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HCF Hospital Premium Gold and HCF Top Extras
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Our top hospital cover for complete peace of mind and top-level extras with our highest coverage for therapies and services.

Cancel within 30 days and get a 100% refund (if you haven't claimed)++

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*Australian Government Rebate applied and excludes any Lifetime Health Cover loading
Cancel within 30 days and get a 100% refund (if you haven't claimed)++
HCF Hospital Premium Gold and HCF Top Extras
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HCF Hospital Premium Gold
HCF Top Extras
HCF Hospital Premium Gold

For procedures identified as Minimum Benefits, we will pay the rate set out by the Commonwealth as the minimum shared room benefit and benefits for Government approved Prostheses List items, if applicable.

Waiting Period: 1 day

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.

Waiting Period: 2 months

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.

Waiting Period: 2 months

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.

Waiting Period: 2 months

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Minimum benefits covered

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Limited Benefits apply. Default Benefit level payable by HCF for Hospital Treatment as determined under the Private Health Insurance Act.

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 12 months

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

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.

Waiting Period: 12 months

Hospital Cover Explained

In Australia, hospital cover is categorised as either Gold, Silver, Bronze or Basic. Hospital cover gives you more control if you need to go to hospital – like getting treated sooner by a doctor of your choice. We offer cover for singles, couples and families. If your situation changes down the track we can help you find cover that suits your new needs.

Hospital waiting periods vary according to the type of treatment or service. If you’re new to private health insurance, rejoining after a break in cover, upgrading to a higher level of cover, or changing your excess, you’ll have to wait before claiming on certain treatment and services.

When you take out hospital cover you’ll be asked to choose your excess. This is the amount you agree to pay if you’re admitted to hospital for planned treatment.

If you choose a higher excess, you’ll lower the cost of your cover. Choosing a lower, or zero excess, means you’ll pay less if you go to hospital, but the cost of your cover will be more.

HCF Top Extras

Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year


Service Benefits
Examinations $34 - $84
Single film x-rays $34
Removal of plaque / calculus $40 - $75
Application of fluoride $29

Year 1 $1,000 limit


Service Benefits
Direct fillings (1-2 surfaces) $105 - $148
Direct fillings (3 or more surfaces) $177 - $256
Simple extractions $120 - $175
Indirect fillings $341 - $783
Surgical extractions $210 - $330
Occlusal therapy $38 - $400
Treatment of tissue surrounding teeth $27 - $430
Treatment of root canals $32 - $285
Placing of crowns and bridges $280 - $1,100
Dentures and/or components (partial and complete) - Limits renew every 3 years $33 - $1,300

$800 LIMIT for ORTHODONTISTS ($400 LIMIT if general dentist)

Lifetime limit $2,400 or $1,200 for services by dentists, other than orthodontists


Service Benefits
Orthodontics - orthodontist / other dentists Up to $800/$400

Waiting period
General Dental 2 months
Major Dental 12 months
Orthodontic 12 months

$275 limit


Service Benefits
Spectacle frames 100% of fee up to annual limit
Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) 100% of fee up to annual limit
Contact lenses - pair 100% of fee up to annual limit

Waiting period
Optical 2 months

Year 1 $600 limit


Service Benefits
Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) $60 / $54
Exercise physiology (group / class consultations covered under Health Management Program) $40

Year 1 $600 limit


Service Benefits
Occupational therapy $72
Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations $30/$100
Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations $21/$58
HCF-approved counselling & accredited mental health social worker includes group consultations $18/$48
HCF-approved Online Cognitive Behavioural Therapy courses $35 - $59

Year 1 $300 limit


Service Benefits
Chiropractic - initial / subsequent $45 / $35
Osteopathy - initial / subsequent $50 / $40

Year 1 $300 limit

Sub-limit $300 per therapy service


Service Benefits
Remedial massage and myotherapy - initial / subsequent $40 / $35
Acupuncture and Chinese herbal medicine consultation - initial / subsequent $40 / $35

