Entry Hospital (Basic+)
Hospital cover explained
Download hospital factsheetUnderstanding what's covered
Inclusions
Hospital treatment of the tonsils, adenoids and insertion or removal of grommets.
Hospital treatment for surgery for joint reconstructions.
Hospital treatment for the investigation and treatment of a hernia or appendicitis.
Hospital treatment for the investigation and treatment of the female reproductive system.
Hospital treatment for surgery to the teeth and gums.
Restricted
Hospital treatment for physical rehabilitation for a patient related to surgery or illness.
Hospital treatment for the treatment and care of patients with psychiatric, mental, addiction or behavioural disorders.
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.
Exclusions
Hospital treatment for the investigation and treatment of the brain, brain-related conditions, spinal cord and peripheral nervous system.
Hospital treatment for the investigation and treatment of the eyes and content of the eye sockets.
Hospital treatment for the investigation and treatment of the ear, nose, throat, middle ear, thyroid, parathyroid, larynx, lymph nodes and related areas of the head and neck.
Hospital treatment for the investigation and treatment of diseases, disorders and injuries of the musculoskeletal system.
Hospital treatment for the investigation and treatment of the kidney, adrenal gland and bladder.
Hospital treatment for the investigation and treatment of the male reproductive system including the prostate.
Hospital treatment for the investigation and treatment of the digestive system, including the oesophagus, stomach, gall bladder, pancreas, spleen, liver and bowel.
Hospital treatment for the diagnosis, investigation and treatment of the internal parts of the gastrointestinal system using an endoscope.
Hospital treatment for the investigation and treatment of a miscarriage or for termination of pregnancy.
Hospital treatment for chemotherapy, radiotherapy and immunotherapy for the treatment of cancer or benign tumours.
Hospital Treatment for pain management that does not require the insertion or surgical management of a device.
Hospital treatment for the investigation and treatment of skin, skin-related conditions and nails.
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.
Hospital treatment for the investigation and management of diabetes.
Hospital treatment for the investigation and treatment of the heart, heart-related conditions and vascular system.
Hospital treatment for the investigation and treatment of the lungs, lung-related conditions, mediastinum and chest.
Hospital treatment for the investigation and treatment of blood and blood-related conditions.
Hospital treatment for the investigation and treatment of the back, neck and spinal column, including spinal fusion.
Hospital treatment which is medically necessary for the investigation and treatment of any physical deformity.
Hospital treatment for the investigation and treatment of conditions affecting the foot and/or ankle, provided by a registered podiatric surgeon. Benefits are limited to only cover hospital accommodation and the cost of a prosthesis per the Prosthesis List, as laid out in the Private Health Insurance (Prosthesis) Rules. Medical services such as the anaesthetist or the surgeon’s account in respect to Podiatric Surgery are not covered under hospital products.
Hospital treatment to correct hearing loss, including implantation of a prosthetic hearing device.
Hospital treatment for surgery to remove a cataract and replace with an artificial lens.
Hospital treatment for surgery for joint replacements, including revisions, resurfacing, partial replacements and removal of prostheses.
Hospital treatment for dialysis treatment for chronic kidney failure.
Hospital treatment for investigation and treatment of conditions associated with pregnancy and child birth.
Hospital treatment for fertility treatments or procedures.
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.
Hospital treatment for the provision and replacement of insulin pumps for treatment of diabetes.
Hospital treatment for the implantation, replacement or other surgical management of a device required for the treatment of pain.
Hospital treatment for the investigation of sleep patterns and anomalies.
Hospital FAQs
- New members to health insurance
- Members who transfer from another health fund who haven’t fully served the required waiting periods
- New members that have had a gap in their hospital cover for more than 30 days
- Current members that upgrade their cover for newly included services
- Excluded on your level of cover
- Received whilst you are within waiting periods
- Treatment with unregistered providers
- Claims for people not listed on the policy
- Treatment outside of Australia
- Any outpatient emergency department service fees (e.g. observation, x-rays, drugs and lab tests
- Treatment that occurred outside of your policy being active
- Any outpatient medical cost
Disclaimer
Rates are effective 1 April 2024. | All contribution quotes by this calculator are subject to variation and should therefore be considered indicative contribution rates. | All prices include the Australian Government Rebate on Private Health Insurance as per selected income level and do not include any applicable Lifetime Health Cover loading. | All payments are only available via direct debit from a bank/ credit union account.| Frank does not issue payment notices or invoices.