GMHBA Health Insurance

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Silver Hospital

Silver Hospital covers1 you for most common treatments and services, whilst excluding some procedures to keep premiums affordable. Don’t pay for treatments you aren’t likely to need, whilst feeling assured that your family has excellent cover for common treatments.

Mid Cover

Single Room Option

Great Value

Silver Hospital cover starts at

$16.50 per week

for a single in VIC with $500 excess. This price assumes a 30% Federal Government Rebate and no LHC loading.

This cover may suit you if:

  • You don’t want to pay for services you’re unlikely to use
  • You want cover in a private hospital
  • You want the option of a single room, but are happy to pay a co-payment to keep your premium down
  • You no longer need or do not want cover for pregnancy

Mid cover

Be covered for most common treatment types in a private hospital, with some exclusions to help keep your premiums down. Co-payments also help reduce the price, whilst still giving you the option to be treated in a single room^ if you prefer. GMHBA’s mid cover range gives you top cover for most treatments, without the expense that comes with top level hospital cover.

Single Room Option

We understand that sometimes you want the privacy of a single room, but don't want to be paying for something you may not use. Because of this we offer a number of hospital covers that offer partial cover for single rooms. A co-payment of $100 per night applies, up to $700 per admission if you elect to be treated in a single room. If you elect to stay in a shared room, no co-payment applies. Please note, some private hospitals only have single rooms, and co-payments will apply.

Great value

At GMHBA we believe that great value means getting the most back for your money, whilst not paying for extra services and options that you don't expect to use. We've developed our covers to suit many common lifestages, so that singles, couples, families and single parents can all find great value health insurance.

What's covered

Hospital cover
Private hospital accommodation in a shared room* Obstetrics, delivery suite, IVF & related services
Partial cover in a single room^ Cataract & corneal transplants
Theatre Joint replacement
Same day treatment Gastric banding & all obesity surgeries
Accidents Haemodialysis
Medical gap cover Dental implants
Intensive and coronary care Cosmetic Surgery
Psychiatric3
Rehabilitation
Joint reconstruction
Surgically implanted prostheses (Government Prostheses List group benefits)2

Compare Hospital covers

Compare this cover with the rest of GMHBA's Hospital covers to find one that's right for you.

Connect Rewards Plus

Take out combined hospital and extras cover, excluding Fit Packages, to enjoy the extra benefits of GMHBA’s member loyalty program, Connect Rewards Plus.

The program allows members to accumulate Connect Reward dollars year on year.

The amount of dollars you receive depends on how long you have been a GMHBA member and your level of hospital cover. So the longer you have been with us the more rewards dollars you will receive.

You can then use your Connect Reward dollars to claim on on services not covered, or to reduce, or eliminate out of pocket expenses.

For more information, see the Connect Rewards Plus page

Excess options

You can reduce your premium by selecting one of the following calendar year excess options:

Excess options table Level 0 excess Level 1 excess Level 2 excess
Admission excess (private hospital - overnight) nil $250 $500
Admission excess (public hospital or day stay) nil $125 $250
Maximum annual excess - per person nil $250 $500
Maximum annual excess - singles nil $250 $500
Maximum annual excess - families nil $500 $1,000

To find out more about excess payments see the Excess page.

Unlike Platinum, Gold, Silver Hospital Single Parents covers; an excess applies for child dependants on all Silver Hospital covers.

Benefit limitation periods

A 24 month benefit limitation period applies to the following service:

  • Psychiatric

More information on benefit limitation can be found on our waiting periods page. For further information, please refer to the Important Information section of the GMHBA Member Guide.

Waiting periods and pre-existing conditions

Waiting periods and rules around pre-existing conditions apply to all GMHBA's Hospital covers. Please read the Waiting Periods page for a general overview. For more detailed information you should read the Waiting Periods and Pre-existing Conditions section of Important Information in the GMHBA Member Guide.

  1. Limited benefits may apply to cosmetic surgery and high cost drugs. Drugs purchased outside of the hospital are not included
  2. Benefits are no higher than the No Gap Government prescribed benefit
  3. A benefit limitation period of 24 months applies, see the Waiting periods page for more information

*Other private hospitals
Fixed benefits are payable in non-participating private hospitals

^Partial coverage, co-payments are payable. Please note: Some Private Hospitals only have single rooms and co-payments will apply.