Year 1 $250


Service Benefits
Dietetics - initial / subsequent $55
Audiology - initial / subsequent $70
Speech pathology - initial / subsequent $83
Podiatry (including 1 pair of foot orthotics per person per year) $40 / $35
Orthotist/Prosthetist and Pedorthist $25 - $135

Waiting period
Therapies (excluding foot orthotics) 2 months

Max $250 per policy


Service Benefits
Travel and Accommodation (200km round trip) $50

$280 limit


Service Benefits
HCF approved pharmacy (After PBS equivalent co-payment subtracted) Up to $50 per script

Max $200 per policy


Service Benefits
Artificial aids (HCF approved e.g. low vision aids) $55 - $200

$800 - $1,800


Service Benefits
Hearing aids $800 (benefits accrue and renew every three years)

$200 per person max $400 per policy


Service Benefits
Health Management Programs (HCF approved e.g. exercise classes) $200 per person/max $400 per policy

$200 per eligible child


Service Benefits
School Accident Benefit Up to $200 per eligible child

Waiting period
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
Foot orthotics 12 months
Extra Cover Explained

Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more.  Waiting periods apply and vary according to the type of service.

If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.

Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.

Included means services and treatments are covered and you'll have less out-of-pocket expenses.

Download product summary (PDF)
HCF Hospital Premium Gold
HCF Top Extras
HCF Hospital Premium Gold

For procedures identified as Minimum Benefits, we will pay the rate set out by the Commonwealth as the minimum shared room benefit and benefits for Government approved Prostheses List items, if applicable.

Waiting Period: 1 day

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.

Waiting Period: 2 months

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.

Waiting Period: 2 months

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.

Waiting Period: 2 months

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Minimum benefits covered

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Limited Benefits apply. Default Benefit level payable by HCF for Hospital Treatment as determined under the Private Health Insurance Act.

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 12 months

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Waiting Period: 2 months
(12 mths pre-existing)

Hospital Cover Explained

In Australia, hospital cover is categorised as either Gold, Silver, Bronze or Basic. Hospital cover gives you more control if you need to go to hospital – like getting treated sooner by a doctor of your choice. We offer cover for singles, couples and families. If your situation changes down the track we can help you find cover that suits your new needs.

Hospital waiting periods vary according to the type of treatment or service. If you’re new to private health insurance, rejoining after a break in cover, upgrading to a higher level of cover, or changing your excess, you’ll have to wait before claiming on certain treatment and services.

When you take out hospital cover you’ll be asked to choose your excess. This is the amount you agree to pay if you’re admitted to hospital for planned treatment.

If you choose a higher excess, you’ll lower the cost of your cover. Choosing a lower, or zero excess, means you’ll pay less if you go to hospital, but the cost of your cover will be more.

HCF Top Extras

Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year


Service Benefits
Examinations $34 - $84
Single film x-rays $34
Removal of plaque / calculus $40 - $75
Application of fluoride $29

Year 1 $1,000 limit


Service Benefits
Direct fillings (1-2 surfaces) $105 - $148
Direct fillings (3 or more surfaces) $177 - $256
Simple extractions $120 - $175
Indirect fillings $341 - $783
Surgical extractions $210 - $330
Occlusal therapy $38 - $400
Treatment of tissue surrounding teeth $27 - $430
Treatment of root canals $32 - $285
Placing of crowns and bridges $280 - $1,100
Dentures and/or components (partial and complete) - Limits renew every 3 years $33 - $1,300

$800 LIMIT for ORTHODONTISTS ($400 LIMIT if general dentist)

Lifetime limit $2,400 or $1,200 for services by dentists, other than orthodontists


Service Benefits
Orthodontics - orthodontist / other dentists Up to $800/$400

Waiting period
General Dental 2 months
Major Dental 12 months
Orthodontic 12 months

$275 limit


Service Benefits
Spectacle frames 100% of fee up to annual limit
Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) 100% of fee up to annual limit
Contact lenses - pair 100% of fee up to annual limit

