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While most people think of ‘health insurance’ as one product that covers everything, it’s really an umbrella
term. There are many components you can chop and change to suit your needs.
Understanding how each works is the key to finding potential ways to save on:
Hospital insurance helps cover your costs for treatment in a private hospital. You can also use it to cover treatment in
a public hospital.
If you’re confused about why you would use private insurance in a public hospital, you can read all about it here.
For now, we’ll focus on ways to reduce your Hospital insurance premiums.
The first thing you can do is review your level of cover. HBF’s highest level of Hospital insurance is ‘Top Hospital’.
It covers you for all procedures and services covered under the Medicare Benefits Schedule.
To save money, you can choose (or switch to) a lower level product.
Lower level products exclude or restrict cover for a small number of more expensive services like maternity, heart treatment or cataracts, making them a bit cheaper.
The good news is you get the same amount back when you claim regardless of which hospital product you’re on*,
the only thing that changes are the procedures you can claim on.
The challenge is you don’t always know what services you might need in future. For example, switching to a product
that excludes maternity may also mean inadvertently dropping cover for heart treatment. So be careful you don’t
accidentally drop cover for something you might really need.
Another way to save is to add or increase your excess.
Hospital insurance excess is just like an excess for your car or home insurance—it’s something you pay upfront
out of your own pocket when you go to the hospital.
By adding an excess to your Hospital insurance, you’ll
bring down the price. If you already have an excess, consider increasing it to lower your premium.
* Provided you don’t have restrictions on your policy.
If you’re young, healthy, and have no history of genetic illness in the family, you could consider dropping your Hospital
insurance for a while and only keeping your Extras insurance. However, this is not without its risks…
Firstly, not having private hospital cover means if something goes wrong, you will have to rely on the public system or fork
out $1000s to access treatment in the private system. If you try to take out Hospital insurance again later, you will
have to re-serve any waiting periods, which includes a 12-month waiting period for pre-existing conditions.
Secondly, if your income is more than $90,000 (or $180,000 per household), dropping Hospital insurance means you could be
hit with the Medicare Levy Surcharge (MLS)—an
extra tax the Government imposes on higher income earners who don’t have Hospital insurance.
Lastly, if you’re over 31 and you drop your Hospital insurance, you may be subject to Lifetime Health Cover loading if you decide to take it back out again in future. The LHC loading basically means that if you get Hospital insurance
again when you’re older, you will pay more for it than everybody else—2 per cent more for every year over
age 30 that you didn’t have cover.
Extras insurance covers you for treatments outside of the hospital—things like dental, optical and chiro. These are
services Medicare generally doesn’t cover, so without Extras insurance, you’d pay the full cost out of your
Extras insurance works differently to Hospital insurance, in that changing your level of cover impacts both the services
you’re covered for as well as how much you’ll get back.
Generally, you can save money on Extras insurance by choosing a product with:
You can compare different levels of Extras cover here.
You could also get more value for money by increasing your benefits, annual limits and the number of services covered.
That’s because most extras services generally involve an out-of-pocket cost. By increasing your level of cover,
your insurer will pay more of the service cost, reducing the amount you pay out of your own pocket.
To quickly and significantly lower your health insurance premium, you could cancel your Extras insurance and just keep Hospital
The Government has no penalties for not having Extras insurance. (So you won’t have to pay the MLS for not having it,
or be subject to the LHC if you take it up again later). The only kicker is you’ll have to pay 100 per cent of
the cost for things like optical and physio because Medicare generally doesn’t pay anything towards those services.
You will also have to re-serve wait periods if you choose to take Extras insurance out again in the future (usually anywhere
from two to 12 months depending on the service).
As the name suggests, Ambulance insurance helps cover the cost of ambulance transport.
In most states (except Queensland and Tasmania), Medicare doesn’t cover the cost of emergency transport and other ambulance
services. That means you could pay up to $1000 out of your own pocket if you need an ambulance.
With HBF, there are two types of ambulance insurance: Urgent Ambulance and Ambulance Plus.
Urgent Ambulance insurance covers the cost of emergency or urgent ambulance transport by road. It also covers any situation
where you’re transported to the emergency department. It’s the state Ambulance provider (e.g. St. John Ambulance)
that figures out whether your situation requires an Urgent Ambulance—not you. Even if your situation doesn’t
require an Urgent Ambulance, a non-urgent ambulance may still arrive at the scene; if this happens, you will have to
pay the call-out fee. While they aren’t very common, HBF’s Ambulance Plus insurance is an add-on
that covers you for any non-urgent situations.
This is useful because in highly stressful and potentially life-threatening situations, you don’t want to be second-guessing
yourself worrying that you’ll be charged a massive call out fee if it turns out to be a false alarm.
Ambulance Plus also covers the cost of ambulance transfers by road, either from one hospital to another, or from the hospital
to your home.
Most HBF Hospital and Extras products automatically include cover for Urgent Ambulance. However, if you only want cover for
an ambulance in an emergency situation, you can take out Urgent Ambulance insurance separately, without needing to have
Hospital or Extras insurance.
Because Ambulance Plus (the non-urgent one) is an add-on, you can remove it to help reduce your premium. However, from just
$0.55/week, it would be a low reduction for something
that could save you a lot of money in the future.
GapSaver is a unique HBF add-on that lets you put aside money now, so you can use
it later to cover your gaps.
You pay a little more on top of your premium and that extra money goes into your GapSaver account. You can then dip into
this account to help cover your out-of-pockets for Hospital or Extras services.
You can also get the Australian Government Rebate on Private Health Insurance for any GapSaver contributions.
If you currently have GapSaver, you can reduce your premiums by lowering your GapSaver level (there’s a bunch to choose
from) or by removing GapSaver altogether.
If you remove it, the money you have accumulated so far will still be available for you to use, so long as you maintain your
Then you can always add it on again later when you’re ready.
And the savings don’t stop here. By reviewing your policy every year, you’ll be able to pinpoint the things you
don’t need and add anything you do, adapting your health cover to suit both your budget and your changing needs.
5 ways to get more from your HBF health cover There are heaps of easy things you can do to make sure you’re getting mileage out of your HBF health cover. Here are our top 5 tips to get you started.
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