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Exploring your family health insurance options? Compare a range of policies in one place through Savvy.
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You’d do anything for your family, right? That means finding the right health cover at the right price for your partner and kids is one of the most important decisions you can make. You can compare a range of competitive offers for family health insurance from a panel of Australia’s leading providers with Savvy. Simply fill out a quick quote with us to compare offers in one place based on their cost, inclusions, added benefits and more. Get started with us today.
Family health insurance is designed to provide effective cover for you, your partner and your children. This cover can apply to services or treatments not covered by Medicare as well as hospital care. Under a family health insurance policy, you can take out hospital cover, extras cover or a combination of the two for the most comprehensive health and financial protection.
Family health insurance cover can apply to families of all sizes, with dependent children covered up to the age of 31 with some insurers.
Family health insurance policy options include the following:
Family hospital cover
Hospital cover for families can help you access cover for medical services or treatments as a private patient in either a public or private hospital. Family hospital cover can also provide cover for part or all of your in-hospital treatment by your preferred doctor, plus in-hospital accommodation and theatre’ fees should you require surgery.
Hospital cover policies are divided into four tiers: basic, bronze, silver and gold. Each tier has its own benefits, and the cost of your insurance premiums will be largely dictated by the level of cover you choose. The more basic the policy, the cheaper the cost but the fewer inclusions you’re likely to have. Some of the key areas which may covered, depending on the type of policy you buy, include:
Each of these will be covered under a top tier gold hospital policy, but you may not have access to all of them under a less comprehensive plan.
Family extras cover
Family extras insurance can offer cover for the cost of treatments and health services outside a hospital setting, such as dentists and physiotherapists. The inclusions under a family extras policy will differ between insurers, but some of the common extras which are often considered for families include:
Combined hospital and extras cover
A combined family hospital and extras cover policy can provide the benefits of both sorts of cover. It may allow you to take advantage of a combination of both sets of inclusions to boost the level of protection available to your family. It’s possible to mix the level of cover you have for both types of coverage, such as choosing a bronze hospital cover policy with a more comprehensive extras cover policy.
What isn’t covered?
The exclusions of your family health insurance will depend on the type and tier of cover you choose. Under a family health insurance policy with only hospital cover, the common exclusions can are:
To gain a thorough understanding of a policy’s exclusions, carefully read your product information documents prior to help determine the cover you can access for yourself and your family.
Waiting periods for each type of hospital cover may vary but are usually:
This can help you pay for medical treatment if you need to be admitted to hospital. It can help cover the cost of your admission or accommodation and the fees charged by doctors, surgeons and anaesthetists. It can also cover other costs associated with a stay in a private hospital.
This helps cover the costs of health care treatments outside a hospital setting which aren’t covered by Medicare. This can include major and minor dental treatment, orthodontics, hearing aids, physiotherapy, glasses, contact lenses and podiatry (in most cases with annual limits).
This is a standard health insurance policy designed for a single person, rather than being tailored to cater to the needs of a couple or family. It may include hospital cover plus extras, or either of these types of insurance on their own, depending on what you're after for your health cover.
A family health insurance policy is designed for a family unit including dependent children who may reach up to 31 years of age with some insurers. It offers private health insurance suitable for the whole family and may include shared limits for all members included in your policy.
A health insurance policy aimed at seniors is designed to appeal to people who are in the second half of their life. These are often specific Silver Plus policies that offer the same cover as other health insurance policies, with the exception that pregnancy and childbirth cover may not be included.
Visitors who are in Australia on a temporary basis for travel, work or study may be able to take out Overseas Visitors Health Cover (OVHC). Many visas issued in Australia come with a requirement to take out this type of insurance, which covers visitors who may not be covered by Medicare.
Ambulance cover is generally available either packaged into your private health insurance or on its own as a separate policy or subscription. By having this protection, you could be covered for all eligible ambulance travel in Australia (subject to your insurer's terms and conditions).
The cheapest and most barebones form of private hospital insurance, this can include cover for rehab, in-hospital psychiatric services and palliative care. Having this policy will enable you to avoid paying the Medicare Levy Surcharge (MLS) and Lifetime Health Cover (LHC) loading.
Bronze hospital cover is a step up from basic insurance, including 18 further clinical categories such as ear, nose and throat, bone, joint and muscle, digestive system, joint reconstructions, gynaecology and chemotherapy, radiotherapy and immunotherapy for cancer.
Silver hospital cover is the second-most expensive type of policy and offers the second-most clinical categories. On top of what's offered by basic and bronze cover, it also includes heart and vascular system, lung and chest, blood, hearing device implantation and dental surgery.
