Fund Name: Address: Health Partners GPO Box 1493 ADELAIDE SA 5001 Telephone: 1300 113 113 Facsimile: (08) 8113 2259 Chief Executive: Byron Gregory Claims Enquiries: Membership Enquiries: Hospital Claims Ph: 1300 113 113 Fax: (08) 8113 2281 hospitalclaims@healthpartners.com.au Member Services Ph: 1300 113 113 Fax: (08) 8113 2259 ask@healthpartners.com.au To confirm patient eligibility and membership level of cover please use Eclipse or our web-based system at https://webserv.healthpartners.com.au/version3/index.asp prior to admission Gold Hospital Gold Hospital provides cover for your hospital expenses at your choice of participating It includes the widest range of additional health management benefits and is suitable for people who want top cover with no excess or copayment. apply for persons who do Gold Value Hospital with Maternity - $250 Gold Value Hospital with Maternity provides cover for your want top cover but keep the cost of premiums lower with an excess. An Excess of $250 per person per year (maximum of $500 per
apply for persons who do Gold Value Hospital excluding Maternity - $250 Gold Value Hospital excluding Maternity provides cover for your want top cover which only excludes maternity services and lower premiums by having an excess. An Excess of $250 per person per year (maximum of $500 per No benefits for Pregnancy / Birth Related services and Assisted Reproductive Services (IVF, GIFT, etc). apply for persons who do Gold Value Hospital with Maternity Gold Value Hospital with Maternity provides cover for your want top cover but keep the cost of premiums lower with an excess. apply for persons who do Gold Value Hospital excluding Maternity Gold Value Hospital excluding Maternity provides cover for your want top cover which only excludes maternity services and lower premiums by having an excess. No benefits for Pregnancy / Birth Related services and Assisted Reproductive Services (IVF, GIFT, etc).
apply for persons who do Silver Hospital Silver Hospital provides cover for most hospital expenses at It is suitable for people who want cover for a broad range of services but it has some exclusions, restrictions and an excess to keep premiums affordable No benefits for Dialysis relating to chronic kidney failure, Jointreplacement procedures (except if due to an accident - contact Health Partners for full terms and conditions. ), Cataract surgery (all other eye surgery included), Pregnancy & birth-related services, Assisted reproductive services (e.g. IVF), Surgical weight loss procedures and Non-emergency ambulance services. Default benefits only for Psychiatric and Rehabilitation Services, Podiatric surgery and any treatment/procedures not eligible for a Medicare rebate. Bronze Hospital Bronze Hospital provides cover for most hospital expenses at It is suitable for people who want cover for a range of services but keep the cost of premiums lower with some exclusions, restrictions and by paying an excess. couple/family per year) applies, except if admission is in relation to an accident (contact Health Partners for full terms and conditions) or for surgical removal of wisdom teeth. No benefits for Dialysis relating to chronic kidney failure, Jointreplacement procedures, Eye surgery, Pregnancy & birth-related services, Assisted reproductive services (e.g. IVF), Surgical weight loss procedures, Cochlear Implants, Insulin Pumps and Non-emergency ambulance services. Default benefits only for Psychiatric and Rehabilitation Services, Podiatric surgery and any treatment/procedures not eligible for a Medicare rebate. Prime Living
Prime Living provides cover to Medicare eligible patients for your (private or public), Australia-wide. It includes the widest range of additional health management benefits and is suitable for people who want top cover with no excess or copayment. No benefits payable on pregnancy or birth related services, assisted reproductive services, sterilisation reversal and surgical weight loss procedures. Default benefits only for Podiatric Surgery (or accredited day surgery) and Laser Eye Surgery in addition to treatment/procedures not eligible for Medicare rebate. Family Essentials Family Essentials provides cover to Medicare eligible patients for most hospital admissions at your choice or participating An Excess of $300 per person per year (maximum of $600 per No benefits payable on assisted reproductive services, sterilisation reversal, surgical weight loss procedures, dialysis for chronic kidney failure and eye surgery. Default benefits only for Pregnancy and birth related services, Podiatric surgery (or accredited