Hospital cover - what's covered
(depending on your level of cover):
Hospital cover - what's not covered
There are a few things that aren't covered by your hospital cover. They include treatments & services that
- are received within your waiting periods
- Medicare doesn't cover (like cosmetic surgery)
- are received outside Australia
- are covered by a compensation or another type of insurance (like third party or sports club insurance)
- were received more than 2 years ago
- Outpatient treatment & services
and:
- Some high cost (non PBS/TGA approved) drugs
- Pharmacy - most pharmacy items that you're given while you're in hospital are covered by your hospital bill. The hospital may charge you extra for pharmacy items that you take home with you and this isn't covered by your hospital cover.
- Medical devices or human tissue products, up to the benefit listed on the Prescribed List of Medical Devices and Human Tissue Products
- Ambulance subscriptions or state-based levies
- Ambulance services paid for by the Government, compensation or another type of insurance
- Ambulance services that aren't medically necessary
- Some medical devices and consumables
- Experimental treatments