The 4 most claimed Extra’s Benefits when it comes to Private Health Cover

When it comes to taking care of your health, having private health insurance is an excellent way to ensure you have access to the best care possible. But what about those extra health expenses that Medicare won’t cover? That’s where extras policies come in handy. In this blog, we’ll take a closer look at the four most claimed extras benefits under private health cover right now.

⦁ Dental Cover
Did you know that dental care is the most popular extra benefit? Almost half of all claims fall under this category. Dental cover is split into four categories, including general dental (check-ups), major dental (crowns and tooth extractions), endodontic (root canal), and orthodontic (braces). General dental annual limits range from $200 to unlimited, while major dental and endodontic range from $300 to unlimited. So, if you’re looking for an extras policy, make sure it includes dental cover and speak to your provider about their claim limits.

⦁ Optical Cover
After dental, optical cover is the second most claimed extra benefit. The typical benefit for optical is around $180, but some private health policies may have extra sub-limits for frames, lenses, and contact lenses, so be sure to confirm how much you can claim before joining the fund.

⦁ Physiotherapy Cover
Physiotherapy cover is generally included as a component of extras, and if you have this type of cover, you may be able to claim some of the cost of your physio sessions back on your private health insurance, up to an annual limit. See what physio cover is best for you and your stage of life.

⦁ Chiropractic Cover
Chiropractic treatments are designed to address chronic back pain, sports injuries, lower back pain and/or leg pain (sciatica), neck pain, headaches, migraines, joint issues, repetitive strains, arthritic pain, posture issues, and many other connected problems. To claim a chiropractor treatment, you need to find a private health policy that includes chiropractic within its “extra” benefits (general treatment cover or ancillary cover).

What level of extras cover do you need?
Determining how you use your extras cover will assist in the cover you choose. If you have ongoing dental problems, monthly massages, buy a new pair of glasses each year, and plan to get braces for your kids, you’ll benefit from a more comprehensive private health cover. If you’re only after the basics, such as dental, optical, and physiotherapy, then a budget or medium policy may suit you best.

In conclusion, it’s important to consider a private health extras policy to cover those extra health expenses that Medicare won’t. By understanding the most claimed extras benefits, you can make an informed decision about which policy best suits your needs. So why not compare private health insurance coverage today and discuss various extras options with our friendly team?

Call us on 1300 861 413 or email hello@health.compare

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What is Gold Hospital Cover?

In 2020 the Government introduced reforms to make understanding private health insurance simpler and assist consumers to choose the right hospital cover best suited to their requirements.  Private health funds were required to change their hospital classifications to Gold, Silver, Bronze or Basic.

Gold hospital cover gives you the confidence that your health needs are supported and protected whatever stage of life you’re at. Some examples of treatments you may need to undergo are:

  • cataract surgery
  • joint replacements
  • spinal fusions
  • dialysis for chronic kidney disease
  • weight loss surgery
  • chronic illness
  • or simply planning to start a family

Have you heard of Gold cover? It’s one of the four types of private health insurance that offers the highest level of care and covers a broad range of treatments. Although it may come at a higher cost than Basic, Bronze, or Silver policies, it could potentially save you money in the long term.

So, what does Gold tier insurance actually cover? Well, it covers all medically necessary in-hospital treatments and procedures, including rehabilitation, psychiatric services, and palliative care, as well as treatments covered under Silver and Bronze policies. In addition to this, it also provides access to clinical treatments like the ones mentioned above.

But that’s not all! Gold tier insurance also covers private health insurance general treatment or extras cover services such as dental treatment, ambulance services, chiropractic treatment, home nursing, podiatry, physiotherapy, occupational therapy, speech therapy, glasses, and contact lenses as long as you have a extras package combined with your hospital cover.

Who is the Gold tier cover best suited for? Individuals with chronic or ongoing health issues, women planning on getting pregnant and wanting to give birth as a private patient in a private hospital, patients with cancer or heart issues, individuals needing dialysis for chronic kidney disease or access to insulin pumps, active people prone to injury, and older persons requiring joint replacements, hearing implants, or cataract treatment can all benefit from Gold tier cover.

