Select Hospital $750 Excess

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1 Private Health Insurance Standard Information Statement - Hospital Policy This Statement provides basic information for the purposes of comparison only. For full explanation of this hospital policy http://medibank.com.au on 132331 or visit . please contact the health insurer INSURER : Medibank Private Limited HO Two adults & dependant(s) : COVERED H EALTH W IS PREMIUM P (before any rebate or loading) $273.20 : # Select Hospital $750 Excess : NAME RODUCT M ONTHLY EVY M EDICARE L S URCHARGE : Exempt : Victoria A VAILABLE Residents of FOR # You may be entitled to an Australian Government rebate on this premium. Your premium may include a Lifetime Health Cover loading and/or an insurer discount depending on your individual circumstances. Check with your insurer for more details. HAT ' S COVERED IF I HAVE W Hospital treatment, including accommodation as a private patient in a private or public hospital GO HOSPITAL ? Doctors' bills in hospital (see below) TO TO Comprehensive cover for ambulance (see insurer for details) - 1 day waiting period applies SERVICES ARE NOT W Cardiac and cardiac related services HAT AT ALL ? COVERED Cataract and eye lens procedures (Exclusions) Pregnancy and birth related services Assisted reproductive services Hip and knee replacements Dialysis for chronic renal failure Gastric banding and related services Non-cosmetic plastic surgery Hospital treatment for which Medicare pays no benefit eg most cosmetic surgery Other services (see insurer for details) You are not fully covered for: SERVICES ARE ONLY W HAT TO A LIMITED Rehabilitation COVERED EXTENT Psychiatric services ? (Restrictions, Benefit Limitation No benefit limitation periods Periods) THE OW ARE LONG WAITING H 2 months for palliative care, rehabilitation and psychiatric treatment FOR PERIODS NEW AND 12 months for treatments relating to other pre-existing ailments MEMBERS ? UPGRADING 2 months for all other treatments W ILL I HAVE TO PAY You will have to pay an excess of $750 per admission. This is limited to a maximum of : XCESS E I TO GO $750 per person per year. Excess payments do not apply to hospital admissions for dependants. ANYTHING IF DAY E XTRA HOSPITAL COST PER ? ( CO - PAYMENTS ): No co-payments (Excesses, Co-payments, Almost 9 out of 10 medical services paid for by this health insurer D OCTORS ' AND HOSPITAL BILLS : Medical/Hospital gaps) in Victoria have no out-of-pocket expenses. This insurer also has arrangements that may mean lower out-of-pocket expenses on doctors' bills. You may also have to pay other costs depending upon: the doctor(s) chosen the treatment you are having the hospital you go to Before you go to hospital, you should ask your doctor, hospital and health insurer about any out-of-pocket costs that may apply to you. W HAT OTHER FEATURES Provides cover for most hospital services young and healthy people are likely to need. Also ? POLICY HAVE THIS DOES excludes cover for Spinal fusion surgery. No excess for Children. MBP/H9/VKZY2D issued 26 February 201926 February 201926 February 201926 February 2019 www.PrivateHealth.gov.au

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