St Lukes
Silver Plus Hospital 500
St Lukes
How $311.42 is worked out
- Premium as filed - $410.40 a month
- Government rebate - 24.1% of the premium (never of the loading): -$98.98
- A month - $311.42
Go to insurer no commission on this policy
Hospital: what is covered
Covered (30)
- Back, neck and spine
- Blood
- Bone, joint and muscle
- Brain and nervous system
- Breast surgery (medically necessary)
- 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
- Kidney and bladder
- Lung and chest
- Male reproductive system
- Miscarriage and termination of pregnancy
- Pain management
- 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 (7)
- Assisted reproductive services
- Cataracts
- Dialysis for chronic kidney failure
- Joint replacements
- Pain management with device
- 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
- Tier - Silver Plus
- Hospital - Private or public hospital
- Excess - Capped per person and per policy per year. $500 per person a year. $1,000 per policy a year.
- Co-payments - None.
- Known gap - Yes, with the fund's doctors
- Age-based discount - Not offered
- Accident cover - No
- Travel and accommodation benefits - No
Waiting periods
- Most treatments - 2 months
- Existing conditions - 12 months
- Pregnancy and birth - 12 months
- Rehabilitation, psychiatric and palliative care - 2 months
As filed by the insurer: Ambulance is provided free to Tasmanian residents. Unmarried dependants covered until they turn 23 and single F/T students covered until they turn 25.
Ambulance
No ambulance cover.
Agreement hospitals in New South Wales
St Lukes has agreements with 141 private hospitals here, as filed with the Ombudsman.
The list
- Albury Day Surgery - Albury (day hospital)
- Albury Wodonga Private Hospital - Albury
- Alexandria Specialist Day Hospital - Alexandria (day hospital)
- Armidale Private Hospital - Armidale
- Ballina Day Surgery - Ballina (day hospital)
- Baringa Private Hospital - Coffs Harbour
- Berkeley Vale Private Hospital - Berkeley Vale
- Bondi Junction Private Hospital - Bondi Junction
- Brisbane Waters Private Hospital - Woy Woy
- Calvary Riverina Hospital - Wagga Wagga
- Calvary Riverina Surgicentre - Wagga Wagga (day hospital)
- Campbelltown Private Hospital - Campbelltown
- Castlecrag Private Hospital - Castlecrag
- Central Coast Day Hospital - Erina - Erina (day hospital)
- Central Sydney Private Hospital - Sydney (day hospital)
- Centre For Digestive Diseases - Five Dock (day hospital)
- Charlestown Private Hospital - Charlestown (day hospital)
- Chatswood Day Surgery - Chatswood (day hospital)
- Chatswood Private Hospital - Chatswood (day hospital)
- City West Specialist Day Hospital - Westmead (day hospital)
- Coffs Day Hospital - Coffs Harbour (day hospital)
- Dee Why Endoscopy Unit - Dee Why (day hospital)
- Double Bay Day Hospital - Double Bay (day hospital)
- Dubbo Private Hospital - Dubbo
- Dudley Private Hospital - Orange
- Eastern Heart Clinic - Randwick (day hospital)
- Epping Surgery Centre - Epping (day hospital)
- Figtree Private Hospital - Figtree
- Forest Road Day Surgery - Hurstville (day hospital)
- Forster Private Hospital - Forster
- Fresenius Liverpool Private Dialysis Clinic - Liverpool (day hospital)
- Freshwater Day Surgery - Brookvale (day hospital)
- GenesisCare - St Leonards (day hospital)
- GenesisCare Frenchs Forest - Frenchs Forest (day hospital)
- GenesisCare Hurstville - Hurstville (day hospital)
- GenesisCare Kingswood - Kingswood (day hospital)
- Genesiscare Campbelltown - Campbelltown (day hospital)
- Genesiscare Maitland - East Maitland (day hospital)
- Gosford Private Hospital - Gosford
- Gosford Specialist Day Hospital - Gosford (day hospital)
- Healthwoods Endoscopy Centre - Granville (day hospital)
- Holroyd Private Hospital - Guildford
- Hunter Valley Private Hospital - Shortland
- Hunters Hill Private Hospital - Hunters Hill
- Hurstville Private Hospital - Hurstville
- Icon Cancer Centre Revesby - Revesby (day hospital)
- Insight Private Hospital - Albury
- Kareena Private Hospital - Caringbah
- King Street Private Hospital - Newcastle
- Kogarah Private Hospital - Kogarah (day hospital)
- Lady Davidson Private Hospital - North Turramurra
- Lake Macquarie Private Hospital - Gateshead
- Lakeview Private Hospital - Norwest
- Lingard Private Hospital - Merewether
- Lithgow Community Private Hospital - Lithgow (day hospital)
- Liverpool Eye Surgery - Liverpool (day hospital)
- Liverpool Procedure Centre - Liverpool (day hospital)
- Macquarie St Day Surgery - Sydney (day hospital)
- Macquarie University Hospital - Macquarie Park
- Madison Day Surgery - Hornsby (day hospital)
- Maitland Private Hospital - East Maitland
- Mater Hospital Sydney - North Sydney
- Mayo Private Hospital - Taree
- Metwest Surgical - Blacktown (day hospital)
- Miranda Day Surgery - Miranda (day hospital)
- Mt Wilga Private Hospital - Hornsby
- Nepean Private Hospital - Kingswood
- Nephrocare Newcastle Dialysis Clinic - Newcastle (day hospital)
- Newcastle Endoscopy Centre - Charlestown (day hospital)
- Newcastle Eye Hospital - Waratah (day hospital)