Waiting period
Optical 2 months

Year 1 $600 limit


Service Benefits
Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) $60 / $54
Exercise physiology (group / class consultations covered under Health Management Program) $40

Year 1 $600 limit


Service Benefits
Occupational therapy $72
Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations $30/$100
Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations $21/$58
HCF-approved counselling & accredited mental health social worker includes group consultations $18/$48
HCF-approved Online Cognitive Behavioural Therapy courses $35 - $59

Year 1 $300 limit


Service Benefits
Chiropractic - initial / subsequent $45 / $35
Osteopathy - initial / subsequent $50 / $40

Year 1 $300 limit

Sub-limit $300 per therapy service


Service Benefits
Remedial massage and myotherapy - initial / subsequent $40 / $35
Acupuncture and Chinese herbal medicine consultation - initial / subsequent $40 / $35

Year 1 $250


Service Benefits
Dietetics - initial / subsequent $55
Audiology - initial / subsequent $70
Speech pathology - initial / subsequent $83
Podiatry (including 1 pair of foot orthotics per person per year) $40 / $35
Orthotist/Prosthetist and Pedorthist $25 - $135

Waiting period
Therapies (excluding foot orthotics) 2 months

Max $250 per policy


Service Benefits
Travel and Accommodation (200km round trip) $50

$280 limit


Service Benefits
HCF approved pharmacy (After PBS equivalent co-payment subtracted) Up to $50 per script

Max $200 per policy


Service Benefits
Artificial aids (HCF approved e.g. low vision aids) $55 - $200

$800 - $1,800


Service Benefits
Hearing aids $800 (benefits accrue and renew every three years)

$200 per person max $400 per policy


Service Benefits
Health Management Programs (HCF approved e.g. exercise classes) $200 per person/max $400 per policy

$200 per eligible child


Service Benefits
School Accident Benefit Up to $200 per eligible child

Waiting period
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
Foot orthotics 12 months
Extra Cover Explained

Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more.  Waiting periods apply and vary according to the type of service.

If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.

Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.

Restricted means hospital benefits are limited and you may have higher out-of-pocket expenses for these services and treatments.

Download product summary (PDF)
HCF Hospital Premium Gold
HCF Top Extras
HCF Hospital Premium Gold

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.

Waiting Period: 12 months

Hospital Cover Explained

In Australia, hospital cover is categorised as either Gold, Silver, Bronze or Basic. Hospital cover gives you more control if you need to go to hospital – like getting treated sooner by a doctor of your choice. We offer cover for singles, couples and families. If your situation changes down the track we can help you find cover that suits your new needs.

Hospital waiting periods vary according to the type of treatment or service. If you’re new to private health insurance, rejoining after a break in cover, upgrading to a higher level of cover, or changing your excess, you’ll have to wait before claiming on certain treatment and services.

When you take out hospital cover you’ll be asked to choose your excess. This is the amount you agree to pay if you’re admitted to hospital for planned treatment.

If you choose a higher excess, you’ll lower the cost of your cover. Choosing a lower, or zero excess, means you’ll pay less if you go to hospital, but the cost of your cover will be more.

HCF Top Extras

Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year


Service Benefits
Examinations $34 - $84
Single film x-rays $34
Removal of plaque / calculus $40 - $75
Application of fluoride $29

Year 1 $1,000 limit


Service Benefits
Direct fillings (1-2 surfaces) $105 - $148
Direct fillings (3 or more surfaces) $177 - $256
Simple extractions $120 - $175
Indirect fillings $341 - $783
Surgical extractions $210 - $330
Occlusal therapy $38 - $400
Treatment of tissue surrounding teeth $27 - $430
Treatment of root canals $32 - $285
Placing of crowns and bridges $280 - $1,100
Dentures and/or components (partial and complete) - Limits renew every 3 years $33 - $1,300

