What is Basic Hospital cover?
Basic Hospital cover has some great key inclusions, plus all the GMHBA goodies. Plus, for high income earners it could help you avoid the Medicare Levy Surcharge at tax time.

Understanding hospital cover levels
Finding the right hospital insurance for you can be overwhelming. That's why the Australian Government introduced a tiers system to help you identity and compare similar hospital covers across health providers.
Hospital cover comes in four simple tiers: Basic, Bronze, Silver and Gold.
See a 'Plus' option? If a product covers more services than it's tier requires (but not enough for the tier above) it is classified as a plus cover e.g. Basic Hospital Plus.
Benefits of private hospital cover
With private hospital cover, you have the option of being treated as a private patient, often within a private hospital.
Hospital cover gives you the option to choose your own doctor or specialist and you can avoid the public hospital waiting list by receiving treatment in a private hospital.
Earn over $101k as a single or $202k as a couple? Did you know that getting hospital cover may save you money at tax time?
^Pricing based on Single, aged 30 living in VIC earning $101,000 or less (Base Tier Australian Government Rebate) and excludes . Prices and displayed products can change if details vary.
Compare GMHBA's Basic Hospital covers
-
Accident Only Hospital (Basic)
FROM$ 19 .35
-
per week
Hospital Excess $750Minimum basic hospital cover with Accident Protection-
Upgraded cover in the event of an accident
-
Excess waiver for same day stays
-
Emergency ambulance cover
Hospital Services
- Tonsils, adenoids and grommets
- Joint reconstructions
- Hernia and appendix
- Gynaecology
- Dental surgery
- Brain and nervous system
- Eye (not cataracts)
- Ear, nose and throat
- Bone, joint and muscle
- Kidney and bladder
- Male reproductive system
- Digestive system
- Gastrointestinal endoscopy
- Miscarriage and termination of pregnancy
- Chemotherapy, radiotherapy and immunotherapy for cancer
- Pain management
- Skin
- Breast surgery (medically necessary)
- Diabetes management (excluding insulin pumps)
- Blood
- Plastic and reconstructive surgery (medically necessary)
- Podiatric surgery (by an accredited podiatric surgeon)
- Back, neck and spine
- Rehabilitation
- Palliative care
- Heart and vascular system
- Lung & Chest
- Implantation of hearing devices
- Sleep studies
- Cataracts
- Joint replacements
- Dialysis for chronic kidney disease
- Insulin pumps
- Pain management with device
- Hospital psychiatric services
- Pregnancy and birth
- Assisted reproductive services
- Weight loss surgery
-
-
Basic Plus Starter Hospital
FROM$ 19 .75
-
per week
Hospital Excess $750Basic plus hospital cover with some key inclusions, as well as Accident Protection-
Upgraded cover in the event of an accident
-
Excess waiver for same day stays
-
Dental surgery
-
Joint reconstructions
Hospital Services
- Tonsils, adenoids and grommets
- Joint reconstructions
- Hernia and appendix
- Gynaecology
- Dental surgery
- Brain and nervous system
- Eye (not cataracts)
- Ear, nose and throat
- Bone, joint and muscle
- Kidney and bladder
- Male reproductive system
- Digestive system
- Gastrointestinal endoscopy
- Miscarriage and termination of pregnancy
- Chemotherapy, radiotherapy and immunotherapy for cancer
- Pain management
- Skin
- Breast surgery (medically necessary)
- Diabetes management (excluding insulin pumps)
- Blood
- Plastic and reconstructive surgery (medically necessary)
- Podiatric surgery (by an accredited podiatric surgeon)
- Back, neck and spine
- Rehabilitation
- Palliative care
- Heart and vascular system
- Lung & Chest
- Implantation of hearing devices
- Sleep studies
- Cataracts
- Joint replacements
- Dialysis for chronic kidney disease
- Insulin pumps
- Pain management with device
- Hospital psychiatric services
- Pregnancy and birth
- Assisted reproductive services
- Weight loss surgery
-
-
Basic Plus Starter Hospital and SmartCare Starter Boost Extras
FROM$ 26 .15
-
per week
Hospital Excess $750HOSPITAL FEATURES-
Upgraded cover in the event of an accident
-
Excess waiver for same day stays
-
Dental surgery
-
Joint reconstructions
EXTRAS FEATURES-
100% back on preventative dental and optical
-
60% back on other claims
-
Annual limit rollover
Hospital Services
- Tonsils, adenoids and grommets
- Joint reconstructions
- Hernia and appendix
- Gynaecology
- Dental surgery
- Brain and nervous system
- Eye (not cataracts)
- Ear, nose and throat
- Bone, joint and muscle
- Kidney and bladder
- Male reproductive system
- Digestive system
- Gastrointestinal endoscopy
- Miscarriage and termination of pregnancy
- Chemotherapy, radiotherapy and immunotherapy for cancer
- Pain management
- Skin
- Breast surgery (medically necessary)
- Diabetes management (excluding insulin pumps)
- Blood
- Plastic and reconstructive surgery (medically necessary)
- Podiatric surgery (by an accredited podiatric surgeon)
- Back, neck and spine
- Rehabilitation
- Palliative care
- Heart and vascular system
- Lung & Chest
- Implantation of hearing devices
- Sleep studies
- Cataracts
- Joint replacements
- Dialysis for chronic kidney disease
- Insulin pumps
- Pain management with device
- Hospital psychiatric services
- Pregnancy and birth
- Assisted reproductive services
- Weight loss surgery
Extras Services
- Annual limit rollover
- Optical
- General dental
- Major dental
- Orthodontics
- Physiotherapy
- Chiropractic
- Osteopathy
- Remedial massage
- Acupuncture
- Myotherapy
- Podiatry
- Orthotic appliances (foot)
- Psychology
- Mental health support
- Audiology
- Hearing aids
- Blood glucose monitor
- Extremity pump
- Nebuliser pump
- Sleep apnoea monitor
- Tens monitor
- Pressure garments
- Prostheses (non-surgical)
- Orthopaedic appliances
-
Lifetime Health Cover (LHC)
The Lifetime Health Cover (LHC) loading is a Government loading on your private hospital cover premiums. It was introduced on July 1, 2000 to encourage people to take out private hospital cover earlier, and to maintain their cover.
Understanding what services are covered
-
Included
-
Not Included
-
Restricted
Restricted services are limited to a minimum (default) benefit as set by the Australian Government for accommodation as a private patient in a shared room of a public hospital. The benefit does not cover the cost of a private room in a public hospital or any room in a private hospital, and does not cover theatre costs. If you are admitted to a private hospital for treatment that is restricted by your policy, large out-of-pocket expenses will apply.
Waiting periods
Hospital services
A waiting period is the time between when you first take out health insurance or upgrade your cover and when you're actually covered for a hospital treatment.
Hospital waiting period durations – when treatment or service is included on your cover – are as follows:
Waiting period: 0 days (accidents must occur after joining)
Accidents - bodily injuries resulting from accidents which occur after the date of joining GMHBA or upgrading to a higher cover.
Waiting period: 2 months
Any other benefit for hospital (or hospital substitution) treatment unless otherwise stated.
Waiting period: 12 months
Obstetrics and maternity, pre-existing ailment, illness or condition (other than psychiatric, rehabilitation and palliative care).
Pre-existing conditions
A pre-existing condition is one where signs or symptoms of your ailment, illness or condition, in the opinion of a medical practitioner appointed by GMHBA (not your own doctor), existed at any time during the six months preceding the day on which you purchased your hospital insurance or upgraded to a higher level of hospital cover and/or benefit entitlement.
A special waiting period applies to obtain benefits for hospital treatment for new members who have pre-existing conditions. The waiting period also applies to existing members who have recently upgraded their level of hospital cover. If the ailment, illness or condition is considered pre-existing:
New members
New members must wait 12 months for any hospital benefits (other than psychiatric, rehabilitation and palliative care).
Existing members (transferring or upgrading)
Members transferring/upgrading to a higher hospital cover must wait 12 months to get the higher hospital benefits (other than psychiatric, rehabilitation and palliative care).
Waiting periods
Extras services
A waiting period is the time between when you first take out health insurance or upgrade your cover and when you're actually covered for a treatment or service.
Waiting periods for extras services – when included on your cover – are as follows:
Waiting period: 0 days
Ambulance transport and subscriptions
Waiting period: 2 months
Any services that are not specified below
Waiting period: 6 months
Optical
Waiting period: 12 Months
Major dental, orthodontics, podiatry surgical procedures and orthotic appliances (foot), orthopaedic appliances (GMHBA approved), medical devices and aids including hearing aids, blood glucose monitor, extremity pump, nebuliser pump, pressure garments, prostheses (GMHBA approved, non-surgical), sleep apnoea monitor and tens monitor.