- Newcastle Private Hospital - New Lambton Heights
- North Shore Private Hospital - St Leonards
- North Shore Specialist Day Hospital - Greenwich (day hospital)
- Norwest Private Hospital - Bella Vista
- Nowra Private Hospital - Nowra
- Orange Eye Centre - Orange (day hospital)
- Parramatta Eye Centre - Parramatta (day hospital)
- Pennant Hills Day Surgery - Pennant Hills (day hospital)
- Pittwater Day Surgery - Mona Vale (day hospital)
- Port Macquarie Ophthalmic Surgery - Port Macquarie (day hospital)
- Port Macquarie Private Hospital - Port Macquarie
- Prince Of Wales Private Hospital - Randwick
- Ramsay Clinic Cremorne - Cremorne
- Ramsay Clinic Macarthur - Campbelltown
- Ramsay Clinic Northside - St Leonards
- Ramsay Clinic Thirroul - Thirroul
- Ramsay Clinic Wentworthville - Wentworthville
- Ramsay Surgical Centre Charlestown - Charlestown
- Ramsay Surgical Centre Coffs Harbour - Coffs Harbour (day hospital)
- Ramsay Surgical Centre Miranda - Miranda (day hospital)
- Ramsay Surgical Centre Orange - Orange (day hospital)
- Riverina Day Surgery - Wagga Wagga (day hospital)
- Rosemont Endoscopy Centre - Wollongong (day hospital)
- Shellharbour Private Hospital - Barrack Heights
- Sight Foundation Theatre - Sydney (day hospital)
- Somerset Private Hospital - Kingswood
- South Pacific Private Hospital - Curl Curl
- Southern Highlands Private Hospital - Bowral
- Southern Suburbs Day Procedure Centre - Kogarah (day hospital)
- Southside Cancer Care Centre - Miranda (day hospital)
- St George Private Hospital - Kogarah
- St John Of God Burwood Hospital - Burwood
- St John Of God Richmond Hospital - North Richmond
- St Luke's Hospital - Potts Point
- St Vincent's Private Community Hospital Griffith - Griffith
- St Vincent's Private Hospital (Darlinghurst) - Darlinghurst
- St Vincent's Private Hospital Lismore - Lismore
- Strathfield Private Hospital - Strathfield
- Surry Hills Day Hospital - Surry Hills (day hospital)
- Sutherland Heart Clinic - Caringbah
- Sydney Adventist Hospital - Wahroonga
- Sydney Day Hospital - Sydney (day hospital)
- Sydney Day Surgery - Darlinghurst (day hospital)
- Sydney Day Surgery - Prince Alfred - Newtown (day hospital)
- Sydney Pain Day Surgery - Epping (day hospital)
- Sydney Southwest Private Hospital - Liverpool
- Sydney Specialist Day Hospital - Chatswood (day hospital)
- Sydney Surgical Centre - Randwick
- Tamara Private Hospital - Tamworth
- The Border Cancer Hospital - Albury
- The Cataract Clinic (Aust) - North Sydney (day hospital)
- The George Centre - Gledswood Hills
- The Hills Private Hospital - Baulkham Hills
- The SAN Day Surgery - Hornsby (day hospital)
- The Skin Hospital - Westmead (day hospital)
- The Skin Hospital (Darlinghurst) - Darlinghurst (day hospital)
- The Sydney Clinic - Bronte
- Toronto Private Hospital - Toronto
- Tuggerah Lakes Private Hospital - Kanwal
- Tweed Day Surgery - Tweed Heads (day hospital)
- Ulladulla Endoscopy & Medical Centre - Ulladulla (day hospital)
- Victoria Street Private Hospital - Wollongong (day hospital)
- Waratah Private Hospital - Hurstville
- Warners Bay Private Hospital - Warners Bay
- Western Sydney Private Oncology & Infusion Centre - Westmead (day hospital)
- Westmead Private Hospital - Westmead
- Westmead Rehabilitation Hospital - Merrylands
- Wollongong Day Surgery - Wollongong (day hospital)
- Wollongong Private Hospital - Wollongong
- Wolper Jewish Hospital - Woollahra
- Wyvern Private Hospital - Terrey Hills
This policy's other options
Every state, household and excess the insurer filed for this policy, with the premium before the rebate.
| State | Who is covered | Excess | A month, as filed |
|---|---|---|---|
| NSW | Me and my partner | $500 | $506.40 |
| NSW | My family | $500 | $506.40 |
| NSW | Just me | $500 | $253.20 |
| NSW | Me and my children | $500 | $420.30 |
| NT | Me and my partner | $500 | $308.80 |
| NT | My family | $500 | $308.80 |
| NT | Just me | $500 | $154.40 |
| NT | Me and my children | $500 | $256.30 |
| QLD | Me and my partner | $500 | $571.40 |
| QLD | My family | $500 | $571.40 |
| QLD | Just me | $500 | $285.70 |
| QLD | Me and my children | $500 | $474.25 |
| SA | Me and my partner | $500 | $466.20 |
| SA | My family | $500 | $466.20 |
| SA | Just me | $500 | $233.10 |
| SA | Me and my children | $500 | $386.95 |
| TAS | Me and my partner | $500 | $410.40 |
| TAS | My family | $500 | $410.40 |
| TAS | Just me | $500 | $205.20 |
| TAS | Me and my children | $500 | $342.10 |
| VIC | Me and my partner | $500 | $558.80 |
| VIC | My family | $500 | $558.80 |
| VIC | Just me | $500 | $279.40 |
| VIC | Me and my children | $500 | $463.80 |
| WA | Me and my partner | $500 | $446.60 |
| WA | My family | $500 | $446.60 |
| WA | Just me | $500 | $223.30 |
| WA | Me and my children | $500 | $370.70 |
Member retention (hospital cover)
87.9% is the Commonwealth Ombudsman's figure for St Lukes 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 H8QB/TCRE20, filed by St Lukes, 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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