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Basic Plus Hospital $750/$1500 excess with Healthy Extras

HCi

Basic Plus$750 excessEmergency ambulance
Queensland Just me Change your answers
$156.73†a month after the base-tier rebate (24.1%)
$206.55a month, as filed with the Ombudsman
How $156.73 is worked out
  • Premium as filed - $206.55 a month (hospital share $114.23)
  • Government rebate - 24.1% of the premium (never of the loading): -$49.82
  • A month - $156.73

Go to insurer no commission on this policy

Hospital: what is covered

Covered (0)

    Restricted (5)

    • Blood
    • Hospital psychiatric services
    • Palliative care
    • Rehabilitation
    • Sleep studies

    Not covered (33)

    • Assisted reproductive services
    • Back, neck and spine
    • Bone, joint and muscle
    • Brain and nervous system
    • Breast surgery (medically necessary)
    • Cataracts
    • Chemotherapy, radiotherapy and immunotherapy for cancer
    • Dental surgery
    • Diabetes management (excluding insulin pumps)
    • Dialysis for chronic kidney failure
    • Digestive system
    • Ear, nose and throat
    • Eye (not cataracts)
    • Gastrointestinal endoscopy
    • Gynaecology
    • Heart and vascular system
    • Hernia and appendix
    • Implantation of hearing devices
    • Insulin pumps
    • Joint reconstructions
    • Joint replacements
    • Kidney and bladder
    • Lung and chest
    • Male reproductive system
    • Miscarriage and termination of pregnancy
    • Pain management
    • Pain management with device
    • Plastic and reconstructive surgery (medically necessary)
    • Podiatric surgery (provided by a registered podiatric surgeon)
    • Pregnancy and birth
    • Skin
    • Tonsils, adenoids and grommets
    • Weight loss surgery

    Restricted means partially covered for hospital costs as a private patient in a public hospital; in a private room or private hospital you may face significant expenses.

    Excess, waiting periods and hospital

    Waiting periods

    As filed by the insurer: The waiting period for Accident Cover is 2 months. The excess does not apply to any dependants under the age of 18.

    Extras: what you get back

    ServiceWaiting periodExample benefits, as filedLimits
    General dental2 monthsCheck-up (item 012): $39.00; Scale and clean (item 114): $72.00; Fluoride treatment (item 121): $28.00; Tooth extraction (item 322): $130.00$1,100 per policy a year
    Major dental12 monthsCrown (item 615): $600.00$1,650 per policy a year (shared with other services)
    Root canal12 monthsRoot canal (item 417): $150.00$1,650 per policy a year (shared with other services)
    Braces12 monthsBraces, upper and lower, with a retainer (item 881): 100% back$1,650 per policy a year (shared with other services)
    Glasses and contact lenses6 monthsSingle vision glasses: $240.00; Multifocal glasses: $240.00$240 per policy a year
    Prescriptions not on the PBS2 monthsPrescription: $75.00$700 per policy a year
    Physiotherapy2 monthsFirst visit: $60.00; Follow-up visit: $60.00$700 per policy a year (shared with other services)
    Chiropractic2 monthsFirst visit: $40.00; Follow-up visit: $40.00$500 per policy a year (shared with other services)
    Podiatry2 monthsFirst visit: $45.00; Follow-up visit: $45.00$1,000 per policy a year (shared with other services)
    Psychology2 monthsFirst visit: $70.00; Follow-up visit: $70.00$250 per policy a year
    Acupuncture2 monthsFirst visit: $40.00; Follow-up visit: $40.00$500 per policy a year (shared with other services)
    Remedial massage2 monthsFirst visit: $40.00; Follow-up visit: $40.00$500 per policy a year (shared with other services)
    Hearing aids36 monthsHearing aid: $800.00$1,600 per policy a year, 2 appliances every 3 years
    Blood glucose monitors12 monthsBlood: $300.00$300 per policy a year, 1 appliance every 3 years
    Audiology2 monthsFirst visit: $35.00; Follow-up visit: $35.00$200 per policy a year
    Chinese herbal medicine2 monthsFirst visit: $40.00; Follow-up visit: $40.00$500 per policy a year (shared with other services)
    Dietitian2 monthsFirst visit: $45.00; Follow-up visit: $45.00$1,000 per policy a year (shared with other services)
    Exercise physiology2 monthsFirst visit: $60.00; Follow-up visit: $60.00$700 per policy a year (shared with other services)
    Eye therapy (orthoptics)2 monthsFirst visit: $45.00; Follow-up visit: $45.00$1,000 per policy a year (shared with other services)
    Health management programs2 monthsBenefit: $120.00$300 per policy a year
    Home nursing2 monthsFirst visit: $45.00; Follow-up visit: $45.00$500 per policy a year
    Occupational therapy2 monthsFirst visit: $45.00; Follow-up visit: $45.00$1,000 per policy a year (shared with other services)
    Orthotics2 monthsBenefit: $200.00$1,000 per policy a year (shared with other services)
    Osteopathy2 monthsFirst visit: $40.00; Follow-up visit: $40.00$500 per policy a year (shared with other services)
    Speech therapy2 monthsFirst visit: $45.00; Follow-up visit: $45.00$1,000 per policy a year (shared with other services)
    Vaccinations2 monthsVaccination: $30.00$250 per policy a year