day surgery) and joint replacement procedures in addition to treatment/procedures not eligible for Medicare rebate. My Choice Couples Choice provides cover to Medicare eligible patients for most hospital admissions at your choice or participating hospital (private or public), Australia-wide. An Excess of $300 per person per year (maximum of $600 per couple per year) applies. No benefits payable on assisted reproductive services, sterilisation reversal, surgical weight loss procedures, dialysis for chronic kidney failure and eye surgery. Default benefits only for Pregnancy and birth related services, Podiatric surgery (or accredited day surgery) and joint replacement procedures in addition to treatment/procedures not eligible for Medicare rebate. Single Starter
Single Starter provides cover to Medicare eligible patients for most hospital admissions at your choice or participating hospital (private or public), Australia-wide. Excess of $500 per person per year. No benefits payable for pregnancy and birth related services, assisted reproductive services, sterilisation reversal, joint replacement, surgical weight loss procedures, eye surgery and dialysis for chronic kidney failure. Default benefits only for Psychiatric services, Rehabilitation services and Podiatric surgery (or accredited day surgery) in addition to treatment/procedures not eligible for Medicare rebate. Grandfathered Products - closed to new memberships Platinum Platinum provides cover to Medicare eligible patients for your (private or public), Australia-wide. It includes the widest range of additional health management benefits and is suitable for people who want top cover with no excess or copayment. Gold Hospital 25 Gold Hospital 25 provides cover for your hospital expenses at It includes the widest range of additional health management benefits and is suitable for people who want top cover with no excess and a low daily co-payment. of $25 per day payable (including sameday admissions), up to $125 per person per year (maximum $250 for families). for child dependants apply for persons who do Gold Hospital 50
Gold Hospital 50 provides cover for your hospital expenses at It includes the widest range of additional health management benefits and is suitable for people who want top cover with no excess and a low daily co-payment. of $50 per day, up to $250 per person per year (maximum of $500 for couples/families). No co-payment for children. apply for persons who do Silver Hospital 250 Silver Hospital 250 provides cover to Medicare eligible patients for your hospital expenses at your choice of participating Excess of $250 per person per year (maximum of $500 per couple/family per year) Default benefits only for treatment/procedures not eligible for Medicare rebate. apply for persons who do Silver Hospital 500 Silver Hospital 500 provides cover to Medicare eligible patients for your hospital expenses at your choice of participating Excess of $500 per person per year (maximum of $1,000 per couple/family per year) $50 per day co-payment, up to $250 per person per year (maximum of $500 per couple/family per year). No excess or copayment for children apply for persons who do Bronze Hospital 500 Bronze Hospital 500 provides cover to Medicare eligible patients for most hospital admissions at your choice or participating Its suitable for people who want reduced cover with a higher excess ($500) and daily co-payment ($50) to reduce their premiums.
Excess of $500 per person per year (maximum of $1000 per couple/family per year) $50 per day co-payment, up to $250 per person per year (maximum of $500 per couple/family per year). No benefits payable for pregnancy and birth related services, assisted reproductive services, sterilisation reversal, joint replacement, surgical weight loss procedures, dialysis for chronic kidney failure. Default benefits only for Psychiatric and Rehabilitation Services, Podiatric surgery and any treatment/procedures not eligible for a Medicare rebate. apply for persons who do Couples Choice Couples Choice provides cover to Medicare eligible patients for most hospital admissions at your choice or participating An Excess of $300 per person per year (maximum of $600 per couple per year) applies. No benefits payable on assisted reproductive services, sterilisation reversal, surgical weight loss procedures, dialysis for chronic kidney failure and eye surgery. Default benefits only for Pregnancy and birth related services, Podiatric surgery (or accredited day surgery) and joint replacement procedures in addition to treatment/procedures not eligible for Medicare rebate.