GU Health

Pricepoint Silver Plus Hospital $250 Excess & Athletes Choice

Name: Pricepoint Silver Plus Hospital $250 Excess & Athletes Choice
Brand: GU Health
Price: 412.5 AUD

Corporate Policy

$412.50 / month

(Before Rebate, Discount & Loading)

Available in QLD

1800 249 966 Sponsor link

Go to site Sponsor link

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: Only one person.

Corporate policy: Employees/Members of organisations with arrangements with this health

Policy ID: FAI/J9/Q0250S

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)

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

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

Weight loss surgery

This policy does not include cover for

Assisted reproductive services

Cataracts

Joint replacements

Pregnancy and birth

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 of $250 per admission. This is limited to a maximum of $250 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

Home support services and programs: This program allows you to leave hospital early and continue to receive expert in-home care, so you can recover in the comfort of your own home

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

Acupuncture 0

$500 per policy

combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services

Initial visit: $25
Subsequent visit: $25

Ante-natal/Post-natal classes 0

$750 per policy

combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services

Initial visit: $25
Subsequent visit: $25

Blood glucose monitors 12

$500 per policy

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

Per monitor: 80% of charge

Chinese medicine 0

$500 per policy

combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services

Initial visit: $25
Subsequent visit: $25

Chiropractic 0

$750 per policy

combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services

Initial visit: $25
Subsequent visit: $25

Dietetics/dietary advice 0

$500 per policy

combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services

Initial visit: $25
Subsequent visit: $25

Endodontic 12

$1,200 per policy

combined limit for endodontic, general dental, major dental & other services

Filling of one root canal: $120

General dental 0

$1,200 per policy

combined limit for endodontic, general dental, major dental & other services

Fluoride treatment: $30
Scale & clean: $30
Surgical tooth extraction: $30
Periodic oral examination: $30

Major dental 12

$1,200 per policy

combined limit for endodontic, general dental, major dental & other services

Full crown veneered: $650

Non PBS pharmaceuticals* 0

$500 per policy

Per eligible prescription: 80% of charge

Optical 0

$200 per policy

Multi-focal lenses & frames: $200
Single vision lenses & frames: $200

Orthotics (podiatric orthoses) 12

$500 per policy

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

Orthotics supply & fit: 80% of charge

Osteopathy 0

$750 per policy

combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services

Initial visit: $25
Subsequent visit: $25

Physiotherapy 0

$750 per policy

combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services

Initial visit: $25
Subsequent visit: $25

Podiatry 0

$750 per policy

combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services

Initial visit: $25
Subsequent visit: $25

Psychology 0

$500 per policy

combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services

Initial visit: $30
Subsequent visit: $30

Remedial massage 0

$500 per policy

combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services

Initial visit: $25
Subsequent visit: $25

Vaccinations 0

$200 per policy

Per service: 100% of charge

Acupuncture

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Ante-natal/Post-natal classes

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

{combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Blood glucose monitors

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services}

Examples of maximum benefits

{Per monitor: 80% of charge}

Chinese medicine

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Chiropractic

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

{combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Dietetics/dietary advice

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Endodontic

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for endodontic, general dental, major dental & other services}

Examples of maximum benefits

{Filling of one root canal: $120}

General dental

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for endodontic, general dental, major dental & other services}

Examples of maximum benefits

{Fluoride treatment: $30}

{Scale & clean: $30}

{Surgical tooth extraction: $30}

{Periodic oral examination: $30}

Major dental

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$1,200 per policy}

{combined limit for endodontic, general dental, major dental & other services}

Examples of maximum benefits

{Full crown veneered: $650}

Non PBS pharmaceuticals*

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

Examples of maximum benefits

{Per eligible prescription: 80% of charge}

Optical

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Multi-focal lenses & frames: $200}

{Single vision lenses & frames: $200}

Orthotics (podiatric orthoses)

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for blood glucose monitors, orthotics (podiatric orthoses) & other services}

Examples of maximum benefits

{Orthotics supply & fit: 80% of charge}

Osteopathy

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

{combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Physiotherapy

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

{combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Podiatry

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$750 per policy}

{combined limit for ante-natal/post-natal classes, chiropractic, osteopathy, physiotherapy, podiatry & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Psychology

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $30}

{Subsequent visit: $30}

Remedial massage

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$500 per policy}

{combined limit for acupuncture, chinese medicine, dietetics/dietary advice, psychology, remedial massage & other services}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Vaccinations

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$200 per policy}

Examples of maximum benefits

{Per service: 100% of charge}

Vitamins and natural health supplements maximum yearly limit of $150 for a single membership$200 for a family membership.

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

Audiology

Exercise physiology

Eye therapy (orthoptics)

Health management / Healthy lifestyle

Hearing aids

Home nursing

Occupational therapy

Orthodontic

Speech therapy

Other features of this general treatment cover: GU Health specialises in corporate health cover, providing superior health plans with executive benefits. Enjoy generous benefits on a range of services including general dental, physiotherapy, chiropractic, remedial massage, vaccinations.

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

Ambulance cover

Ambulance cover is provided by the State government for Queensland residents (https://www.ambulance.qld.gov.au). This includes cover whilst interstate.

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

Insurer Details

GU Health

Pricepoint Silver Plus Hospital $250 Excess & Athletes Choice

Corporate Policy

$412.50 / month

(Before Rebate, Discount & Loading)

Available in QLD

1800 249 966 Sponsor link

Go to site Sponsor link

GU Health

http://www.guhealth.com.au

corporate@guhealth.com.au

1800 249 966

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/J9/Q0250S

Pricepoint Silver Plus Hospital $250 Excess & Athletes Choice

Policy ID: FAI/J9/Q0250S

Hospital Cover

Extras Cover

Ambulance cover

Insurer Details

GU Health

Policies change monthly, stay informed