HCF My Family Advanced Silver Plus Package cover summary cover summary

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HCF My Family Advanced Silver Plus product summary

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427.5KB PDF

What's covered

HCF My Family Advanced Silver Plus

Designed for growing families looking for affordable mid-level hospital cover for pregnancy.

Services

Waiting period

Emergency ambulance	1 day
Rehabilitation	2 months
Hospital psychiatric services This is a service where Minimum Benefits apply, which means that we will pay the rate set out by the Commonwealth as the minimum shared room benefit, and benefits for Government approved Prostheses if applicable. Members who have held hospital cover for at least 2 months and upgrade to HCF Hospital Gold to receive hospital psychiatric services as covered services may not be required to serve the waiting period for hospital psychiatric services. This exemption can only be accessed once in a member's lifetime.	2 months
Palliative care	2 months
Brain and nervous system (e.g. stroke, brain or spinal cord tumours)	2 months (12 mths pre-existing)
Eye (not cataracts e.g. retinal detachment, eye infections)	2 months (12 mths pre-existing)
Ear, nose and throat (e.g. damaged ear drum, sinus surgery)	2 months (12 mths pre-existing)
Tonsils, adenoids and grommets (e.g. hospital treatment of the tonsils, insertion or removal of grommets)	2 months (12 mths pre-existing)
Bone, joint and muscle (e.g. fractures, joint fusion and surgery for bone cancer)	2 months (12 mths pre-existing)
Joint reconstructions (e.g. torn tendons and damaged ligaments)	2 months (12 mths pre-existing)
Kidney and bladder (e.g. kidney stones, adrenal gland tumour)	2 months (12 mths pre-existing)
Male reproductive system (e.g. male sterilisation, prostate cancer)	2 months (12 mths pre-existing)
Digestive system (e.g. oesophageal cancer, irritable bowel syndrome, gall stones and haemorrhoids)	2 months (12 mths pre-existing)
Hernia and appendix (e.g. hernia operations and appendicitis)	2 months (12 mths pre-existing)
Gastrointestinal endoscopy (e.g. colonoscopy, gastroscopy)	2 months (12 mths pre-existing)
Gynaecology (e.g. endometriosis, polycystic ovaries)	2 months (12 mths pre-existing)
Miscarriage and termination of pregnancy	2 months
Chemotherapy, radiotherapy and immunotherapy for cancer	2 months (12 mths pre-existing)
Pain management (e.g. treatment of nerve pain and chest pain due to cancer by injection of a nerve block)	2 months (12 mths pre-existing)
Skin (e.g. surgery to remove melanoma, minor wound repair or abscesses)	2 months (12 mths pre-existing)
Breast surgery (medically necessary e.g. breast lesions, breast tumours, asymmetry due to breast cancer surgery)	2 months (12 mths pre-existing)
Diabetes management (excluding insulin pumps e.g. stabilisation of hypo- or hyper-glycaemia, contour problems due to insulin injections)	2 months (12 mths pre-existing)
Heart and vascular system (e.g. heart failure and heart attack, monitoring of heart conditions)	2 months (12 mths pre-existing)
Lung and chest (e.g lung cancer, respiratory disorders such as asthma, pneumonia)	2 months (12 mths pre-existing)
Blood (e.g. blood clotting disorders and bone marrow transplants)	2 months (12 mths pre-existing)
Back, neck and spine (e.g sciatica, prolapsed or herniated disc, and spine curvature disorders such as scoliosis)	2 months (12 mths pre-existing)
Plastic and reconstructive surgery (medically necessary e.g. burns requiring a graft, cleft palate)	2 months (12 mths pre-existing)
Dental surgery (e.g surgery to remove wisdom teeth and dental implant surgery)	2 months (12 mths pre-existing)
Podiatric surgery (provided by a registered podiatric surgeon) Limited Benefits apply. Default Benefit level payable by HCF for Hospital Treatment as determined under the Private Health Insurance Act.	2 months (12 mths pre-existing)
Implantation of hearing devices	2 months (12 mths pre-existing)
Pregnancy and birth	12 months
Sleep studies (e.g sleep apnoea and snoring)	2 months (12 mths pre-existing)
Waiting periods for pre-existing ailments (excluding rehabilitation, hospital psychiatric services and palliative care) The waiting period for pre-existing ailments is 12 months. The waiting period for hospital psychiatric services, rehabilitation services and palliative care is 2 months. A pre-existing ailment, illness or condition is one where the signs or symptoms existed in the six months before joining HCF or upgrading your cover.	12 months

