If a new member has a pre-existing condition before joining Emergency Services Health, they may need to serve a 12-month waiting period under the terms of our policy before benefits are payable for the particular condition. This does not apply for psychiatric care, rehabilitation or palliative care.

A pre-existing condition is one where signs or symptoms of your ailment, illness or condition existed at any time during the six months preceding the day on which you purchased your  insurance or upgraded to a higher level of cover.

A medical practitioner appointed by Emergency Services Health (not your own doctor) is the only person authorised to decide that a condition is pre-existing. The practitioner must, however, consider any information regarding signs and symptoms provided by your own treating doctor or specialist.

A government leaflet containing further information is available by clicking here

Helpguide

FAQ: Will you pay benefits towards my Pilates treatment?

 

read more

Helpguide

Contracted and Recognised Hospitals

Contracted and Recognised Hospitals

read more

Helpguide

IVF and other Assisted Reproductive Services

Emergency Services Health's Gold Hospital and Gold Combined includes cover for in-hospital services relating to In vitro fertilis

read more

Register for healthbeat

Featuring community news & events, health information and business updates, healthbeat is your connection to everything Emergency Services Health. Sign up and receive our free newsletter.