Closed Products for existing members
Closed Products
for existing members
Closed Products
Gold / Top This product is the Gold Hospital that is now closed, it was also previously named Top Hospital which was grandfathered in 2016. This Product is no longer for sale to new members and is not available as an upgrade. If you are an existing member you can remain on this product. | |
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Hospital treatment for fertility treatments or procedures.
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Hospital treatment for the investigation and treatment of the back, neck and spinal column, including spinal fusion.
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Hospital treatment for the investigation and treatment of blood and blood-related conditions.
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Hospital treatment for the investigation and treatment of diseases, disorders and injuries of the musculoskeletal system. For example:
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Hospital treatment for the investigation and treatment of the brain, brain-related conditions, spinal cord and peripheral nervous system.
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Hospital treatment for the investigation and treatment of breast disorders and associated lymph nodes, and reconstruction and/or reduction following breast surgery or a preventative mastectomy.
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Hospital treatment for surgery to remove a cataract and replace with an artificial lens. |
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Hospital treatment for chemotherapy, radiotherapy and immunotherapy for the treatment of cancer or benign tumours.
See a list of MBS items for chemotherapy radiotherapy and immunotherapy for cancer. |
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Hospital treatment for surgery to the teeth and gums.
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Hospital treatment for the investigation and management of diabetes.
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Hospital treatment for dialysis treatment for chronic kidney failure.
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Hospital treatment for the investigation and treatment of the digestive system, including the oesophagus, stomach, gall bladder, pancreas, spleen, liver and bowel.
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Hospital treatment for the investigation and treatment of the eye and the contents of the eye socket.
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Hospital treatment for the diagnosis, investigation and treatment of the internal parts of the gastrointestinal system using an endoscope.
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Hospital treatment for the investigation and treatment of the female reproductive system.
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Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.
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Hospital treatment for the investigation and treatment of a hernia or appendicitis.
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Hospital treatment to correct hearing loss, including implantation of a prosthetic hearing device.
See a list of MBS items for implantation of hearing devices. |
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Hospital treatment for surgery for joint reconstructions.
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Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.
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Hospital treatment for the investigation and treatment of the kidney, adrenal gland and bladder.
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Hospital treatment for the investigation and treatment of the lungs, lung-related conditions, mediastinum and chest.
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Hospital treatment for the investigation and treatment of the male reproductive system including the prostate.
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Hospital treatment for pain management that does not require the insertion or surgical management of a device.
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Hospital treatment for care where the intent is primarily providing quality of life for a patient with a terminal illness, including treatment to alleviate and manage pain. |
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Hospital treatment which is medically necessary for the investigation and treatment of any physical deformity, whether acquired as a result of illness or accident, or congenital.
See a list of MBS items for plastic and reconstructive surgery. |
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Hospital treatment for the investigation and treatment of conditions affecting the foot and/or ankle, provided by a registered podiatric surgeon, but limited to cover for:· accommodation; and· the cost of a prosthesis as listed in the prostheses list set out in the Private Health Insurance (Prostheses) Rules, as in force from time to time.
There are no specific MBS item numbers associated with Podiatric surgery. |
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Hospital treatment for investigation and treatment of conditions associated with pregnancy and child birth. Treatment for the baby is covered under the clinical category relevant to their condition. For example, respiratory conditions are covered under Lung and chest.
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Hospital treatment for the investigation and treatment of skin, skin-related conditions and nails. The removal of foreign bodies is also included. Plastic surgery that is medically necessary and relating to the treatment of a skin-related condition is also included.
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Hospital treatment for the investigation of sleep patterns and anomalies.
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Hospital treatment of the tonsils, adenoids and insertion or removal of grommets. |
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Hospital treatment for surgery that is designed to reduce a person’s weight, remove excess skin due to weight loss and reversal of a bariatric procedure.
