Queensland Country Health Fund
Core Hospital (Basic+) $500 excess & Select Extras
Queensland Country Health Fund
How $160.09 is worked out
- Premium as filed - $210.97 a month (hospital share $119.85)
- Government rebate - 24.1% of the premium (never of the loading): -$50.88
- A month - $160.09
Go to insurer no commission on this policy
Hospital: what is covered
Covered (10)
- Dental surgery
- Eye (not cataracts)
- Gastrointestinal endoscopy
- Gynaecology
- Hernia and appendix
- Joint reconstructions
- Male reproductive system
- Miscarriage and termination of pregnancy
- Skin
- Tonsils, adenoids and grommets
Restricted (3)
- Hospital psychiatric services
- Palliative care
- Rehabilitation
Not covered (25)
- Assisted reproductive services
- Back, neck and spine
- Blood
- Bone, joint and muscle
- Brain and nervous system
- Breast surgery (medically necessary)
- Cataracts
- Chemotherapy, radiotherapy and immunotherapy for cancer
- Diabetes management (excluding insulin pumps)
- Dialysis for chronic kidney failure
- Digestive system
- Ear, nose and throat
- Heart and vascular system
- Implantation of hearing devices
- Insulin pumps
- Joint replacements
- Kidney and bladder
- Lung and chest
- Pain management
- Pain management with device
- Plastic and reconstructive surgery (medically necessary)
- Podiatric surgery (provided by a registered podiatric surgeon)
- Pregnancy and birth
- Sleep studies
- 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 - Basic Plus
- Hospital - Private or public hospital
- Excess - Capped per person and per policy per year. $500 per admission. $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 - Offered for 18 to 29 year olds
- Accident cover - Yes
- Travel and accommodation benefits - Yes
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: No excess applies for Dependent Children up to and including 21 years
Extras: what you get back
| Service | Waiting period | Example benefits, as filed | Limits |
|---|---|---|---|
| General dental * | 2 months | Check-up (item 012): $44.00; Scale and clean (item 114): $71.00; Fluoride treatment (item 121): $19.00 | $400 per person a year, $800 per policy a year |
| Major dental * | 12 months | Tooth extraction (item 322): $126.00; Crown (item 615): $560.00 | $600 per person a year, $1,200 per policy a year (shared with other services) |
| Root canal * | 12 months | Root canal (item 417): $119.00 | $600 per person a year, $1,200 per policy a year (shared with other services) |
| Glasses and contact lenses * | 2 months | Single vision glasses: $245.00; Multifocal glasses: $245.00 | $245 per person a year, $490 per policy a year |
| Prescriptions not on the PBS * | 2 months | Prescription: $55.00 | $400 per person a year, $800 per policy a year (shared with other services) |
| Physiotherapy * | 2 months | First visit: $44.00; Follow-up visit: $37.00 | $500 per person a year, $1,000 per policy a year |
| Chiropractic * | 2 months | First visit: $44.00; Follow-up visit: $28.00 | $500 per person a year, $1,000 per policy a year (shared with other services) |
| Podiatry * | 2 months | First visit: $32.00; Follow-up visit: $32.00 | $400 per person a year, $800 per policy a year (shared with other services) |
| Remedial massage * | 2 months | First visit: $33.00; Follow-up visit: $33.00 | $500 per person a year, $1,000 per policy a year (shared with other services) |
| Health management programs * | 2 months | Benefit: $125.00 | $125 per person a year, $250 per policy a year |
| Orthotics | 2 months | Benefit: 100% back | $400 per person a year, $800 per policy a year (shared with other services) |
| Vaccinations * | 2 months | Vaccination: $55.00 | $400 per person a year, $800 per policy a year (shared with other services) |
Not covered: Braces, Psychology, Acupuncture, Hearing aids, Blood glucose monitors, Audiology, Antenatal and postnatal, Chinese herbal medicine, Dietitian, Exercise physiology, Eye therapy (orthoptics), Home nursing, Occupational therapy, Osteopathy, Speech therapy.
* There is an overall combined benefit limit for ALL benefits payable under this product (including dental, optical, therapies, pharmaceuticals, and Healthy Living benefits) up to $2,200 per person and $4,400 per policy per Membership Year. Sub-limits apply.
Health management (Healthy Living benefit) provides benefits towards the costs of metabolic dieticians or nutritionists consultations to assist with weight management, diabetes education consultations, quit smoking programs, skin checks for skin cancers (except where there is a Medicare benefit), bowel screening and bone density tests, a second yearly prostate specific antigen test not covered by Medicare, supermarket tours conducted by a dietitian or other allied health professional qualified to provide nutrition advice, and gym memberships/personal training sessions provided under an approved health management or chronic disease management program. Please contact the insurer for full details.
Ambulance
Emergency ambulance. Waiting period for emergency transport: 1 day.
Agreement hospitals in ACT
Queensland Country Health Fund has agreements with 13 private hospitals here, as filed with the Ombudsman.
The list
- ACT Endoscopy - Deakin (day hospital)
- Act Day Hospital - Deakin (day hospital)
- Barton Private Hospital - Barton
- Brindabella Endoscopy Centre - Garran (day hospital)
- Calvary Bruce Private Hospital - Bruce
- Calvary John James Hospital - Deakin
- Canberra Imaging Group - Deakin (day hospital)
- Canberra Microsurgery - Phillip (day hospital)
- Canberra Private Hospital - Deakin
- Canberra Surgicentre - Braddon (day hospital)
- Icon Cancer Centre Canberra - Bruce (day hospital)
- Mugga Wara Endoscopy Centre - Deakin (day hospital)
- National Capital Private Hospital - Garran
This policy's other options
Every state, household and excess the insurer filed for this policy, with the premium before the rebate.
Member retention (hospital cover)
88.4% is the Commonwealth Ombudsman's figure for HBF, the insurer of Queensland Country Health, 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 11L/DRVQ2D, filed by Queensland Country Health Fund, issued 1 May 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.
No insurer pays to appear on this list or for its place in it. LookFirst does not say which tier or policy suits you. The filters are your own questions.