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Five Star Gold Hospital Cover
Five Star Gold Hospital Cover

Our top, comprehensive cover gives you Australia wide cover in a contracted private hospital or private day facility.

If you would prefer to pay a lower premium and still have the most comprehensive cover, our Five Star Gold Hospital Cover has a choice of three different excess amounts that you can choose to pay on admissions to hospitals.

It is the same top cover with no exclusions but with a known upfront excess amount to pay. The higher the excess, the lower the premium.

We have contracts with more than 445 private hospitals Australia wide, to give you peace of mind knowing that you will be covered. Using a contracted private hospital will provide you with the maximum cover for your accommodation and theatre fees.

COVER
FIVE STAR GOLD
EXCESS OPTION
$250, $500, $750
Rehabilitation
Hospital psychiatric services
Palliative care
Brain and nervous system
Eye (not cataracts)
Ear, nose and throat
Tonsils, adenoids and grommets
Bone, joint and muscle
Joint reconstructions
Kidney and bladder
Male reproductive system
Digestive system
Hernia and appendix
Gastrointestinal endoscopy
Gynaecology
Miscarriage and termination of pregnancy
Chemotherapy, radiotherapy and immunotherapy for cancer
Pain management
Breast surgery (medically necessary)
Skin
Diabetes management (excluding insulin pumps)
Heart and vascular system
Lung and Chest
Blood
Back, neck and spine
Plastic and reconstructive surgery (medically necessary)
Dental surgery
Podiatric surgery* (provided by an accredited podiatric surgeon – limited benefits)
Implantation of hearing devices
Cataracts
Joint replacements
Dialysis for chronic kidney failure
Pregnancy and birth
Assisted reproductive services
Weight loss surgery
Insulin pumps
Pain management with device
Sleep studies
*Limited benefits apply – contact the Fund for information.

No restrictions or exclusions: This level of cover has no restrictions on services covered. You will be fully covered in a shared or private room in a private hospital or private day facility. For private room accommodation in a public hospital the Fund will pay an additional benefit of $80 above the shared ward accommodation rate.

Important Information:

Clinical categories are defined by the Department of Health.

Waiting periods:

If you are transferring from another health fund and you have already served your waiting periods for an equivalent level of cover, you will not have to re-serve your waiting periods.

Pre-existing conditions: 12 months

Pregnancy and Birth related services: 12 months

All other hospital treatment, including Rehabilitation, Psychiatric, Services and Palliative Care: 2 months

Accidental Injury: Immediate

For more information on waiting periods, click here.

Important information about hospital cover

We understand that there is a lot to know about hospital cover. We have broken down some important information about hospital cover and what you need to know when purchasing hospital cover.