Find the best gold tier health coverage today by visiting  https://health.compare/ or speak to one of our friendly team members call 1300 861 413 /  email hello@health.compare

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Finished having children – What should I do with my Private Health?

Once you’ve made the decision to not have any more children, you may be wondering what to do next with your private health cover.  It’s important you revisit your health cover and make the necessary updates to take pregnancy cover off the policy, so you are no longer paying for it. Pregnancy cover comes with a higher premium on most private health policies so it’s crucial that once you have your last baby this is updated.

Firstly, let’s start with what private health pregnancy cover actually is. Pregnancy cover is clinical category that can be added to private health insurance policies. It covers the costs associated with giving birth in a private hospital, such as obstetrics and anaesthetist fees, hospital accommodation, and other medical expenses to the Medicare scheduled fee.

Steps to take after the birth of your last child

Once your baby is born, make sure you contact your private health fund with the baby’s name and DOB to be added onto your policy. This is especially important if the baby needs to be admitted to neonatal care a few days after the birth due to complications. Remember when you go home, your private health fund will also be available to help you transition to your new adjusted life by offering various benefits and services such as postnatal classes or remedial massage, as long as they are covered by your extras policy.

Adding your newborn to your health policy

It’s a fairly simple process. Once your baby comes along, simply contact your health fund and add your baby’s name to your private health policy. Your baby should be added to the policy as quickly as possible post birth to have the same health cover entitlements as the longest serving parent.

If you’re planning on having more children but not in the near future

It may also be worth considering removing pregnancy cover for now, if you’re not planning on further expanding your family. Pregnancy cover has a waiting period, so you wouldn’t be able to claim for pregnancy-related expenses until that waiting period is served. It may be more cost-effective to downgrade the cover for now and add it back on when you’re closer to planning to start a family again.

Ultimately, the decision to downgrade your pregnancy cover on your private health policy depends on your individual circumstances. Before making any changes to your health insurance policy, it is important to speak with your health fund to discuss your options and the potential impact on your coverage. If you do decide to drop pregnancy cover from your policy, be aware of the waiting periods involved if you want to renew the policy. Most insurers require a waiting period of 12 months before you can access any further pregnancy-related benefits. This means that if you decide to conceive after dropping pregnancy coverage, you will need to wait at least a year before your coverage kicks in.

Find the best private health coverage today by visiting  https://health.compare/ or speak to one of our friendly team members call 1300 861 413 /  email hello@health.compare

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What Does ‘no Gap’ mean with Private Health insurance?

So you have private health insurance and want to know how much you might have to pay for medical treatments out of your own pocket? We’ve got you covered with our easy guide FAQ.

Q: What does ‘no gap’ mean when it comes to private health insurance?

A: Basically, it means that you won’t have to pay anything out of your own pocket for certain medical procedures, these are covered by your private health insurance. It’s the difference between what your doctor or hospital charges and what your private health fund will pay and it’s known as the ‘gap’.  With a ‘no gap’ arrangement, your insurance will cover the full cost of the service minus your excess if applicable.

Q: So, I won’t have to pay anything extra?

A: That’s right! With the ‘no gap’ arrangement, you won’t be left with any unexpected bills to pay. Your private health insurance will cover the full cost of the medical procedure, so you can focus on your health and recovery.

Q: How does it work?

A: To be eligible for a ‘no gap’ service, you’ll need to use a provider who is a part of your private health insurance preferred provider’ network. This means that the provider agrees to charge you a set fee for a particular medical service, and your private health insurance will cover this fee in full. This way, you can be sure that you won’t have to pay anything out of your own pocket.

Q: Can I get ‘no gap’ for any medical procedure?

A: Unfortunately, ‘no gap’ is only available for some medical services, and only if you use a provider who is part of your private health insurance provider’s ‘preferred provider’ network.

Q: Is ‘no gap’ the same as ‘bulk billing’?

A: No, they’re not the same thing. ‘Bulk billing’ is when medical providers bill Medicare directly for their services, so you don’t have to pay anything out of your own pocket. ‘No gap’ is a service that’s offered by private health insurance providers, and it covers the full cost of certain medical procedures.If you’re interested in comparing health insurance policies, give us a call at 1300 861 413 or check out our website at http://health.compare/. We’re here to help you make informed decisions about your health!

