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Hunter Health InsuranceHunter Health Insurance

SILVER+ Excess 2 $500 Hospital & Premium Extras (Family)

Hunter Health Insurance (a CDH Benefits Fund policy)

Silver Plus$500 excessNo ambulance cover
New South Wales My family Change your answers
$612.88†a month after the base-tier rebate (24.1%)
$807.68a month, as filed with the Ombudsman
How $612.88 is worked out
  • Premium as filed - $807.68 a month (hospital share $506.88)
  • Government rebate - 24.1% of the premium (never of the loading): -$194.80
  • A month - $612.88

Go to insurer no commission on this policy

Hospital: what is covered

Covered (33)

  • Back, neck and spine
  • Blood
  • 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)
  • 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
  • Palliative care
  • Plastic and reconstructive surgery (medically necessary)
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Rehabilitation
  • Skin
  • Sleep studies
  • Tonsils, adenoids and grommets

Restricted (1)

  • Hospital psychiatric services

Not covered (4)

  • Assisted reproductive services
  • Dialysis for chronic kidney failure
  • Pregnancy and birth
  • 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: NSW/ACT residents -Ambulance coverage is included Australia wide. All other States residents please contact the fund for details. NOTE: This Hospital cover provides a Gap Cover Scheme minimising Out-of-Pocket expenses for Doctors services. ****Accident cover is allowed provided you are admitted to hospital (1 day waiting period).

Extras: what you get back

ServiceWaiting periodExample benefits, as filedLimits
General dental2 monthsCheck-up (item 012): 100% back; Scale and clean (item 114): 100% back; Fluoride treatment (item 121): $25.00; Tooth extraction (item 322): $110.00Gap Free Preventative Dental 100% Benefit Limit 2 Service Person Per Year Items Number 011-015 111-116
Major dental12 monthsCrown (item 615): $800.00$1,100 per person a year
Root canal12 monthsRoot canal (item 417): $150.00no yearly limit
Braces12 monthsBraces, upper and lower, with a retainer (item 881): $2500.00$600 per person a year, $2,500 lifetime
Glasses and contact lenses2 monthsSingle vision glasses: $210.00; Multifocal glasses: $290.00$290 per person a year
Prescriptions not on the PBS2 monthsPrescription: $70.00$700 per person a year
Physiotherapy2 monthsFirst visit: $55.00; Follow-up visit: $45.00$700 per person a year (shared with other services)
Chiropractic2 monthsFirst visit: $40.00; Follow-up visit: $35.00$600 per person a year (shared with other services)
Podiatry2 monthsFirst visit: $45.00; Follow-up visit: $40.00$600 per person a year (shared with other services)
Psychology2 monthsFirst visit: $50.00; Follow-up visit: $50.00$600 per person a year (shared with other services)
Acupuncture2 monthsFirst visit: $40.00; Follow-up visit: $40.00$600 per person a year (shared with other services)
Remedial massage2 monthsFirst visit: $50.00; Follow-up visit: $30.00$600 per person a year (shared with other services)
Hearing aids36 monthsHearing aid: $625.00$750 per person a year
Blood glucose monitors12 monthsBlood: 75% back$500 per person a year, 1 appliance every year
Antenatal and postnatal2 monthsFirst visit: $25.00$250 per person a year
Dietitian2 monthsFirst visit: $35.00$600 per person a year (shared with other services)
Exercise physiology2 monthsFirst visit: $26.00; Follow-up visit: $22.00$600 per person a year (shared with other services)
Health management programs2 monthsBenefit: $65.00$65 per person a year
Home nursing2 monthsFirst visit: $35.00$950 per person a year
Occupational therapy2 monthsFirst visit: $35.00$700 per person a year (shared with other services)
Orthotics2 monthsBenefit: 75% back$200 per person a year
Osteopathy2 monthsFirst visit: $35.00; Follow-up visit: $30.00$600 per person a year (shared with other services)
Speech therapy2 monthsFirst visit: $35.00; Follow-up visit: $40.00$700 per person a year (shared with other services)

Not covered: Audiology, Chinese herbal medicine, Eye therapy (orthoptics), Vaccinations.