The highest level of private hospital insurance available in Australia, gold policies can offer cover for pregnancy and birth, weight loss surgery, assisted reproductive services and insulin pumps on top of all the categories provided by silver, bronze and basic hospital insurance.
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The primary factor in determining the cost of your family health insurance is the level of cover you choose. If you opt for hospital cover, there may be a significant price difference between basic hospital cover and gold hospital cover. The addition of extras cover to your chosen hospital policy will also increase the cost.
Policy prices may differ quite substantially between insurers. For this reason, it's important to compare policies carefully before deciding which one offers the best value for your family's needs.
Certain states and cities may have higher costs for certain healthcare treatments or services, so the cost of your family health insurance will reflect these differences. As such, it's important to do your homework to see how where you live may impact your health insurance premium.
Your age at the point you purchase your policy may also affect your premiums if you’re entitled to a discount. Some insurers may offer those between the ages of 18 and 29 a discount on their hospital cover premiums worth up to 10% (2% each year the policyholder is aged under 30). As such, you may pay less for your policy if you and your partner are eligible for a discount with an insurer.
In addition, your family health insurance premiums will be impacted by the excess and co-payments you choose. You can choose to pay a higher price for a policy with lower excess and co-payment amounts, or you may opt for a low-cost premium and commit to a greater spend in each area.
Health services like dental treatment, physiotherapy and the cost of glasses which are not covered by Medicare can be covered by your family’s health insurance extras cover.
By taking out appropriate hospital cover, you can avoid paying the Medicare Levy Surcharge (MLS) of between 1% and 1.5% for the period you hold hospital cover. The MLS is means-tested.
Taking out family health insurance can reduce the waiting time for elective surgeries by accessing private hospital care.
Appropriate family health insurance can allow you to choose your preferred doctor or surgeon subject to the terms and conditions of your particular policy.
Having family health insurance can provide additional peace of mind, knowing that should an event occur which you're covered for, you may be able to make a claim for part or all of the cost.
Even with a private health insurance policy, you may not be covered for 100% of the cost of your treatment due to certain limits or gap fees, as well as exclusions for certain areas of coverage.
Even if your child lives at home and is still financially dependent, they may not be covered under your family health insurance policy once they reach 21 unless they’re a full-time student. However, some health funds will let you keep adult children on your policy up to the age of 31.
When deciding on a family health insurance policy, it’s vital you compare your options broadly so you can look for suitable cover at a reasonable price. However, although the cost of your family health insurance is important, you mustn’t let that come at the cost of certain other features which are important to your family’s health.
When deciding on a family health insurance policy, it’s vital you compare your options broadly to get the best policy price for your needs. However, although the cost of your family health insurance is important, you mustn’t let that come at the cost of certain other features which are important to your family’s health.
Does a family member have a pre-existing health condition or an underlying medical history? If so, you may need to prioritise cover for that condition or illness.
In the decision-making process, make sure you look at the total coverage relevant to each policy. You should always have a clear understanding of what’s included and what isn’t so you can assess how suitable the policy is for you and your loved ones.
It’s valuable to know the amount of money you’ll be covered for with each inclusion in your policy. While some policies may provide cover for every inclusion, there may be annual limits which could still leave you with out-of-pocket expenses.
The best family health insurance cover will depend on your family’s health and financial situation. Every family’s needs will be different, so choosing the best cover for your family will require you to weigh up its coverage against its cost and your family’s health care requirements.
This will depend on the policy you buy and the conditions of that policy. Wisdom tooth removal can be included under your hospital cover, extras cover or perhaps a combination of the two, depending on where the procedure is completed and its complexity. Wisdom teeth removal can get complicated, so talk to your insurer to understand what you're covered for and whether a gap payment may be required.
No – parents can’t be included in your family health insurance. Family health insurance only applies to you, your spouse or partner and your eligible dependent children aged under 21 years (though a few funds extend dependent cover to 31 years).
By taking out hospital, extras or a combined cover, you may be eligible for a rebate from the Australian Government depending on your income. If you earn over the rebate threshold, however, you may not be eligible for a rebate. By taking out appropriate hospital cover for your family, you will avoid paying the Medicare Levy Surcharge of between 1% and 1.5%. It's important to understand the tax implications of health insurance before you buy.
If you’re planning on having a baby and want to have private health cover for the pregnancy and birth, you should look at cover which specifically includes pregnancy. It’s important to take out this cover at least 12 months before your expected birth date, as a 12-month waiting period often applies. If you don’t get insurance in time, you may not be covered in the event of a premature birth.
Read one of our helpful guides on a range of different ailments and potential hospital or extras treatments to help you find out if they're covered.
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