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What happens when I switch private health funds?

Are you thinking about switching private health funds but don’t know where to begin? The process can be daunting, but we’re here to help. Let us guide you through the steps to switch private health funds and give you some tips to make it easier.

Why should you consider switching private health funds?

There are a variety of reasons, such as your current policy no longer suiting your needs or you want to reduce your premiums. Maybe you’ve heard good things from friends about other health funds and want to explore what they offer. Regardless, it’s crucial to compare private health insurance options to ensure you’re getting the best deal for your needs.

Step 1: Compare Private Health Insurance Options

Start by identifying what you need and want from your policy. Do you need coverage for a specific condition? Are you looking for extras like dental or optical coverage? Once you know what you need, start researching different funds to find a policy that suits you.

When comparing private health insurance policies, look beyond the price tag. Consider the level of coverage you need, the excess you’re willing to pay, and any additional benefits or perks that may be included with the policy. Look for policies that offer a balance of coverage and affordability, and don’t hesitate to ask questions if there’s anything you’re unsure about.

Step 2: Apply for Your New Private Health Policy

When you have found the right level of cover, its time to start organising the transfer. This part is relatively simple and typically completed over the phone. During this process a number actions will occur, your new membership pack will be organised, your waiting periods will transfer from your existing fund and your direct debit details will automatically be cancelled. You won’t have to have any uncomfortable conversations with your old fund during this process. Ensure you have all the necessary information and documents on hand, such as your Medicare card and any relevant medical history, to ensure a smooth application process.

Step 3: Cancel Your Current Policy

As mentioned before you wont need to worry about any uncomfortable conversations with your current private health fund. Your new private health provider will contact your previous fund and cancel the policy and the direct debit on your behalf. This will enable you to claim with your new fund.

Step 4: Review Your New Policy

Before you relax and sit back, it’s important to give your health insurance policy a careful read. Start by going over the specifics of your coverage, such as waiting periods, excess amounts, and benefit limits. Remember, any waiting periods that you’ve already served with your previous health fund will carry over to your new one in accordance with health insurance regulations. Be sure you understand what’s covered and what’s not, and don’t hesitate to ask your new health insurer any questions you may have. It’s crucial to make sure that your policy is tailored to your individual needs and that you’re getting the most bang for your buck. So, take your time and give it a thorough review!

Switching private health funds doesn’t have to be challenging.

Visit https://health.compare/ to compare private health funds and find the policy that best suits you. Alternatively, speak to one of our friendly team members by calling 1300 861 413 or emailing us at hello@health.compare  

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Dental waiting periods explained

When it comes to dental work, nobody wants to wait – especially if you are in pain. Waiting periods are a fact of life when it comes to private health cover, and they can vary depending on the type of dental procedure you require. Policies can vary from provider to provider, so we have put together a quick guide of what to look for when it comes to wait times for dental procedures. 

What is a waiting period?

Dental waiting periods are a set amount of time that you have to wait before you can claim on certain dental procedures included on your private health policy. This waiting period is put in place by your private health insurance provider and is designed to ensure that you have held your policy for a certain amount of time before you can start claiming benefits.

Waiting periods can vary between policies and providers, but generally, you can expect a waiting period of around 2-6 months for general dental procedures, and up to 12 months for major dental work such as crowns or bridges.

What dental procedures have waiting periods?

The waiting periods for dental procedures can vary between policies and providers, but in general, you can expect waiting periods for the following types of procedures:

  • General dental procedures: waiting periods of 2-6 months may apply for procedures such as check-ups, scale and cleans, fillings, and extractions.
  • Major dental procedures: waiting periods of up to 12 months may apply for more complex procedures such as root canals, crowns, bridges, and dentures.
  • Orthodontic treatments: waiting periods of up to 12 months may apply for orthodontic treatments such as braces or aligners.

It’s important to note that some private health policies may also have waiting periods for other dental procedures such as wisdom teeth extractions or periodontal treatments. So, make sure you check the specifics of your policy to ensure you understand the waiting periods that apply to your cover. Compare private health insurance options with various providers and see what suits your current health requirements.

