Hospital Cover Options

HIF Hospital Cover at a glance:
  • Your choice of doctor.
  • Your choice of a private or shared room (if you have shared room cover you can still choose a private room by making a co-payment).
  • Accommodation and theatre room fees for all items specified as covered in your particualr HIF policy.
  • Medical payments for in-patient services through the HIF AccessGap cover.

Key Benefits and Cover Type Comparison

Shared Room

Covered

Covered Covered Covered

Private Room

Private Room Maternity

Choice of Excess

Covered

Covered Not Covered Not Covered

Intensive Care

Theatre Care

Covered

Covered Covered Covered

Same-day Accommodation

Same-day Theatre

Covered Covered Covered Covered

AccessGap

 
 



Restrictions and Exclusions Summary

Restricted

Excluded

GoldStar

None Cosmetic services *
Services not covered by Medicare

Gold

None Cosmetic services *
Services not covered by Medicare

GoldSaver

Psychiatric
Cardio-thoracic surgery or monitoring **
Eye Surgery
Joint Replacement
Assisted Reproductive Technology
Cosmetic services *
Services not covered by Medicare

GoldStarter

Psychiatric
Palliative Care
Rehabilitation
Cosmetic services *
Services not covered by Medicare
Cardio-thoracic surgery or monitoring **
Eye Surgery
Joint Replacement
Assisted Reproductive Technology
Obstetrics (Maternity)
 

A restricted service means a basic public hospital rate will be paid for accommodation and all other charges raised during the stay and out-of-pocket expenses will be paid by the member.  An excluded service means all charges raised during the stay will be paid by the member.
* Where a service is deemed by Medicare to be cosmetic and / or does not attract a Medicare rebate, all charges raised in association with the hospital stay will not be eligible for payment.
** Some examples of cardio-thoracic surgery or monitoring are: heart bypass, angiogram, coronary care, lung surgery.
Contact HIF prior to admission to confirm benefits payable.