Professional Documents
Culture Documents
The Private Health Information Statements (PHIS) for the policies you selected are attached.
You can use these PHIS to compare selected features of health insurance policies but please
bear in mind that it is only a summary of key product features. If you are unsure, contact the
insurer to confirm whether a specific item is covered.
As with all types of insurance, conditions will apply, so don't just rely on the Statement. Once you
have full details from a fund, make sure you read the policy carefully before signing up and
paying your premium.
Benefits will vary depending on the treatments you are having, who treats you and in what
hospital. Please make sure you discuss possible out-of-pocket costs with your doctor, insurer
and the hospital before undergoing treatment.
The premiums shown on the PHIS are the standard premiums which do not include any
applicable Government rebates, Lifetime Health Cover loading, 18-29-year-old discounts or
insurer discounts. The actual premium will vary depending on your circumstances.
Health Care Insurance Limited - Gold Hospital - $750 excess with Active Life Extras
(Combined)
Peoplecare Health Insurance - Gold Hospital $750 & Simple Extras (Combined)
Phoenix Health Fund Limited - Silver Plus Content 750 & Kick Start Extras 50 (Combined)
Health Partners - Gold Hospital $750 Excess with Freedom Extras (Combined)
If you have any queries about these Private Health Information Statements, please contact the
relevant health fund (contact details are at the top left of each PHIS).
You can find more information on private health insurance and search for additional policies that
match your needs on our website https://privatehealth.gov.au
Bone, joint and muscle Heart and vascular system Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Breast surgery (medically necessary) Pregnancy and birth
devices
Assisted reproductive services Dialysis for chronic kidney failure 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.
Co-payments: No co-payment
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
2 months for all other treatments
Non PBS pharmaceuticals 2 $450 per policy Per eligible prescription - $50.00
Does not include treatment for: Alexander technique; Aromatherapy; Bowen therapy; Buteyko; Feldenkrais; Western herbalism; homeopathy; iridology;
kinesiology; naturopathy; Pilates; reflexology; Rolfing; Shiatsu; Tai chi; Yoga
This policy does not include General treatment (Extras) cover for
Ambulance cover
Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If
you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or
take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).
Disclaimer
The information contained in this Private Health Information Statement was provided by the insurer and is intended as
general information. It may not take into account your particular circumstances. For information please contact the
insurer.
Brain and nervous system Hernia and appendix Pregnancy and birth
Implantation of hearing
Breast surgery (medically necessary) Rehabilitation
devices
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
PrivateHealth.gov.au Date statement issued: 01 April 2021
PolicyID: HCF/J36/VNEE10 Page 1 of 3
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.
Co-payments: No co-payment
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
2 months for all other treatments
Note, for items marked with an asterisk *: Features a combined limit of $800 per person per calendar year.
Non PBS pharmaceuticals* 2 Combined limit - see General dental Per eligible prescription - $50.00
Services with in the combined limit include: Dietetics, Health Management Programs, Osteopathy, Vaccines and immunisations, Chinese herbal medicine
consults & Myotherapy. Health Management Programs include ante/post natal services such as child birth education classes, lactation consults, pregnancy
compression garments & Australian Breastfeeding Assoc fees, learn to swim courses, weight management programs and gym membership fees for specific
health conditions. See fund rules for more information.
This policy does not include General treatment (Extras) cover for
Blood glucose monitors Orthodontic Other treatments - check with your insurer
Ambulance cover
In Victoria this policy provides:
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Disclaimer
The information contained in this Private Health Information Statement was provided by the insurer and is intended as
general information. It may not take into account your particular circumstances. For information please contact the
insurer.
Not Covered
These categories are not covered by this policy.
Assisted reproductive services Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Back, neck and spine Pain management
endoscopy
Brain and nervous system Hernia and appendix Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Cataracts Pregnancy and birth
devices
Dialysis for chronic kidney failure Kidney and bladder Tonsils, adenoids and grommets
Male reproductive
Ear, nose and throat
system
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.
