| |
ADF Top
Hospital
|
ADF Public
Hospital
|
| 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 |
1
|
1
|
| Surgically implanted prostheses |
2
|
2
|
| Pharmaceuticals supplied in hospital |
|
3
|
| Disposable items |
|
|
| Hospital in the home |
|
|
| Ambulance treatment |
|
|
| Home care treatment |
|
|
| Midwifery - out of hospital and without doctor intervention |
|
|
| Home nursing |
|
|
| Mother & baby - pregnancy and new parent support |
|
|
| Chronic care management programs |
|
|
1 If your doctor chooses to use the Access Gap Cover schedule of fees, Defence Health can cover up to 100% of the doctor's fee. At a minimum, Defence Health will cover the difference between the Medicare rebate and the Medicare Benefits Schedule (MBS) fee.
2 No-gap prostheses as defined in the Federal Government’s Prostheses Listing are covered 100%. More expensive prostheses may attract out-of-pocket expenses.
3 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, including overseas visitors from countries with Australian Government reciprocal health care arrangements.
This information is current as at 1 April 2011 and effective through to 31 March 2012. It replaces all earlier versions. Please read it carefully and retain with any other Defence Health documentation.
| |
ADF Top
Hospital
|
ADF Public
Hospital
|
| 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 |
1
|
1
|
| Surgically implanted prostheses |
2
|
2
|
| Pharmaceuticals supplied in hospital |
|
3
|
| Disposable items |
|
|
| Hospital in the home |
|
|
| Ambulance treatment |
|
|
| Home care treatment |
|
|
| Midwifery - out of hospital and without doctor intervention |
|
|
| Home nursing |
|
|
| Mother & baby - pregnancy and new parent support |
|
|
| Chronic care management programs |
|
|
1 If your doctor chooses to use the Access Gap Cover schedule of fees, Defence Health can cover up to 100% of the doctor's fee. At a minimum, Defence Health will cover the difference between the Medicare rebate and the Medicare Benefits Schedule (MBS) fee.
2 No-gap prostheses as defined in the Federal Government’s Prostheses Listing are covered 100%. More expensive prostheses may attract out-of-pocket expenses.
3 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, including overseas visitors from countries with Australian Government reciprocal health care arrangements.
This information is current as at 1 April 2011 and effective through to 31 March 2012. It replaces all earlier versions. Please read it carefully and retain with any other Defence Health documentation.