    Not covered: Antenatal and postnatal.

    * A 12 month waiting period applies to eligible medicinal cannabis prescriptions.

    Other services, as filed: Group physio/hydrotherapy session $20 per service. Flu vaccination 1 per calendar year $30 per service. Other eligible vaccines $75 per service. For eligible medicinal cannabis prescriptions a 12 month waiting period applies

    Ambulance

    Emergency ambulance. Call-out fees covered. Waiting period for emergency transport: 2 months. No limit on emergency transport.

    Agreement hospitals in Tasmania

    HCi has agreements with 12 private hospitals here, as filed with the Ombudsman.

    The list
    • Calvary - St John's Hospital - South Hobart
    • Calvary - St Vincent's Hospital - Launceston
    • Devonport Eye Hospital - Devonport (day hospital)
    • Hobart Day Surgery - Hobart (day hospital)
    • Hobart Specialist Day Hospital - Hobart (day hospital)
    • Icon Cancer Centre Hobart - Hobart (day hospital)
    • North Tas Day Hospital - Launceston (day hospital)
    • North West Private Hospital (Tas) - Burnie
    • Specialist Care Australia Launceston - Launceston (day hospital)
    • Specialist Care Australia Ulverstone - Ulverstone (day hospital)
    • The Eye Hospital - Launceston (day hospital)
    • The Hobart Clinic - Rokeby

    This policy's other options

    Every state, household and excess the insurer filed for this policy, with the premium before the rebate.

    StateWho is coveredExcessA month, as filed
    NSW Me and my partner $750$408.67
    NSW Just me $750$204.37
    QLD Me and my partner $750$413.05
    QLD Just me $750$206.55
    SA Me and my partner $750$403.59
    SA Just me $750$201.79
    TAS Me and my partner $750$369.63
    TAS Just me $750$184.82
    VIC Me and my partner $750$405.31
    VIC Just me $750$202.66
    WA Me and my partner $750$356.91
    WA Just me $750$178.45

    Member retention (hospital cover)

    81.3% is the Commonwealth Ombudsman's figure for HCI in its State of the Health Funds Report 2024-25 (Table 1, page 15; data at 30 June 2025).

    The Ombudsman describes it as one measure of the comparative effectiveness of insurers and of their level of member satisfaction: the percentage of members, hospital memberships only, who have remained with the insurer for 2 years or more (page 12). It is published for the insurer, not for this policy, and is not adjusted for policies that lapse when a member dies. The Ombudsman cautions that no single indicator shows an insurer's overall performance (page 27).

    It is shown as published. The list is not sorted, filtered or ranked by it.

    Member retention is the Commonwealth Ombudsman's figure, from its State of the Health Funds Report 2024-25. Source: Licensed from the Commonwealth Ombudsman under a Creative Commons 4.0 licence. This report is available from the Commonwealth Ombudsman website at www.ombudsman.gov.au.

    Where this comes from

    Policy details come from the PrivateHealth.gov.au dataset published by the Private Health Insurance Ombudsman on data.gov.au (release of 1 Oct 2026), licensed under Creative Commons Attribution 3.0 Australia. Statement J4/QDVK10, filed by HCi, issued 1 Apr 2026.

    † Monthly premium: the premium the insurer filed with the Private Health Insurance Ombudsman for this state, household and excess, before the Australian Government rebate. Answer the income and age questions and every figure becomes the premium after your rebate, with any Lifetime Health Cover loading added to the hospital share (the rebate never applies to the loading) and the age-based discount taken off it where the policy offers one. Insurers may quote a different payment frequency and round each step; check the figure with the insurer before you join.

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