No Waiting Period

A waiting period is the amount of time you have to wait before you can claim benefits on your extras dental cover. The length of the waiting period can vary depending on the health insurance provider and the type of dental cover you have. However, some health insurance providers offer no waiting period for certain dental services, such as check-ups and cleaning.

Three types of Dental procedures explained

There are three main types of dental procedures: preventative, general and major. Preventative procedures include things like check-ups, cleans and x-rays. General procedures include fillings and extractions, while major procedures include things like root canals, crowns and bridges.

Preventative procedures usually have shorter waiting periods than general and major procedures. For example, most private health insurance policies have a waiting period of two months for preventative procedures. This means that you can claim for a check-up, clean or x-ray after two months of holding your policy.

General procedures usually have longer waiting periods than preventative procedures. The usual waiting period is six months for general procedures. This means that you can claim for a filling or extraction after six months of holding your private health policy.

Major procedures usually have the longest waiting periods, these are usually a waiting period of 12 months for major procedures. This means that you can claim for a root canal, crown or bridge after 12 months of holding your policy.

Do any health insurance providers offer no waiting period?

Some private health insurance providers may waive dental waiting periods as part of a promotion or special offer if you are a new member. It pays to compare private health policies as a number of health insurers may offer to waive two- and six-month waits on services such as dental, optical and physio by signing up to a combined hospital and extras cover plan.

Does Medicare cover dental services?

Medicare does not generally cover dental services. However, some dental services may be covered under Medicare in certain circumstances, such as if the dental treatment is required in a hospital setting. This includes essential dental services for some children and adults who are eligible. Medicare offers a $1000 rebate over 2 calendar years for kids aged 2 to 17 years for basic dental work. Adults with  a Health Care Card or Centrelink Pensioner Concession Card may also be eligible.#

Taking care of your dental health is just as important as taking care of your overall health. However, dental procedures and treatments can be expensive, making dental extras insurance a valuable investment for many individuals and families. It pays to compare private health funds and explore the different types of dental extras coverage available, whether any health insurance providers offer no waiting periods, and whether you are eligible for Medicare coverage with any dental services.

Compare health insurance dental coverage today by visiting  https://health.compare/ or speak to one of our friendly team members call 1300 861 413 /  email hello@health.compare

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Who has the highest claim limit for Physiotherapy?

This month we’ll explore why physiotherapy Extras are important when it comes to your private health policy and how to get the best out of your cover. Physiotherapy is the third most claimed extras cover in Australia. It can be beneficial for a range of conditions, including musculoskeletal injuries, chronic pain, and rehabilitation after surgery. With extras cover, your private health policy you can access a range of physiotherapy services including consultations, assessments, and treatments such as exercise therapy, massage and electrotherapy.

Why are physiotherapy extras important?

Physio focuses on improving your physical function and reducing pain. It’s a critical part of rehabilitation following an injury or surgery, managing chronic pain conditions, and maintaining overall physical health. However, the cost of physiotherapy can quickly add up, particularly for those who require ongoing treatment.

This is where your Extras part of your private health policy comes into play. With Extras cover, you can receive rebates on the cost of physio, reducing the financial burden on you and your family. Depending on your policy, you may also be able to access additional services such as chiropractic, osteopathy, and remedial massage.

Who has the highest claim level for physiotherapy?

Here’s some of the groups that have the highest claim levels for physiotherapy Extras in Australia:

  1. Those aged 65 and over – This group accounted for the highest number of claims and the highest overall cost of physiotherapy.
  2. Those with chronic conditions – Patients with chronic conditions such as arthritis, back pain, and sports injuries often require ongoing physiotherapy.
  3. Those with private hospital cover – Patients who have undergone surgery or been hospitalised for an injury often require post-operative physiotherapy as part of their recovery.
  4. Those living in regional areas – Patients in regional areas may have limited access to healthcare providers and may require more frequent or intensive physiotherapy treatment.

