| |
Top
Hospital
|
Public
Hospital
|
| Excess options |
| Singles |
$250 or $400
|
|
|
Couples
|
$300, $500 or $800
|
|
| Families |
$300, $500 or $800
|
|
| Single Parent Families |
$300, $500 or $800
|
|
| Agreement private hospital |
| Private room |
|
Out-of-pockets apply
|
| Shared room |
|
Out-of-pockets apply
|
| Agreement day hospital facility |
| Private room |
|
Out-of-pockets apply
|
| Shared room |
|
Out-of-pockets apply
|
| Public hospital |
| Private room |
|
Out-of-pockets apply
|
| Shared room |
|
|
| Doctors' fees |
| Amount of MBS fee not reimbursed by Medicare |
|
|
| Additional amount above the MBS fee |
*
|
*
|
| Benefits |
| Theatre fees |
|
|
| Labour ward fees |
|
|
| Intensive care unit/Critical care unit |
|
|
| High dependency care unit/Advanced dependency unit |
|
|
| Surgically implanted prostheses |
^
|
^
|
| Pharmaceuticals supplied in hospital |
|
#
|
| Disposable items |
|
|
| Hospital in the home |
|
|
| Ambulance treatment |
|
|
| Midwifery |
|
|
| Home nursing |
|
|
| Recovery Assist - early discharge program |
|
|
| Mother Care - maternity early discharge program |
|
|
| Family Assist - maternity support program |
|
|
| Mental Health Relapse Prevention program |
|
|
* If your doctor chooses to apply Defence Health’s Access Gap Cover schedule of fees, then we can cover up to 100% of the doctor's fee.
^ No-gap prostheses as defined in the Federal Government’s Prostheses Listing are covered 100%. More expensive prostheses may attract out-of-pocket expenses.
# Pharmaceuticals are not covered where you choose to be treated in a private hospital.
Non-resident limitations
The Top Hospital and 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.