details

GU Health

Cl Inpatriate Silver Plus Hospital And Cl Ancillary Boost Benefits (Family)

Corporate Policy

$610.20 / month

(Before Rebate, Discount & Loading)

Available in All States

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/FAI/J6/AAKV2D

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