Co-payments: No co-payment
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
2 months for all other treatments
12 months for pregnancy and birth
This policy does not include General treatment (Extras) cover for
Blood glucose monitors Orthodontic Other treatments - check with your insurer
Ambulance cover
Pensioner Concession Card and Healthcare Card holders are entitled to free clinically necessary ambulance transport. If
you are not eligible for a concession and want to be covered, you can purchase insurance from a private health insurer or
take out a subscription with the state ambulance service (https://www.ambulance.vic.gov.au/membership).
Disclaimer
The information contained in this Private Health Information Statement was provided by the insurer and is intended as
general information. It may not take into account your particular circumstances. For information please contact the
insurer.
This policy does not provide benefits for travel or Not Covered
These categories are not covered by this policy.
accommodation (outside of hospital).
Assisted reproductive services Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Back, neck and spine Pain management
endoscopy
Brain and nervous system Hernia and appendix Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Cataracts Pregnancy and birth
devices
Dialysis for chronic kidney failure Kidney and bladder Tonsils, adenoids and grommets
Male reproductive
Ear, nose and throat
system
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.
PrivateHealth.gov.au Date statement issued: 01 April 2021
PolicyID: LHM/J32/VDEB10 Page 1 of 3
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.
Co-payments: No co-payment
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
2 months for all other treatments
This policy does not include General treatment (Extras) cover for
Blood glucose monitors Orthodontic Other treatments - check with your insurer
Endodontic Podiatry
Ambulance cover
In Victoria this policy provides:
Non-emergency: Unlimited transport with a waiting period of 1 day, or 1 day for pre-existing conditions.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Disclaimer
The information contained in this Private Health Information Statement was provided by the insurer and is intended as
general information. It may not take into account your particular circumstances. For information please contact the
insurer.
Assisted reproductive services Ear, nose and throat Male reproductive system
Back, neck and spine Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Blood Pain management
endoscopy
Bone, joint and muscle Gynaecology Plastic and reconstructive surgery (medically necessary)
Breast surgery (medically necessary) Hernia and appendix Pregnancy and birth
Implantation of hearing
Cataracts Rehabilitation
devices
Dialysis for chronic kidney failure Pain management with device 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
PrivateHealth.gov.au Date statement issued: 01 April 2021
PolicyID: PWA/SCE5/VMNU10 Page 1 of 3
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.
Co-payments: No co-payment
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
2 months for all other treatments
12 months for pregnancy and birth
Note, for items marked with an asterisk *: 100% benefit available on preventative dental services– includes items 012, 013, 111, 114, 115, 121, 161.
Claimable once per appointment, up to twice per person per calendar year up to General Dental limits.
*$200 sublimit for Physiotherapy/ Myotherapy & Exercise Physiology; $200 sublimit for Chiropractic, Osteopathy & Remedial Massage; up to overall combined
limit of $400. *Non PBS Pharmaceuticals benefit applies after PBS co-payment is applied.
This policy does not include General treatment (Extras) cover for
Blood glucose monitors Optical Other treatments - check with your insurer
Endodontic Orthodontic
Ambulance cover
Non-emergency: Unlimited transport with a waiting period of 1 day, or 1 day for pre-existing conditions.
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Disclaimer
The information contained in this Private Health Information Statement was provided by the insurer and is intended as
general information. It may not take into account your particular circumstances. For information please contact the
insurer.
Not Covered
These categories are not covered by this policy.
Assisted reproductive services Eye (not cataracts) Miscarriage and termination of pregnancy
Gastrointestinal
Back, neck and spine Pain management
endoscopy
Brain and nervous system Hernia and appendix Plastic and reconstructive surgery (medically necessary)
Implantation of hearing
Cataracts Pregnancy and birth
devices
Dialysis for chronic kidney failure Kidney and bladder Tonsils, adenoids and grommets
Male reproductive
Ear, nose and throat
system
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.
Co-payments: No co-payment
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
2 months for all other treatments
This policy does not include General treatment (Extras) cover for
Ambulance cover
In Victoria this policy provides:
Call-out fees: will be paid for each attendance, including emergency treatment without transport to hospital.
Disclaimer
The information contained in this Private Health Information Statement was provided by the insurer and is intended as
general information. It may not take into account your particular circumstances. For information please contact the
insurer.