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Closed Extras
Classic Extras | Optimum Extras | Supplementary Extras This product was originally called Supplementary which was combined with the Top Hospital component (Now Closed). Together it was called Top Hospital and Supplementary. This Product was then sold under the current name of Optimum Extras now also closed. The benefits were still the same regardless of the name change. | |
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| Artificial Aids | |||
No Benefit | Benefit | Benefit | |
Health Management Benefit: 75% of the cost to a maximum of $500 on First Appliance Waiting period: 12 Months Annual limit: $750 Combined with Artificial Aids Per Person | Health Management Benefit: 75% of the cost to a Maximum of $500 on First Appliance Waiting period: 12 Months Annual limit: $750 Combined with Artificial Aids Per Person | ||
| Dental | |||
Benefit | Benefit | Benefit | |
Health Management Benefit: $400 Waiting period: 12 Months Annual limit: $800 Combined with Major Dental | Health Management Benefit: $500 Waiting period: 12 Months Annual limit: $700 Per Person | Health Management Benefit: $500 Waiting period: 12 Months Annual limit: $700 Per Person | |
No Benefit | Benefit | Benefit | |
Health Management Benefit: $375 Waiting period: 12 Months Annual limit: $650 1 Complete set per 5 years | Health Management Benefit: $375 Waiting period: 12 Months Annual limit: $650 1 Complete set per 5 years | ||
Benefit | Benefit | Benefit | |
Health Management Benefit: $60-$80 Waiting period: 2 Months Annual limit: Combined General Dental $100 Per Person | Health Management Benefit: $65-$85 Waiting period: 2 Months Annual limit: No Annual Limit | Health Management Benefit: $65-$85 Waiting period: 2 Months Annual limit: No Annual Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $25 Waiting period: 2 Months Annual limit: Combined General Dental $100 Per Person | Health Management Benefit: $25 Waiting period: 2 Months Annual limit: No Annual Limit | Health Management Benefit: $25 Waiting period: 2 Months Annual limit: No Annual Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $90-$200 Waiting period: 2 Months Annual limit: Combined General Dental $100 Per Person | Health Management Benefit: $100-$380 Waiting period: 12 Months Annual limit: No Annual Limit | Health Management Benefit: $100-$380 Waiting period: 12 Months Annual limit: No Annual Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $200 Waiting period: 12 Months Annual limit: $1800 per person lifetime after 10 years | Health Management Benefit: $400 Waiting period: 12 Months Annual limit: $1800 per person lifetime after 10 years | Health Management Benefit: $400 Waiting period: 12 Months Annual limit: $1800 per person lifetime after 10 years | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $28 Waiting period: 2 Months Annual limit: Combined General Dental $100 Per Person | Health Management Benefit: $30 Waiting period: 2 Months Annual limit: No Annual Limit | Health Management Benefit: $30 Waiting period: 2 Months Annual limit: No Annual Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $100 Waiting period: 12 Months Annual limit: $800 Combined with Major Dental | Health Management Benefit: $105 Waiting period: 12 Months Annual limit: No Annual Limit | Health Management Benefit: $105 Waiting period: 12 Months Annual limit: No Annual Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $45 Waiting period: 2 Months Annual limit: Combined General Dental $100 Per Person | Health Management Benefit: $50 Waiting period: 2 Months Annual limit: No Annual Limit | Health Management Benefit: $50 Waiting period: 2 Months Annual limit: No Annual Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $90 Waiting period: 2 Months Annual limit: Combined General Dental $100 Per Person | Health Management Benefit: $70 Waiting period: 2 Months Annual limit: No Annual Limit | Health Management Benefit: $70 Waiting period: 2 Months Annual limit: No Annual Limit | |
| Health Management | |||
No Benefit | No Benefit | No Benefit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $60 Waiting period: 2 Months Annual limit: $120 Per Membership | Health Management Benefit: $50 Waiting period: 2 Months Annual limit: $50 Per Person | Health Management Benefit: $50 Waiting period: 2 months Annual limit: $50 Per Person | |
