Medibank Private Limited

Medibank Gold Premier Signature

Name: Medibank Gold Premier Signature
Brand: Medibank Private Limited
Price: 1198.8 AUD

$1198.80 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

You may be entitled to an Australian Government Rebate on the above premium. Your premium may also include a Lifetime Health Cover Loading, an Age-based Discount 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 - 30), as well as persons with a disability who qualify as a child, non-classified* dependant and student in these age ranges. *Non-classified dependant: Medibank considers a child dependant to be aged up to 21.

Policy ID: MBP/J147/NRUO2D

Source: Private Health Information Statement (PHIS)

Hospital Cover

This policy exempts you from the Medicare Levy Surcharge.
This policy provides accident cover - check with insurer for details.
This policy provides benefits for travel or accommodation outside of hospital - check with insurer for details.

Covered

Restricted Cover

Not Covered

This policy includes cover for

Assisted reproductive services

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

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:

2 months for palliative care, rehabilitation and hospital psychiatric treatments, even if pre-existing
12 months for other pre-existing conditions
12 months for pregnancy and birth (obstetrics)
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

Comprehensive cover. No Excess or Co-payments required. Private Room Promise for pre-booked admissions at a Members' Choice hospital. Up to $1,000 CPAP benefit per member towards hire or purchase of an approved device, a rolling 5-year benefit replacement period applies.

Extras Cover

At Members' Choice extras providers you may get more for your cover. This includes 100% back on a dental check up, scale and clean each year and great optical deals. See https://www.medibank.com.au/health-insurance/find-provider/#/.

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 2

$400 per person

Initial visit: $26
Subsequent visit: $21

Blood glucose monitors 24

$240 per person

Per monitor: $180

Chinese medicine 2

$200 per person

combined limit for chinese medicine, exercise physiology & remedial massage

Initial visit: $25
Subsequent visit: $25

Chiropractic 2

$400 per person

combined limit for chiropractic & osteopathy

Initial visit: $59.6
Subsequent visit: $29

Dietetics/dietary advice 2

$400 per person

Initial visit: $48.7
Subsequent visit: $26.4

Endodontic 12

$2,000 per person

combined limit for endodontic & major dental

Filling of one root canal: $113.9

Exercise physiology 2

$200 per person

combined limit for chinese medicine, exercise physiology & remedial massage

Initial visit: $25
Subsequent visit: $25

Eye therapy (orthoptics) 2

$400 per person

Initial visit: $34.1
Subsequent visit: $32.1

General dental* 2

No annual limit

Fluoride treatment: $24.8
Scale & clean: $59.3
Surgical tooth extraction: $97
Periodic oral examination: $40.1

Hearing aids 36

$800 per person

Hearing aid: $533.5

Major dental 12

$2,000 per person

combined limit for endodontic & major dental

Full crown veneered: $760

Non PBS pharmaceuticals 2

$600 per person

Per eligible prescription: $41.7

Occupational therapy 2

$400 per person

Initial visit: $47
Subsequent visit: $42

Optical 6

$250 per person

Multi-focal lenses & frames: 100% of charge
Single vision lenses & frames: 100% of charge

Orthodontic 12

$800 per person

$2,400 lifetime limit

Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge

Orthotics (podiatric orthoses) 2

$400 per person

combined limit for orthotics (podiatric orthoses) & podiatry

Orthotics supply & fit: 80% of charge

Osteopathy 2

$400 per person

combined limit for chiropractic & osteopathy

Initial visit: $59.6
Subsequent visit: $29

Physiotherapy 2

$700 per person

Initial visit: $53.5
Subsequent visit: $32.2

Podiatry 2

$400 per person

combined limit for orthotics (podiatric orthoses) & podiatry

Initial visit: $47.2
Subsequent visit: $27.7

Psychology 0

$400 per person

Initial visit: $112.96
Subsequent visit: $93.55

Remedial massage 2

$200 per person

combined limit for chinese medicine, exercise physiology & remedial massage

Initial visit: $40
Subsequent visit: $40

Speech therapy 2

$400 per person

Initial visit: $87.6
Subsequent visit: $39.5

Acupuncture

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $26}

{Subsequent visit: $21}

Blood glucose monitors

Waiting period: 24 months

Benefit limits per 12 months unless otherwise stated

{$240 per person}

Examples of maximum benefits

{Per monitor: $180}

Chinese medicine

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{combined limit for chinese medicine, exercise physiology & remedial massage}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Chiropractic

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $59.6}

{Subsequent visit: $29}

Dietetics/dietary advice

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $48.7}

{Subsequent visit: $26.4}

Endodontic

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$2,000 per person}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Filling of one root canal: $113.9}

Exercise physiology

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{combined limit for chinese medicine, exercise physiology & remedial massage}

