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Hospital Only

If you’re just after some reliable hospital cover, our Hospital product is for you. No excesses, co-payments, exclusions or benefit limitation periods – just pick your hospital and recover.


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Hospital Only

  • No Excess
    COMPREHENSIVE HOSPITAL: Covers all treatments and procedures where Medicare pays a benefit.
  • info
    NO NASTY SURPRISES: With no excess, co-payments, benefit limitation periods or exclusions.
  • Provider of your choice
    FREEDOM TO CHOOSE: Your recognised doctor or health care provider.
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    COMPREHENSIVE AMBULANCE COVER: Emergency transport, clinically required non-emergency transport and treatment not requiring transport.

*Waiting periods and Annual Maximums may apply.


Our Hospital product covers you for treatment in any recognised hospital or day-surgery (public or private) anywhere in Australia.

It is designed to give you and your family freedom of choice in your health care.

Our Gold Hospital cover is a top level product with no excess, benefit limitation periods, co-payments or exclusions, and covers all treatments and procedures where Medicare pays a benefit.

Products & Benefits Guide State Premiums & Benefits Brochure


Inclusions List Left
  • General hospital costs

    100% covered for:

    • Private or shared room accommodation (subject to availability and the hospital 35 day rule).
    • Same day hospitalisation and day surgery
    • Intensive/coronary care accommodation
  • Theatre fees/labour ward

    100% covered

  • Drugs supplied

    100% covered when related to the reason for admission in hospital and covered under the agreement we have with the hospital. Public hospitals generally supply medication without charge.

  • Doctor's fees (for hospital treatment)

    At a minimum, we will cover the difference between the Medicare rebate and the Medicare Benefits Schedule (MBS) Fee. If your doctor chooses to use the Access Gap Cover schedule of fees, we can cover up to 100% of the doctor’s Access Gap Cover agreed fee.

  • Hospital at home

    Emergency Services Health has agreements with some hospitals to deliver out-of-hospital care to patients for services such as wound management, intravenous therapy and post-natal care.

  • Ambulance

    100% covered for emergency transport, clinically required non-emergency transport, and treatment not requiring transport.

  • Additional health care services

    Benefits are available for aids and appliances and Home Nursing. Call us on 1300 703 703 for clarification.

  • Travel and accommodation

    Up to $500 per year, per policy (conditions apply).

  • Surgical Prosthesis

    Prostheses include screws and plates, intraocular lenses, replacement joints, cardiac stents, defibrillators and other devices that are surgically implanted during your stay in hospital. There are many options to choose from, all designed to achieve the same result, but they can vary in cost and comparative benefits. We provide benefits as per the government defined list called the Prostheses List. Visit health.gov.au to find out what is listed on the Prostheses List.

  • Examples of Hospital Services by Clinical Category

    Hospital when Medicare pays a benefit
    Some example services that you’re covered for under Hospital when Medicare pays a benefit are listed below. This is not an exhaustive list. Should you require information about a particular treatment please call us.

    Rehabilitation YES
    Hospital psychiatric services YES
    Palliative care YES
    Brain and nervous system YES
    Eye YES
    Ear, nose and throat YES
    Tonsils, adenoids and grommets YES
    Bone, joint and muscle YES
    Joint reconstructions YES
    Kidney and bladder YES
    Male reproductive system YES
    Digestive system YES
    Hernia and appendix YES
    Gastrointestinal Endoscopy YES
    Gynaecology YES
    Miscarriage and termination of pregnancy YES
    Chemotherapy, radiotherapy & immunotherapy for cancer  YES
    Pain Management YES
    Skin YES
    Breast Surgery (medically necessary) YES
    Diabetes management  YES
    Heart and vascular system YES
    Lung and chest YES
    Blood YES
    Back, neck and spine YES
    Plastic and reconstructive surgery (medically necessary) YES
    Implantation of hearing devices YES
    Cataracts YES
    Joint replacement YES
    Dialysis for chronic kidney failure YES
    Pregnancy and birth YES
    Assisted reproductive services YES
    Weight loss surgery YES
    Insulin pumps YES
    Pain management with device YES
    sleep studies YES

    * This is not an exhaustive list.

More info on Hospital

Notes List Right