The amount you pay before Medibank contributes to your hospital costs.
Hospital cover
- A broad range of hospital services, such as Heart and vascular system admissions and Plastic and reconstructive surgery (medically necessary).
- Our Private Room Promise.**
- Emergency Ambulance Australia-wide.^
- Accidental Injury Benefit.⁺
- No hospital excess for kids on a family membership.⁺⁺
- Benefits for home nursingᵟ and health screening services.ᶲ
What is a waiting period?
The time you need to wait before you can receive benefits for services or items listed in your cover.
When do they apply?
To new members, or when switching to a higher level of cover.
Switching funds?
If you're switching from another health fund, on similar cover, we'll recognise waiting periods already served.
What is a pre-existing condition?
An ailment, illness or condition that, in the opinion of a Medical Practitioner appointed by Medibank, the signs or symptoms existed at any time during the six months before you either took out your new cover, or transferred to a higher level of cover (12 month waiting period applies).
| Inclusions | Waiting period
What is a waiting period? The time you need to wait before you can receive benefits for services or items listed in your cover. When do they apply? To new members, or when switching to a higher level of cover. Switching funds? If you're switching from another health fund, on similar cover, we'll recognise waiting periods already served. What is a pre-existing condition? An ailment, illness or condition that, in the opinion of a Medical Practitioner appointed by Medibank, the signs or symptoms existed at any time during the six months before you either took out your new cover, or transferred to a higher level of cover (12 month waiting period applies). |
|---|---|
| Nil | |
| Nil | |
| 1 day | |
| Nil | |
| 2 months | |
| 2 months | |
| 2 months | |
| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
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| 2 months
(12 months for pre-existing) |
| Exclusions |
|---|
Please note: Medibank does not pay any benefits towards the cost of cosmetic surgery/procedures e.g. surgery that isn’t clinically necessary and for which an MBS item is not billable.
Hospital costs explained
Hospital cover helps with the cost of treatments you receive in hospital as a private patient. Of course, everyone is different, and so our hospital covers come in all shapes and sizes to suit different priorities and stages in life.
For services included under each of our Hospital covers, we’ll pay benefits towards:
- Eligible ambulance services
- In-hospital medical services
- Overnight accommodation in a private hospital, or a shared room in a public hospital as a private patient
- Same-day admission
- Intensive care
- The minimum benefit for surgically implanted prostheses included on the Australian Government Prostheses List
Depending on your cover you may need to pay an excess or co-payment before we will pay any benefits towards your hospital admission.
- Services not included in your cover or for which you are serving waiting periods
- Some high-cost medications
- Services not covered by Medicare
- Prostheses in excess of approved benefits in the Government’s Prostheses List
- Cosmetic treatments
It's a good idea to call us on 1300 763 422 so we can take you through what we will pay benefits for, and let you know of any potential out-of-pockets for your procedure.
Awarded Outstanding Value Health Insurance 16 years running
We’re proud to deliver outstanding value health insurance products designed to suit your needs. But don’t just take our word for it.
Why choose Medibank?
Private Room Promise
Be cared for in a private room at a Members’ Choice hospital or receive a benefit of $50 per night, for up to 5 nights per stay. Conditions apply.**
Accidental Injury Benefit
Any Excluded or Restricted service will be treated as if it is an Included Service, where you require hospital treatment as a result of injuries sustained in an Accident. Conditions apply.⁺
Unlimited Emergency Ambulance Australia-wide
Have peace in mind in knowing that all of our hospital policies include Unlimited Emergency Ambulance.^
Request a call back
Leave your details and a Medibank expert will be in touch to take you through your options. In providing your telephone number, you consent to Medibank contacting you about health insurance.
** You'll need to request a private room from the Members’ Choice hospital at least 24 hours prior to your stay, provide supporting documentation to Medibank from the hospital about this request and be eligible to receive benefits for the treatment you received during your stay. Does not apply for same-day admissions or admissions for sleep studies, or where your doctor specifically requests a shared room for clinical reasons.
^ Tasmania and Queensland have state schemes that cover ambulance services for residents of those States.
+ Restricted or Excluded services will be treated as Included services where treatment is required for injuries sustained in an Accident that occurs after joining this cover. Excludes claims covered by third parties such as Workcover. Out-of-pocket expenses may apply. Refer to your Cover Summary.
++ Other out-of-pocket expenses may apply.
ᵟ Home nursing benefits are payable toward the cost of private nursing services which do not involve a hospital intervention, and must be provided by a registered home nursing provider. Medibank currently has no Recognised Home Nursing providers in NT and TAS. Conditions apply, refer to your Cover Summary for details.
ᶲ Benefits for Health screening tests are payable towards health screening services approved by Medibank for the detection of an illness or condition and performed by a Medicare registered provider, and where no Medicare benefits are payable for that service. Conditions apply, refer to your Cover Summary for details.