| Hearing Aids | |||
Benefit | No Benefit | Benefit | |
Health Management Benefit: 75% of the cost up to $400 Waiting period: 12 Months Annual limit: $1000 Per Person Combined with Pharmaceutical and Artificial Aids | Health Management Benefit: 75% of the cost to a Maximum of $500 on First Appliance Waiting period: 12 Months Annual limit: $750 combined with Hearing Aids | ||
| Non-PBS Pharmaceuticals | |||
Benefit | Benefit | Benefit | |
Health Management Benefit: Up to a Maximum of $31 Per Script Waiting period: 2 Months Annual limit: $1000 Combined Limit with Psychology, Glucose Monitors | Health Management Benefit: Up to a maximum of $70 per script Waiting period: 2 Months Annual limit: $700 Per Person | Health Management Benefit: Up to a Maximum of $70 Per Script Waiting period Waiting period: 2 Months Annual limit: $700 Per Person | |
| Optical | |||
Benefit | Benefit | Benefit | |
Health Management Benefit: 100% Maximum $225 Per Person Maximum $550 Per Policy. Waiting period: 2 Months Annual limit: Combined Optical Limit | Health Management Benefit: $185 Waiting period: 2 Months Annual limit: $240 Combined Optical Limit | Health Management Benefit: $100-$160 Waiting period: 2 Months Annual limit: $240 Combined Optical Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: 100% Maximum $225 Per Person Maximum $550 Per Policy. Waiting period: 2 Months Annual limit: Combined Optical Limit | Health Management Benefit: $180 Waiting period: 2 Months Annual limit: $240 Combined Optical Limit | Health Management Benefit: $180 Waiting period: 2 Months Annual limit: $240 Combined Optical Limit | |
Benefit | Benefit | Benefit | |
Health Management Benefit: 100% Maximum $225 Per Person Maximum $550 Per Policy. Waiting period: 2 Months Annual limit: Combined Optical Limit | Health Management Benefit: $240 Waiting period: 2 Months Annual limit: $240 Combined Optical Limit | Health Management Benefit: $240 Waiting period: 2 Months Annual limit: $240 Combined Optical Limit | |
| Therapies | |||
Benefit | Benefit | Benefit | |
Health Management Benefit: $33 Waiting period: 2 Months Annual limit: $250 Per Person maximum $500 Per Membership Combined Limit: Acupuncture, Natural Therapies | Health Management Benefit: $35 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | Health Management Benefit: $35 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $40-$48 Waiting period: 2 Months Annual limit: $300 Per Person Maximum $600 Per Policy. Combined with Physio, Chiropractic and Podiatry | Health Management Benefit: $22-$26 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | Health Management Benefit: $22-$26 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $32-$38 Waiting period: 2 Months Annual limit: $300 Per Person Maximum $600 Per Policy. Combined with Physio, Chiropractic and Podiatry | Health Management Benefit: $36-$40 Waiting period: 2 Months Annual limit: $700 Per Person | Health Management Benefit: $36-$40 Waiting period: 2 Months Annual limit: $700 Per Person | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $34-$39 Waiting period: 2 Months Annual limit: $300 Per Person Maximum $600 Per Policy. Combined with Physio, Chiropractic and Podiatry | Health Management Benefit: $22-$25 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | Health Management Benefit: $22-$25 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | |
Benefit | Benefit | Benefit | |
Health Management Benefit: $80 Waiting period: 2 Months Annual limit: $1000 Per Person Combined with Pharmaceutical and Artificial Aids | Health Management Benefit: $38 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | Health Management Benefit: $38 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | |
Benefit | Benefit | Benefit | |
Health Management Benefit: 420 Waiting period: 2 Months Annual limit: $250 Per Person maximum $500 Per Membership Combined Limit: Acupuncture, Natural Therapies | Health Management Benefit: $20 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | Health Management Benefit: $20 Waiting period: 2 Months Annual limit: $400 Combined Limit: Chiro, Podiatry, Acupuncture, Psychology, Natural Therapies | |