$800 LIMIT for ORTHODONTISTS ($400 LIMIT if general dentist)

Lifetime limit $2,400 or $1,200 for services by dentists, other than orthodontists


Service Benefits
Orthodontics - orthodontist / other dentists Up to $800/$400

Waiting period
General Dental 2 months
Major Dental 12 months
Orthodontic 12 months

$275 limit


Service Benefits
Spectacle frames 100% of fee up to annual limit
Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) 100% of fee up to annual limit
Contact lenses - pair 100% of fee up to annual limit

Waiting period
Optical 2 months

Year 1 $600 limit


Service Benefits
Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) $60 / $54
Exercise physiology (group / class consultations covered under Health Management Program) $40

Year 1 $600 limit


Service Benefits
Occupational therapy $72
Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations $30/$100
Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations $21/$58
HCF-approved counselling & accredited mental health social worker includes group consultations $18/$48
HCF-approved Online Cognitive Behavioural Therapy courses $35 - $59

Year 1 $300 limit


Service Benefits
Chiropractic - initial / subsequent $45 / $35
Osteopathy - initial / subsequent $50 / $40

Year 1 $300 limit

Sub-limit $300 per therapy service


Service Benefits
Remedial massage and myotherapy - initial / subsequent $40 / $35
Acupuncture and Chinese herbal medicine consultation - initial / subsequent $40 / $35

Year 1 $250


Service Benefits
Dietetics - initial / subsequent $55
Audiology - initial / subsequent $70
Speech pathology - initial / subsequent $83
Podiatry (including 1 pair of foot orthotics per person per year) $40 / $35
Orthotist/Prosthetist and Pedorthist $25 - $135

Waiting period
Therapies (excluding foot orthotics) 2 months

Max $250 per policy


Service Benefits
Travel and Accommodation (200km round trip) $50

$280 limit


Service Benefits
HCF approved pharmacy (After PBS equivalent co-payment subtracted) Up to $50 per script

Max $200 per policy


Service Benefits
Artificial aids (HCF approved e.g. low vision aids) $55 - $200

$800 - $1,800


Service Benefits
Hearing aids $800 (benefits accrue and renew every three years)

$200 per person max $400 per policy


Service Benefits
Health Management Programs (HCF approved e.g. exercise classes) $200 per person/max $400 per policy

$200 per eligible child


Service Benefits
School Accident Benefit Up to $200 per eligible child

Waiting period
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
Foot orthotics 12 months
Extra Cover Explained

Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more.  Waiting periods apply and vary according to the type of service.

If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.

Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.

Excluded means no hospital benefits are payable and you'll pay all out-of-pocket expenses for these services and treatments.

Download product summary (PDF)
HCF Hospital Premium Gold
HCF Top Extras
HCF Hospital Premium Gold
Hospital Cover Explained

In Australia, hospital cover is categorised as either Gold, Silver, Bronze or Basic. Hospital cover gives you more control if you need to go to hospital – like getting treated sooner by a doctor of your choice. We offer cover for singles, couples and families. If your situation changes down the track we can help you find cover that suits your new needs.

Hospital waiting periods vary according to the type of treatment or service. If you’re new to private health insurance, rejoining after a break in cover, upgrading to a higher level of cover, or changing your excess, you’ll have to wait before claiming on certain treatment and services.

When you take out hospital cover you’ll be asked to choose your excess. This is the amount you agree to pay if you’re admitted to hospital for planned treatment.

If you choose a higher excess, you’ll lower the cost of your cover. Choosing a lower, or zero excess, means you’ll pay less if you go to hospital, but the cost of your cover will be more.

