Medibank Health Insurance

Medibank health insurance

Medibank Private Ltd is a provider of health insurance, life insurance, travel insurance, and pet insurance.

“For better health.”

Policy Options: What Medibank health insurance covers

The inclusions below represent a selection of what is covered. Additional conditions may apply to different features. CANSTAR is not making any suggestion or recommendation to you about this product.  Please ensure that you read the product disclosure statement to determine all the current policy options and inclusions for the product you are considering.

Medibank Hospital Only Policy

Most Medibank Hospital Only and Hospital and Extras policies include varying levels of the following hospital cover – please check the policy you choose though as not all procedures are covered under all policies:

  Hospital Policy Name
Accident Cover Hospital Essentials Basic Hospital Standard Hospital Top Hospital Essentials Top Hospital
Assisted Reproductive N N N N N Y
Cataract N N N N Y Y
Joint Replacement N N N N Y Y
Obstetrics N N N R N Y
Gastric Banding N N N Y N Y
Cardiac N N N Y Y Y
Colonoscopy N N Y Y Y Y
Knee Reconstruction N Y Y Y Y Y
Wisdom Teeth N Y Y Y Y Y
Psychiatric R R R R R Y
Rehabilitation R R R Y Y Y
Palliative R R Y Y Y Y

Source: PHIO

R: Restrictions – services that are covered to a limited extent, which means you will have greater out-of-pocket expenses. Restricted benefits are not sufficient to cover the full hospital cost of a private hospital admission and you will need to pay for the difference in cost.

B: Benefit limitation periods – which pay reduced benefits on one or more services for a set period of time after the waiting period, then pay full benefits after this period.

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Medibank Extras Only Policy

Extras Only policies can be added to Hospital Only policies, so you can choose the level of extras you want.

  Extras Policy
Extras Cover Basic Extras Growing Family Top Extras
Chiropractic Y Y Y
General Dental Y Y Y
Massage Y Y Y
Naturopathy Y Y Y
Optical Y Y Y
Physiotherapy Y Y Y
Endodontic N Y Y
Major Dental N Y Y
Orthodontic N Y Y
Podiatry N Y Y
Psychology N Y Y
Hearing Aids N N Y

Source: PHIO

It’s important to note that each level of extras cover will offer varying levels of each type of benefit  – please carefully check the policy you choose to see exactly what is included.

 

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Medibank Hospital and Extras Policy (Packaged Cover)

  Hospital Policy
For Everyday Starter For Everyday Essentials For Everyday Comprehensive For Security Essentials For Security Comprehensive Ultra Health Cover
Obstetrics N N N N N Y
Cataract N N N N Y Y
Joint Replacement N N N Y Y Y
Cardiac N N Y Y Y Y
Colonoscopy N N Y Y Y Y
Knee Reconstruction N Y Y Y Y Y
Wisdom Teeth N Y Y Y Y Y
Psychiatric R R R R R Y
Palliative R R R Y Y Y
Rehabilitation R R R Y Y Y
Extras policy
Chiropractic Y Y Y Y Y Y
General Dental Y Y Y Y Y Y
Massage Y Y Y Y Y Y
Naturopathy Y Y Y Y Y Y
Physiotherapy Y Y Y Y Y Y
Endodontic N Y Y Y Y Y
Major Dental N Y Y Y Y Y
Optical N Y Y Y Y Y
Podiatry N N Y Y Y Y
Hearing Aids N N N Y Y Y
Psychology N N N Y Y Y
Orthodontic N N N N N Y

Source: PHIO

R: Restrictions – services that are covered to a limited extent, which means you will have greater out-of-pocket expenses. Restricted benefits are not sufficient to cover the full hospital cost of a private hospital admission and you will need to pay for the difference in cost.

B: Benefit limitation periods – which pay reduced benefits on one or more services for a set period of time after the waiting period, then pay full benefits after this period.

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About Medibank: Why choose Medibank

Why choose medibank

Medibank was founded in 1976, and in 2016 they celebrate their 40th birthday as a health insurer. Medibank has won the coveted CANSTAR Award for Outstanding Value Health Insurance every year from 2008 – 2016.

Medibank members receive some great benefits:

  • Mobile Apps: Medibank members can use the Medibank Mobile App to make claims and find a healthcare provider near them, Symptom Checker to find possible causes for their symptoms, and Energy Balancer to track their daily eating and exercise decisions and get easy-to-understand advice.
  • Better Health: Health information guides to help you eat healthy, get active, and maintain your well-being. At the time of writing, Medibank members collect 10,000 flybuys points when they reach 10,000 steps in one day with a linked Fitbit device, and collect triple flybuys points when they buy fresh fruit and veges and frozen veges at Coles supermarkets.
  • Mi Health: Mi Health support services include 24/7 Medibank nurse helpline for medical advice (call 1800 Mi Health or 1800 644 325), mobile health apps to keep you on track, and the Online Health Hub for online coaching programs.
  • Magazine: Delicious, healthy-eating recipes from the Stephanie Alexander Kitchen Garden Foundation, like this one for vegetable samosas for the lunchbox. Their practical tips for healthy eating include “7 things better than an afternoon sugar hit” and “7 things better than a morning coffee“.

How Medibank supports the community

  • Medibank Community Fund: Established in 2010, this fund distributes 1% (approximately $3 million per year) of Medibank’s pre-tax profit to community funding grants, health research projects, and investment in Indigenous health and well-being.
  • Promoting fit and active living: Medibank is a major sponsor of the Australian Open (check out the hilarious WEPLAY video highlights), the Melbourne Marathon (hear from everyday Melbournites on “Why I Run“), Little Athletics Queensland, Wave Warriors Junior Surfing Challenge, Icehouse Ice Skating Rink, and City to Surf Perth.

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 Written by: TJ Ryan