Preventative dental health care(e.g. check-ups, cleans, fluoride)

2 check-ups, 2 scale and cleans, x-rays and 1 fluoride treatment per year.
Other service and item limits apply.

2 months

Restorative dental (e.g. fillings)

$550

Oral surgery (e.g. tooth extractions)

$500

12 months

Endodontic dental (e.g. root canal)

Periodontic dental (e.g. gum treatment)

Orthodontics by an Orthodontist

-

-

Dentures

-

-

Crowns and bridges

$800

12 months

Optical

$250

2 months

Physiotherapy, group physiotherapy and hydrotherapy

$600

Chiropractic, osteopathy and exercise physiology

Occupational therapy

Speech pathology

$300
(max. $200 for foot orthotics)

Audiology

Dietetics

Podiatry consultations

Psychology (once the year’s Medicare entitlement is exhausted)

$300

2 months

Acupuncture and Chinese herbal medicine consultations

$300

2 months

Remedial massage and myotherapy

Naturopathic consultations and homeopathy

Alexander technique

Pharmacy (HCF approved, non-PBS)

$500

2 months

Hearing aids

-

-

Home nursing and travel and accommodation

-

-

Aids and appliances (e.g. CPAP machine)

-

-

HCF approved health management programs (e.g. weight management programs)

$200
(max. $400 per family)

6 months

These things are covered in a public or HCF Participating Private Hospital:

• Accommodation
• Operating theatre, intensive care, neo-natal intensive care
• Coronary care
• Prosthesis100% cover for no-gap Prosthesis List items. There are a small number of prostheses which will attract a gap.
• Physiotherapy100% for HCF participating private hospitals or $20 up to $500 per year for non-participating private hospitals.
• Psychiatric services
• Total & partial hip & knee joint replacement surgery
• Cataract surgery
• Dialysis for chronic renal failure
• Pharmaceuticals in hospitalsDirectly associated with the reason for admission, excluding experimental and high cost non-PBS drugs.
• Ambulance100% cover for emergency ambulance (State Government services) for road, air or snow ambulance, to the nearest hospital that can provide you with the care you need.
• All other services
  (unless shown on the right)

Whilst HCF doesn’t exclude services from our hospital covers, we pay lower benefits on some to keep the price down, and benefits relevant. Read more

Minimal Benefits

For these services, HCF will only pay a small amount towards your private hospital costs. This means you may face significant out of pocket expenses if you have these procedures in a private hospital, but would be largely covered in a public hospital. For these procedures, HCF would:

• pay a small amount towards your accommodation in a private hospital;
• pay for shared accommodation in a public hospital;
• pay for any Government approved no-gap prostheses (if required); and
• not pay operating theatre expenses, or labour ward charges.
• In addition, there are some services where doctor’s charges are not payable (e.g. elective cosmetic surgery and surgery by an accredited podiatrist). For these, HCF will only pay a very small amount towards the total cost of the procedure (and no doctor’s charges).

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• Pregnancy & birth related services
• Assisted reproductive services

In addition, HCF will only pay a small proportion towards the hospital costs, and no Doctors charges, for these procedures:

• Elective cosmetic surgery
• Surgery by accredited podiatrist