HCF Top Extras

Max 2 check ups, 2 scale and clean, and 1 fluoride treatment per person, per year


Service Benefits
Examinations $34 - $84
Single film x-rays $34
Removal of plaque / calculus $40 - $75
Application of fluoride $29

Year 1 $1,000 limit


Service Benefits
Direct fillings (1-2 surfaces) $105 - $148
Direct fillings (3 or more surfaces) $177 - $256
Simple extractions $120 - $175
Indirect fillings $341 - $783
Surgical extractions $210 - $330
Occlusal therapy $38 - $400
Treatment of tissue surrounding teeth $27 - $430
Treatment of root canals $32 - $285
Placing of crowns and bridges $280 - $1,100
Dentures and/or components (partial and complete) - Limits renew every 3 years $33 - $1,300

$800 LIMIT for ORTHODONTISTS ($400 LIMIT if general dentist)

Lifetime limit $2,400 or $1,200 for services by dentists, other than orthodontists


Service Benefits
Orthodontics - orthodontist / other dentists Up to $800/$400

Waiting period
General Dental 2 months
Major Dental 12 months
Orthodontic 12 months

$275 limit


Service Benefits
Spectacle frames 100% of fee up to annual limit
Spectacle lenses - pair (excludes add-ons such as high index material, coatings and tinting) 100% of fee up to annual limit
Contact lenses - pair 100% of fee up to annual limit

Waiting period
Optical 2 months

Year 1 $600 limit


Service Benefits
Physiotherapy – initial / subsequent (group / class consultations covered under Health Management Program) $60 / $54
Exercise physiology (group / class consultations covered under Health Management Program) $40

Year 1 $600 limit


Service Benefits
Occupational therapy $72
Psychology (after Medicare Mental Health Treatment Plan used up) includes group consultations $30/$100
Psychology (when member does not have any unused Medicare Mental Health Treatment Plan in the calendar year) includes group consultations $21/$58
HCF-approved counselling & accredited mental health social worker includes group consultations $18/$48
HCF-approved Online Cognitive Behavioural Therapy courses $35 - $59

Year 1 $300 limit


Service Benefits
Chiropractic - initial / subsequent $45 / $35
Osteopathy - initial / subsequent $50 / $40

Year 1 $300 limit

Sub-limit $300 per therapy service


Service Benefits
Remedial massage and myotherapy - initial / subsequent $40 / $35
Acupuncture and Chinese herbal medicine consultation - initial / subsequent $40 / $35

Year 1 $250


Service Benefits
Dietetics - initial / subsequent $55
Audiology - initial / subsequent $70
Speech pathology - initial / subsequent $83
Podiatry (including 1 pair of foot orthotics per person per year) $40 / $35
Orthotist/Prosthetist and Pedorthist $25 - $135

Waiting period
Therapies (excluding foot orthotics) 2 months

Max $250 per policy


Service Benefits
Travel and Accommodation (200km round trip) $50

$280 limit


Service Benefits
HCF approved pharmacy (After PBS equivalent co-payment subtracted) Up to $50 per script

Max $200 per policy


Service Benefits
Artificial aids (HCF approved e.g. low vision aids) $55 - $200

$800 - $1,800


Service Benefits
Hearing aids $800 (benefits accrue and renew every three years)

$200 per person max $400 per policy


Service Benefits
Health Management Programs (HCF approved e.g. exercise classes) $200 per person/max $400 per policy

$200 per eligible child


Service Benefits
School Accident Benefit Up to $200 per eligible child

Waiting period
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
Foot orthotics 12 months
Extra Cover Explained

Extras cover helps reduce out-of-pocket expenses that come with managing or improving your health. Depending on which extras cover you choose, you can claim on a range of services like dental, optical, physio, weight management programs and more.  Waiting periods apply and vary according to the type of service.

If you have extras cover, we’ll pay up to a set amount for extras services (like dental or optical), depending on your annual limits. The amount we’ll pay also varies depending on your level of cover. You’ll need to pay the difference between what your extras provider charges and the benefits we pay: this is an extras gap.

Getting the most out of your extras cover means more money saved, and a boost to your family’s health and wellbeing. Preventive health checks are important at any age and our wide network of extras providers makes accessing care easy. Depending on your level of cover and which service you choose, you could get 100% back** through our no-gap providers.