How to get the best out of your physiotherapy extras cover

If you have physiotherapy extras cover, there are several ways you can ensure that you’re getting the most value from your policy. Here are eight tips to keep in mind:

  1. Understand your private health policy – Take the time to read through your policy’s terms and conditions, so you know exactly what’s covered and what’s not.
  2. Choose a preferred provider – Many private health funds have preferred providers, who offer higher rebates and lower out-of-pocket costs. Find out if your physiotherapist is a preferred provider and consider switching if they’re not.
  3. Check the waiting periods – Most extras policies have waiting periods before you can claim benefits. Make sure you understand these waiting periods, so you’re not caught out.
  4. Don’t exceed your annual limits – Many private health policies have annual limits on how much you can claim for physiotherapy. Keep track of your claims throughout the year, so you don’t exceed these limits.
  5. Consider bundling policies – If you have other health needs, such as dental or optical, consider bundling your policies with the same health fund. This can often result in lower overall costs and higher rebates.
  6. Use your benefits regularly – Regular physiotherapy can help prevent injury and improve overall physical health. Don’t wait until you’re in pain to use your benefits.
  7. Keep your receipts – Make sure you keep all receipts and invoices for physiotherapy treatments, as you’ll need them to make a claim with your private health provider.
  8. Compare private health insurance – Finally, don’t be afraid to shop around and compare policies from different health funds. You may be able to find a policy that better suits your needs and budget.

In conclusion, physiotherapy extras are an essential part of any private health policy. It can help reduce the financial burden of physiotherapy treatment and promote overall physical health and well-being. By understanding your policy, choosing a preferred provider, and comparing private health plans before going ahead will assist in your wellness journey.

Compare private health insurance coverage today by visiting  https://health.compare/ or speak to one of our friendly team members call 1300 861 413 /  email hello@health.compare

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Will I get a refund if I change my health insurance?

If you change your private health insurance, you will be entitled to a refund of any premiums you have paid in advance. The amount of the refund will depend on the number of days you haven’t used on your policy at the time of your cancellation.

Any refunds will take place on the completion of your health insurance transfer. The refund will happen automatically once your new policy has been setup. This refund by law can take up to 21 business days to complete.

Additionally, it’s important to keep in mind that if you cancel your policy, you may lose any continuity of cover benefits you have accumulated. Continuity of cover benefits can help you avoid waiting periods and exclusions when you take out a new policy, so it’s important to weigh the pros and cons before deciding or ensure you transfer within a certain period of time. Those time frames vary by health fund. Reach out to us to find out more.

In summary, you are entitled to a refund with your private health insurance when you switch or transfers your health insurance. The amount of refund will be determined by the pro rata amount of unused premiums. For more information on transferring or switching, give us a call!

Thinking of moving funds? Find the best health coverage today by speaking to one of our friendly team members call 1300 861 413 or email hello@health.compare

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How long can my kids stay on my health insurance policy?

Your children are typically able to stay on parents’ private health insurance policy until they turn 21 years old. However, there are some exceptions to this rule where coverage can be up to 31 years old.

If a child is still considered a student dependent, they can remain on their parents’ policy beyond the age of 21. A student dependent is defined as a child who is not financially independent, is not married, and is not in a de facto relationship. This means that if a child is studying full-time and is not financially independent, they can continue to be covered by their parents’ private health insurance policy.

In April 2021, the government increased the age cap for adult children appearing on their parents’ policy up to 31 years of age. This means if the children are not studying full time, not in a de facto relationship for an additional charge some health funds will continue to cover children up until their 31st birthdays.

It’s important to note that each private health insurance company has their own policies and rules regarding dependent children. Some may have different age limits or may have different definitions of what constitutes a dependent child. It’s important to check with your private health insurance provider to understand their policies and to ensure that your children are properly covered.

Talk to us today and find the best health coverage that suits your family.

To compare private health insurance speak to one of our friendly team members at 1300 861 413 or hello@health.compare

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Do you play sport? What you need to know about sport and Private Health Insurance

Sports and physical activity play a vital role in maintaining good health and well-being. Not only do they both help to improve physical fitness and reduce the risk of chronic diseases, but they also have a positive impact on mental health and overall well-being. However, for many, the cost of potential injury from participating in sport and physical activity can be a barrier. This is where private health cover can assist. In this blog post, we will discuss what you need to know to find the best health coverage for any sport related treatments and injuries and what private health insurance you will need to be covered adequately. Also, we’ll include a list of the benefits that private health insurance has for sports-related injuries and the different types of cover available.

