Benefits Of Having Private Hospital Cover. What Are They?

Most of us have no idea how Private Health Insurance works as it is extremely complex product. 

Frank offers cheap health insurance and information which assists people to make the best decisions. This article outlines some information help you to understand the product, highlight the benefits of having private hospital cover and to dispel the myths.

* The price shown is per week and applies to a {LIFESTAGE} living in VIC. It excludes LHC loading and includes a Base Tier Government Rebate

There are actually two different types of Private Health Insurance cover: Hospital Cover and Ancillary or 'Extras' Cover.

Hospital Cover helps you pay for expenses you incur as a patient in a private hospital. You do not need private health insurance to be admitted to a private hospital. The benefits of having private hospital cover is that it simply helps you pay the costs associated with your admission and treatment.

Ancillary or Extras Cover helps you pay for the cost of outpatient medical treatments that aren't covered by Medicare including dental, optical, physio, chiro, osteo, some pharmaceuticals and often a few others.

Most insurers offer bundled packages that include Hospital and Extras cover. There are few cheap health insurance options which will give you the peace-of-mind you want by do not break the bank.

Good reasons to use a Private Hospital

  • 'Elective' surgeries - For many medical interventions that are considered non-urgent, the public system has very long waiting lists to get treatment. Depending on the treatment, the hospital and the seriousness of your condition the wait can take months and in some cases more than a year. In a private hospital with your own doctor, on the other hand, you will be able to get treatment very quickly.
  • Some of the types of surgeries that are considered elective include wisdom teeth/tonsil removal, knee/hip/shoulder investigations/reconstructions/replacements, gall stone removal, hernia, neurosurgery, heart bypass surgery, and more.
  • Choice of doctor - In a public hospital, you will be treated by whoever is available at the time. If you want to be able to choose your doctor, and be assured you'll have the same doctor seeing you throughout your treatment, you can do so in a private hospital.
  • Pregnancy - Many expecting mothers choose to use the private system for their pregnancies. The advantage is related to being able to choose an obstetrician and have that doctor see you throughout the whole pregnancy.
  • Comfort - Private hospitals are generally more comfortable than public hospitals. You're more likely to get your own room.

So, what are the benefits of having private hospital cover?

Now that you have a better understanding of the benefits of having private hospital cover, it's important to understand exactly what Hospital Cover does to assist you in meeting the costs of treatment in a private hospital. It pays for (generally) 100% of the cost of hospital fees. When you are treated in a private hospital, the Private Hospital will charge you a certain amount for your stay. The amount they charge will depend on the length of your stay and the type of treatment you receive, but can be in the range of $1000-$5000 per day. Your Hospital Cover will pay all of these costs on your behalf, but will sometimes require you, to pay a co-payment/excess, which can be a few hundred dollars. This is generally the case for cheaper forms of Hospital Cover.

The Medicare Levy Surcharge

The federal government has implemented a Medicare Levy Surcharge of 1% for high income earners to incentivise them to take out private health insurance. You will be liable to pay the surcharge if you don't have approved Hospital Cover with a private health insurer; and have a taxable income of more than $90k for an individual or $180k for a couple or family.

Lifetime Health Cover

Private Health Insurance is optional - however if you don't purchase hospital cover by the 1st of July following your 31st birthday, you will pay the Lifetime Health Cover loading on top of the premium of any hospital cover you later purchase. Refer to the following website for further information.

The Bottom Line: Should I Get Private Health Insurance Hospital Cover?

The best thing is to ask yourself the following questions:

    • Would I otherwise be liable for the Medicare Levy Surcharge or Lifetime Health Cover?
    • Would I want to have a baby in the next 3 years? And if so, would I want to choose my own obstetrician and/or have my baby in a private hospital?
    • Am I likely to need at least one elective surgery in the next 5 years?
    • If something 'serious' happens in the next 5 years, would I want to be in a private hospital?

If you have answered yes to any of these questions it is worthwhile taking out Private Health Insurance cover. There are cheap health insurance options available so you do not have to break the bank when you decide to take out a health insurance policy. There are various benefits of getting private hospital cover and at Frank Health Insurance we can offer you a range of different levels of cover to suit your individual needs.

Get one month free plus skip 2 & 6 month waits on extras when joining on combined cover by June 30*

*For new members joining direct via web or call center on combined hospital and extras cover. 12 month waits, annual and sub limits apply. Extras claims made with a previous fund are included in your annual limit. Must not have been a member within last 12 months. Must pay first month to receive one month free. Not available on Frank OVHC or in conjunction with any other offer. Ends 30 June 2022.