* Ambulance cover is only available if taken with a Hospital Cover

Other services, as filed: Does not include treatment for: Alexander technique; Aromatherapy; Bowen therapy; Buteyko; Feldenkrais; Western herbalism; homeopathy; iridology; kinesiology; naturopathy; Pilates; reflexology; Rolfing; Shiatsu; Tai chi; Yoga CSIRO Total Wellbeing Diet $60 Per Year Per Membership

Orthodontic is paid at 75% of account in current year to max $600.00 with $250.00 per year accumulated up to a maximum benefit of $2500.00 per person per lifetime.

Ambulance

No ambulance cover.

Agreement hospitals in Northern Territory

Hunter Health Insurance has agreements with 2 private hospitals here, as filed with the Ombudsman.

The list
  • Darwin Day Surgery - Wanguri (day hospital)
  • Darwin Private Hospital - Tiwi

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$787.02
NSW Me and my partner $500$807.68
NSW Me and my partner $250$839.92
NSW Me and my partner None$873.42
NSW My family $750$787.02
NSW My family $500$807.68
NSW My family $250$839.92
NSW My family None$873.42
NSW Just me $750$393.51
NSW Just me $500$403.84
NSW Just me $250$419.96
NSW Just me None$436.71
NT Me and my partner $750$859.96
NT Me and my partner $500$812.48
NT Me and my partner $250$845.02
NT Me and my partner None$878.84
NT My family $750$859.96
NT My family $500$812.48
NT My family $250$845.02
NT My family None$878.84
NT Just me $750$429.98
NT Just me $500$406.24
NT Just me $250$422.51
NT Just me None$439.42
QLD Me and my partner $750$859.96
QLD Me and my partner $500$819.82
QLD Me and my partner $250$852.84
QLD Me and my partner None$881.66
QLD My family $750$859.96
QLD My family $500$819.82
QLD My family $250$852.84
QLD My family None$881.66
QLD Just me $750$429.98
QLD Just me $500$409.91
QLD Just me $250$426.42
QLD Just me None$440.83
SA Me and my partner $750$859.96
SA Me and my partner $500$824.74
SA Me and my partner $250$858.08
SA Me and my partner None$878.84
SA My family $750$859.96
SA My family $500$824.74
SA My family $250$858.08
SA My family None$878.84
SA Just me $750$429.98
SA Just me $500$412.37
SA Just me $250$429.04
SA Just me None$439.42
TAS Me and my partner $750$859.96
TAS Me and my partner $500$829.70
TAS Me and my partner $250$863.32
TAS Me and my partner None$878.84
TAS My family $750$859.96
TAS My family $500$829.70
TAS My family $250$863.32
TAS My family None$878.84
TAS Just me $750$429.98
TAS Just me $500$414.85
TAS Just me $250$431.66
TAS Just me None$439.42
VIC Me and my partner $750$859.96
VIC Me and my partner $500$834.70
VIC Me and my partner $250$868.66
VIC Me and my partner None$878.84
VIC My family $750$859.96
VIC My family $500$834.70
VIC My family $250$868.66
VIC My family None$878.84
VIC Just me $750$429.98
VIC Just me $500$417.35
VIC Just me $250$434.33
VIC Just me None$439.42
WA Me and my partner $750$859.96
WA Me and my partner $500$839.74
WA Me and my partner $250$874.02
WA Me and my partner None$878.84
WA My family $750$859.96
WA My family $500$839.74
WA My family $250$874.02
WA My family None$878.84
WA Just me $750$429.98
WA Just me $500$419.87
WA Just me $250$437.01
WA Just me None$439.42

Member retention (hospital cover)

89.5% is the Commonwealth Ombudsman's figure for CDH, the insurer of Hunter Health Insurance, 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 J12/NDCY2D, filed by CDH Benefits Fund, 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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