Naturally private health insurance is valuable for the overall population, however private health can be even more critical for athletes, sports players, and regular gym goers.  As these activities can sometimes aggressive or dangerous in nature, athletes are prone to more injuries than the general population.

What are the most common Sports injuries?

Overall, there is a lot to consider when it comes to sport and private health cover, but with the right information and resources, individuals can make informed decisions and ensure that they have the best possible coverage and support for their sports-related needs.

Here’s a list of potential injuries can sports people and athletes incur:

⦁ Sprains and strains
⦁ Bone fractures and dislocations
⦁ Concussions and head injuries
⦁ Knee injuries, such as ACL tears
⦁ Shoulder injuries, such as rotator cuff tears
⦁ Back and spinal injuries
⦁ Hand and wrist injuries
⦁ Foot and ankle injuries
⦁ Dislocations and dislocations
⦁ Soft tissue damage, such as tears in muscles, tendons, and ligaments.

How to choose the right private health policy for sports-related injuries?

It’s a good idea as an athlete or sportsperson to assess the nature of your sport (i.e. Intensity and frequency of participation) to determine what private health coverage you will need. The health fund will also consider your previous injuries and pre-existing aliments. So be sure to check the fine print and waiting periods for these issues to make sure you are covered.

One of the main benefits of private health insurance for sports people is that it can provide access to specialised treatment and rehabilitation services that may not be available through the public healthcare system. This can include things like physiotherapy, sports psychology, knee operations and rehabilitation and even specialised sports clinics. Additionally, private health insurance may also help to cover the cost of surgeries and other medical procedures that may be necessary to treat sports-related injuries.

Another important consideration for individuals is the issue of pre-existing conditions and sports participation. In many cases, individuals with pre-existing conditions may have difficulty obtaining private health insurance coverage for sports-related injuries. This can sometimes be overcome by serving a longer waiting period on the service required. However, it is important to note that there are several options available for individuals with pre-existing conditions, including coverage through the public healthcare system although the wait times may be much longer. Additionally, it is important to shop around and compare private health insurance plans
to ensure that you are getting the best coverage for your needs.

What treatments will be covered under my private health insurance policy?

Because private health policies may not cover all potential or likely sports risks, those who participate in sports activities often should consider additional supplemental health insurance options to ensure that they are truly covered in the event of an accident or sports injury.

⦁ Acupuncture
⦁ Ambulance
⦁ Chiropractic
⦁ Dental
⦁ Elective surgery
⦁ Massage
⦁ Naturopathy
⦁ Osteopathy
⦁ Podiatry
⦁ Physiotherapy
⦁ Private hospital
⦁ Rehabilitation

In addition to private health insurance, there are numerous other resources available to sports enthusiasts, including government-funded sports programs, community sports clubs, and professional sports organisations. These resources can provide access to training, equipment, and other resources that can help to prevent sports-related injuries and promote overall health and wellness.

Will Medicare cover any sports related medical care?

Sports related surgeries are usually deemed non-emergency by Medicare. In other words, most sporting injuries that require surgery will lead to elective surgeries under Medicare.  The wait time for Medicare elective surgeries can span over months or even years depending on the severity of your injury.  

While Medicare alone may be adequate for some, those who are active with sports may find that they face out-of-pocket costs when using Medicare alone. Athletes must consider their individual circumstances and sporting activity to determine if Medicare alone will suffice or if additional private health coverage is needed.

In conclusion, private health insurance can be an important resource for athletes and sports enthusiasts, providing access to specialised treatment and rehabilitation services to help cover the cost of surgeries and other medical procedures. However, it is important to consider a number of factors when choosing a private health insurance plan, including budget, waiting periods, and pre-existing conditions.

Reach out to us today and find the best health coverage that suits your sporting lifestyle.

To compare private health insurance speak to one of our friendly team members on 1300 861 413 or hello@health.compare

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