HCF My Family Advanced Silver Plus Extras

Designed for growing families looking for comprehensive and flexible extras cover

Waiting periods

extras waiting period

Waiting Periods

General dental	2 months
Major dental	12 months
Optical	2 months
Therapies (excluding foot orthotics)	2 months
Travel and Accommodation	2 months
Vaccines and Immunisations	2 months
Artificial aids	12 months
Hearing aids	12 months
Health Management Programs	2 months
School Accident Benefit	2 - 12 months
*Please see the Product summary for information on policy inclusions

Category

Services

Benefits

Optical Hide details

$250 limit

	Spectacle frames	$115
	Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting)	$140
	Contact lenses - pair	$140

$1,200 Combined Limit per person per year View details

Dental

	Examinations	$32 - $73
	Single film x-rays	$31
	Removal of plaque / calculus	$36 - $64
	Application of fluoride	$28

	Direct fillings (1-2 surfaces)	$85 - $105
	Direct fillings (3 or more surfaces)	$128 - $177
	Simple extractions	$95 - $143
	Indirect fillings	$298 - $671
	Surgical extractions	$165 - $260
	Treatment of tissue surrounding teeth	$23 - $374
	Treatment of root canals	$27 - $248
	Placing of crowns and bridges	$244 - $1,000
	Dentures and/or components (partial and complete)	$25 - $1,100

Orthodontists Lifetime limit of $2,100 applies for all orthodontic services, and a further sub-limit of $1,050 for orthodontic services provided by other dentists

Orthodontics - orthodontist / other dentists

Up to $700 / $350

Therapies

	Physiotherapy including pelvic floor physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program)	$58 / $49
	Exercise physiology (group / class consultations covered under Health Management Program)	$33

	Psychology (after Medicare entitlement used up)	$85
	Occupational therapy	$62

	Chiropractic - initial / subsequent	$40 / $33
	Osteopathy - initial / subsequent	$48 / $38

	Remedial massage and myotherapy - initial / subsequent	$36 / $31
	Acupuncture and Chinese herbal medicine consultation - initial / subsequent	$36 / $31

	Dietetics - initial / subsequent	$45
	Podiatry (including foot orthotics) - initial / subsequent	$35 /$30
	Speech pathology - initial / subsequent	$60

	HCF approved pharmacy (After PBS equivalent co-payment subtracted)	Up to $50 per script
	HCF approved vaccines and immunisations (After PBS equivalent co-payment subtracted)	Up to $50 per script

Artificial aids (HCF approved e.g. low vision aids)

$45 - $150

Health Management Programs (HCF approved e.g. exercise classes, antenatal and postnatal services including childbirth education classes, breastfeeding consultations, pregnancy compression garments, and breastfeeding support services provided by the Australian Breastfeeding Association)

Up to $150

School Accident Benefit

For eligible children

HOSPITAL SERVICES NOT COVERED IN THIS PACKAGE

Cataracts

Joint replacements

Dialysis for chronic kidney failure

Assisted reproductive services

Weight loss surgery

Insulin pumps

Pain management with device

Want to see all exclusions?

Product summary

HCF My Family Advanced Silver Plus

From
$*Per week

What's covered

HCF My Family Advanced Silver Plus

HCF My Family Advanced Silver Plus Extras

HOSPITAL SERVICES NOT COVERED IN THIS PACKAGE

* Important information

Any questions?

Call us

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HEALTH INSURANCEShow more

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Health

Income, illness & injury cover

Travel

Pet

Manage your health

No-gap services

Access medical resources

Member offers & discounts

Find a branch

HCF centres

Participating hospitals

Find a participating provider

About HCF

HCF Research Foundation

Media centre

Careers

Health

Income, illness & injury cover

Travel

Pet

Manage your health

No-gap services

Access medical resources

Member offers & discounts

Find a branch

HCF centres

Participating hospitals

Find a participating provider

About HCF

HCF Research Foundation

Media centre

Careers

HCF My Family Advanced Silver Plus

From $*Per week

HCF My Family Advanced Silver Plus

HCF My Family Advanced Silver Plus Extras

What's covered

HCF My Family Advanced Silver Plus

HCF My Family Advanced Silver Plus Extras

HOSPITAL SERVICES NOT COVERED IN THIS PACKAGE

* Important information

Any questions?

Call us

Visit a branch

HEALTH INSURANCEShow more

CONTACT USShow more

ABOUT HCFShow more

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From
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