| |
ADF Top
Hospital
|
ADF Public
Hospital1
|
| Your choice of doctor |
|
|
| Your choice of hospital |
|
|
| Premium able to be reduced by agreeing to pay an excess |
|
|
| Hospital accommodation |
- private room in an agreement private hospital
|
|
Out-of-pockets apply
|
- shared room in an agreement private hospital
|
|
Out-of-pockets apply
|
- private room in an agreement day hospital facility
|
|
Out-of-pockets apply
|
- shared room in an agreement day hospital facility
|
|
Out-of-pockets apply
|
- private room in a public hospital
|
|
Out-of-pockets apply
|
- shared room in a public hospital
|
|
|
| Theatre fees |
|
Not applicable
|
| Labour ward fees |
|
Not applicable
|
| Intensive care unit / Critical care unit |
|
|
| High dependency care unit / Advanced dependency unit |
|
|
| Doctors' fees |
2
|
2
|
| Surgically implanted prostheses |
3
|
3
|
| Pharmaceuticals supplied in hospital |
|
4
|
| Disposable items |
|
|
| Hospital in the home |
|
|
| Ambulance treatment |
|
|
| Home care treatment |
|
|
| Midwifery |
|
|
| Home nursing |
|
|
| Recovery Assist - early discharge program |
|
|
| Mother Care - maternity early discharge program |
|
|
| Family Assist - maternity support program |
|
|
| Chronic care management program |
|
|
1 ADF Public Hospital cover is not available in the Northern Territory. Current members moving to the NT are able to upgrade their cover to ADF Top Hospital without the imposition of waiting periods.
2 If your doctor chooses to use the Access Gap Cover schedule of fees Defence Health can cover up to 100% of the doctors’ fee. At a minimum Defence Health will cover the difference between the Medicare rebate and the Medicare Benefits Schedule (MBS) fee.
3 No-gap prostheses as defined in the Federal Government’s Prostheses Listing are covered 100%. More expensive prostheses may attract out-of-pocket expenses.
4 Pharmaceuticals are not covered where you choose to be treated in a private hospital.
Non-resident limitations
The ADF Top Hospital and ADF Public Hospital products are not suitable for non-residents without full Medicare entitlements. This includes overseas visitors from countries with Australian Government reciprocal health care arrangements.
| |
ADF Top
Hospital
|
ADF Public
Hospital1
|
| Your choice of doctor |
|
|
| Your choice of hospital |
|
|
| Premium able to be reduced by agreeing to pay an excess |
|
|
| Hospital accommodation |
- private room in an agreement private hospital
|
|
Out-of-pockets apply
|
- shared room in an agreement private hospital
|
|
Out-of-pockets apply
|
- private room in an agreement day hospital facility
|
|
Out-of-pockets apply
|
- shared room in an agreement day hospital facility
|
|
Out-of-pockets apply
|
- private room in a public hospital
|
|
Out-of-pockets apply
|
- shared room in a public hospital
|
|
|
| Theatre fees |
|
Not applicable
|
| Labour ward fees |
|
Not applicable
|
| Intensive care unit / Critical care unit |
|
|
| High dependency care unit / Advanced dependency unit |
|
|
| Doctors' fees |
2
|
2
|
| Surgically implanted prostheses |
3
|
3
|
| Pharmaceuticals supplied in hospital |
|
4
|
| Disposable items |
|
|
| Hospital in the home |
|
|
| Ambulance treatment |
|
|
| Home care treatment |
|
|
| Midwifery |
|
|
| Home nursing |
|
|
| Recovery Assist - early discharge program |
|
|
| Mother Care - maternity early discharge program |
|
|
| Family Assist - maternity support program |
|
|
| Chronic care management program |
|
|
1 ADF Public Hospital cover is not available in the Northern Territory. Current members moving to the NT are able to upgrade their cover to ADF Top Hospital without the imposition of waiting periods.
2 If your doctor chooses to use the Access Gap Cover schedule of fees Defence Health can cover up to 100% of the doctors’ fee. At a minimum Defence Health will cover the difference between the Medicare rebate and the Medicare Benefits Schedule (MBS) fee.
3 No-gap prostheses as defined in the Federal Government’s Prostheses Listing are covered 100%. More expensive prostheses may attract out-of-pocket expenses.
4 Pharmaceuticals are not covered where you choose to be treated in a private hospital.
Non-resident limitations
The ADF Top Hospital and ADF Public Hospital products are not suitable for non-residents without full Medicare entitlements. This includes overseas visitors from countries with Australian Government reciprocal health care arrangements.