REST EASY WITHOUR NO-GAP JOINTS PROGRAM

NO-GAP JOINTS PROGRAM THAT PUTS YOU IN CONTROL

We believe Uncommon Care is taking a holistic approach to your health and wellbeing. So, when it comes to having primary hip or knee replacement surgery, we want to give eligible members greater flexibility to make their experience simple and supported.

That’s why we’ve launched our No-Gap Joints program for primary hip and knee replacements, giving eligible members peace of mind with no out-of-pocket costs from hospital admission through to discharge and post-surgery rehab, with participating private hospitals and clinicians*.

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Eligible HCF members will have access to:

  • no out-of-pocket costs for primary hip and knee replacements with participating private hospitals and clinicians in NSW
  • peace of mind – we’ll cover the costs during and after surgery, so you can focus on recovery
  • continuity of care with the same health professionals and hospital coordinating your care from admission through to post-surgery rehab
  • treatment with participating surgeon in a complete package including rehab.

Eligible members need to be accepted into the program in line with clinical criteria by a participating clinician*.

Already an HCF Member?

Eligible members who have held HCF hospital cover that includes primary hip and knee replacements for at least 12 months are covered for No-Gap Joints. You’ll then need to be accepted into the program by a participating surgeon (excludes Overseas Visitors Health Cover members)*.

Find out if you’re eligible by logging in to My Membership app and in online member services, by calling us on 13 13 14 or visiting your local branch.

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NOT YET A MEMBER?

Eligible members need to have held HCF cover for at least 12 months to be covered for the No-Gap Joints program. Find out about an alternate option with HCF for your primary hip or knee replacement surgery today*.
 
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CARE AND SUPPORT WHEN IT COUNTS

We help eligible members find ways to be fit and strong before a procedure with access to a range of health management programs#:

  • Healthy Weight for Life assists eligible members with losing weight who are over 18, with a BMI over 28 and have Type 2 diabetes, a chronic heart condition or osteoarthritis.
  • COACH helps eligible members manage diabetes and heart-related health conditions with 6 months of phone coaching sessions and written reports from a trained health coach^.
  • Stand Up To Joint Pain connects you with a physiotherapist, health coach or dietitian to empower you on your pre-habilitation journey.

Where can you access our No-Gap Joints program?

We know that giving you the choice of specialists, hospitals and services is important. That’s why we’ve partnered with these providers to make your primary hip or knee replacement experience as simple, affordable and supportive as possible.

FAQs

DO YOU HAVE MORE QUESTIONS ABOUT NO-GAP JOINTS?

How do I know if I’m eligible for the No-Gap Joints program?  
Eligible members that have held HCF hospital cover including primary hip and knee replacements for at least 12 months are covered for No-Gap Joints, once they are accepted into the program by a participating surgeon (excludes Overseas Visitors Health Cover members)*. Please visit the participating hospital’s page to see the list of surgeons involved in the program.

Will I have any out-of-pocket costs?
Our No-Gap Joints program covers eligible members on their primary hip or knee replacement journey from hospital admission through to discharge and post-surgery rehab, with participating private hospitals and clinicians*.

HCF members who are eligible to participate in the program won’t have any out-of-pocket costs except for any hospital policy excess (an excess may apply depending on your level of cover and if you’re claiming for the first time in a calendar year), or any additional services. Additional services may be required if you have other medical conditions such as diabetes or cardiac conditions. These additional services are not covered by the No-Gap Joints program and additional costs may apply.

If there are complications during your hospital admission that require additional care or services beyond what is included in the No-Gap Joints program, there may also be additional costs. Please speak with your participating surgeon about any risks that may be associated with your chosen surgery.

The No-Gap Joints program includes:

  • participating surgeon costs for primary hip or knee replacement surgery. This doesn’t include pre-surgical consultations but includes post-surgical consults
  • diagnostics (pathology and radiology) for any inpatient diagnostics performed while admitted for the primary hip or knee replacement surgery
  • hospital services including accommodation and theatre. Excludes any hospital excess payable
  • any costs related to anaesthetist and theatre support to assist with the surgery
  • rehabilitation, organised by the participating hospital if clinically required.

Please speak to your participating surgeon to make sure you’re aware of and have given Informed Financial Consent for any additional costs.

How can I make sure I’m in the No-Gap Joints program?
You’ll need to be accepted into the program in line with clinical criteria by participating clinicians on a patient-by-patient basis. Please visit the participating hospital’s page to see the list of surgeons involved in the program.

What happens if I was already seeing a participating surgeon before the No-Gap Joints program started?
Eligible members who book in for their primary hip or knee replacement surgery at a participating hospital from 1 April 2021 may be covered under the No-Gap Joints program*.

You should confirm this with your participating hospital and surgeon. Your surgeon has the discretion to choose in line with clinical criteria if members are accepted into the program on a patient-by-patient basis.

Can I choose my surgeon? 
You can choose any of the participating No-Gap Joints program surgeons - please visit the participating hospitals to see the list of surgeons in the program. You’ll need to confirm whether the hospital and surgeon is available and they must accept you into the program.

If I change cover or move health funds, is there a waiting period?   
Yes, the program is only available once you’ve held hospital cover that includes primary hip and knee replacements with HCF for 12 months (excluding Overseas Visitors Health Cover)*.   

What if I can’t access or don’t live nearby one of the participating hospitals?
If you can’t participate in the No-Gap Joints program, you can still access No-Gap surgeons who participate in HCF Medicover arrangements. Call us on 13 13 14 to find out more on hospitals and surgeons part of our participating network near you. Please note participating surgeons have the discretion to choose in line with clinical criteria if members are accepted into the program on a patient-by-patient basis.

How do I find a participating surgeon?
We’re pleased to partner with surgeons participating through these hospitals to make your hip or knee replacement experience as easy and affordable as possible.

Eligible members need to be accepted into the program in line with clinical criteria by a participating surgeon*.

I have more questions about the No-Gap Joints program – who can I speak to?
For any questions, get in touch with us on 13 13 34 or email us at service@myhcf.com.au. We aim to get back to you within 2 business days.

More of Our Programs

PREPARING FOR HOSPITAL: KNEE REPLACEMENT

Find the answers to many of your questions about knee replacements. Learn how the surgery works, how to prepare, what your recovery may be like and more.

PREPARING FOR HOSPITAL: HIP REPLACEMENT

Learn about what to do and expect when preparing for a hip replacement. Find out about prostheses, how the surgery works, how to prepare, what your recovery may be like and more.

THE COACH PROGRAM 

This 6 month phone coaching program is designed to help manage diabetes and heart-related health conditions for eligible HCF members. 

HEALTHY WEIGHT FOR LIFE 

This program is designed to kickstart your weight loss, improve activity and provide tools to create healthy routines. 

IMPORTANT INFORMATION  

*Eligible members will need to have HCF hospital cover including primary hip and knee replacements for 12 months (excluding Overseas Health Cover). Members will be accepted into the program in line with clinical criteria by participating clinicians on a patient-by-patient basis. Excludes any policy excess payable. 

^If you’re an HCF member and you have diabetes or a heart-related condition, and you’ve had HCF hospital cover for at least 12 months that covers heart conditions and vascular system (excluding Accident Only Basic Cover and Overseas Visitors Health Cover), you may be eligible for the COACH program.

#Before you start any program, check you’re on eligible cover and the program provider is recognised by us. If you’re unsure, call 13 13 34 or visit a branch. To claim for a Health Management Program you’ll need to submit a claim form and provide supporting documents. Unless otherwise stated, all programs have a 2- month waiting period and depend on cover eligibility and annual limits.