Age-based discount
The age-based discount is a perk for the under 30s. It's a 2% reduction on premiums for each year you might be aged under 30 when you purchase eligible hospital cover. The highest age-based discount that can be applied is 10% for 18 to 25 year olds.
Canstar approved, four years in a row!
GMHBA has done it again with Canstar’s 2025 Winner of Outstanding Value Award – Hospital & Extras Insurance: VIC. We are proud to provide Australians with 5 star health cover for our hospital and extras products.
Introducing the SmartCare Extras range

$500 flexible limit to spend your way on included services
- 100% back on preventative dental* at any dentist
- 60% back on other included services
- Covers chiro, general dental, osteo and physio.

$1,000 annual limit to spend your way on included services
- 100% back on preventative dental* at any dentist
- 60% back on other included services
- Covers chiro, general dental, osteo and physio plus 8 others services.

$1,500 annual limit amount to spend your way on included services
- 100% back on preventative dental* at any dentist
- 60% back on other included services
- Covers chiro, general dental, osteo and physio plus 19 other services.

Why choose GMHBA?
Founded by cement workers in Geelong to make everyone feel cared for.
90 years on, as a not-for-profit health insurance and care company, that care still stands strong. Our size may have changed but who we are remains the same.
Your health and wellbeing are always put first because we want to make sure you get personalised cover for the moments that matter.
Whatever stage of life you’re at, we’re here for you.
Need some help?
If you can't quite find what you are looking for, visit our help page or contact our friendly customer service team.