Examples of maximum benefits

{Initial visit: $25}

{Subsequent visit: $25}

Eye therapy (orthoptics)

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $34.1}

{Subsequent visit: $32.1}

General dental*

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{No annual limit}

Examples of maximum benefits

{Fluoride treatment: $24.8}

{Scale & clean: $59.3}

{Surgical tooth extraction: $97}

{Periodic oral examination: $40.1}

Hearing aids

Waiting period: 36 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

Examples of maximum benefits

{Hearing aid: $533.5}

Major dental

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$2,000 per person}

{combined limit for endodontic & major dental}

Examples of maximum benefits

{Full crown veneered: $760}

Non PBS pharmaceuticals

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$600 per person}

Examples of maximum benefits

{Per eligible prescription: $41.7}

Occupational therapy

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $47}

{Subsequent visit: $42}

Optical

Waiting period: 6 months

Benefit limits per 12 months unless otherwise stated

{$250 per person}

Examples of maximum benefits

{Multi-focal lenses & frames: 100% of charge}

{Single vision lenses & frames: 100% of charge}

Orthodontic

Waiting period: 12 months

Benefit limits per 12 months unless otherwise stated

{$800 per person}

{$2,400 lifetime limit}

Examples of maximum benefits

{Braces for upper & lower teeth, including removal plus fitting of retainer: 100% of charge}

Orthotics (podiatric orthoses)

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for orthotics (podiatric orthoses) & podiatry}

Examples of maximum benefits

{Orthotics supply & fit: 80% of charge}

Osteopathy

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for chiropractic & osteopathy}

Examples of maximum benefits

{Initial visit: $59.6}

{Subsequent visit: $29}

Physiotherapy

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$700 per person}

Examples of maximum benefits

{Initial visit: $53.5}

{Subsequent visit: $32.2}

Podiatry

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

{combined limit for orthotics (podiatric orthoses) & podiatry}

Examples of maximum benefits

{Initial visit: $47.2}

{Subsequent visit: $27.7}

Psychology

Waiting period: 0 month

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $112.96}

{Subsequent visit: $93.55}

Remedial massage

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$200 per person}

{combined limit for chinese medicine, exercise physiology & remedial massage}

Examples of maximum benefits

{Initial visit: $40}

{Subsequent visit: $40}

Speech therapy

Waiting period: 2 months

Benefit limits per 12 months unless otherwise stated

{$400 per person}

Examples of maximum benefits

{Initial visit: $87.6}

{Subsequent visit: $39.5}

Health appliances and external prostheses: 2month waiting period. Breathing appliances: 12 month waiting period, fixed benefits, benefit replacement periods apply. School accident: Apply to pre-school, primary and secondary school students only, 2 month waiting period, fixed benefit and annual limit of $800 apply. PackageBonus: 6 month waiting period apply, starts at $50 for singles and $100 couple/family per year. Counselling: (no waiting period) shares an annual limit with psychology. Blood pressure monitors: 12 month waiting period and benefit replacement period apply, share an annual limit with blood glucose monitors. Contact Medibank for more information.

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

Ante-natal/Post-natal classes

Audiology

Health management / Healthy lifestyle

Home nursing

Vaccinations

Other features of this general treatment cover: Comprehensive hospital and extras cover in one convenient package. Rewards you with a PackageBonus to use towards approved health and membership expenses.

Ambulance cover

In NSW & ACT this policy provides:

Emergency: Unlimited with a waiting period of 1 day.

Call-out fees: Will be paid for each attendance, including emergency treatment without transport to hospital.

Other features of this ambulance cover: Cover for an ambulance when you require immediate professional attention and you need to be transported to hospital or other approved facility and your medical condition is such that you cannot be transported any other way, or where an ambulance is called but transport is not needed. Cover for air ambulance where pre-approval has been obtained from Medibank. In all cases the ambulance provider must be Medibank approved. Please contact Medibank for further details.

Insurer Details

Medibank Private Limited

Medibank Gold Premier Signature

$1198.80 / month

(Before Rebate, Discount & Loading)

Available in NSW & ACT

Medibank Private Limited

http://medibank.com.au

ask_us@medibank.com.au

132331

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/MBP/J147/NRUO2D

Medibank Gold Premier Signature

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Medibank Gold Premier Signature

Policy ID: MBP/J147/NRUO2D

Hospital Cover

Extras Cover

Ambulance cover

Insurer Details

Medibank Private Limited

Policies change monthly, stay informed

Talk to an Australian health insurance expert

Medibank Gold Premier Signature

Policy ID: MBP/J147/NRUO2D

Hospital Cover

Extras Cover

Ambulance cover

Insurer Details

Medibank Private Limited

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