What to consider when you review and compare your health insurance cover

man holding up and talking with newborn

What to consider when you review and compare your health insurance cover

To make sure your and your family's immediate and future health care needs are covered, it's recommended you review your health insurance every year. With many policies, items can be excluded and restricted so you need to be aware of what you're not covered for.

Here are some things the Private Health Insurance Ombudsman (PHIO) recommends you consider when reviewing and comparing your health insurance policy.

Are there exclusions and restrictions?

It's important to take note of what your health insurance doesn't cover. Many policies have exclusions and restrictions for certain conditions and services. Exclusions mean you're not covered for certain items, and restrictions mean you're only covered to a limited extent. For example, this can apply to pregnancy and birth related services, cataract procedures, cardiac services and hip and knee replacements.

Because nobody knows what services you may or may not need, it's recommended you consider a higher level of excess, rather than restrictions or exclusions, if you want to save money on your premium.*

Are you planning to start a family?

Many cheaper policies don't cover obstetrics or only pay restricted benefits that cover you as a private patient in a public hospital. If you want to have your baby in a private hospital with a private obstetrician, you need to make sure your policy covers this.

Is your baby included in the policy?

To ensure your baby is covered from birth, without waiting periods, check your policy covers you and your children. This is important in case your baby needs hospital care immediately, for example, with a premature birth. An admission into a Special Care Nursery or Intensive Care Unit can run into the tens of thousands of dollars. Some policies also require you to upgrade to a 'family' policy 12 months prior to a birth to cover your baby for possible congenital conditions.

Compare health insurance policies

If you want top hospital cover and a comprehensive level of general treatment, you can compare health insurance policies on the PHIO's website.

CUA Health

At CUA Health, we provide budget-friendly top hospital cover that's simple to understand so you'll find it easy to compare your options. To give you peace of mind, CUA Health doesn't have restrictions or exclusions for medically required treatment. You can review our cover here.

*The Ombudsman's advice to consumers is to consider taking a higher level of excess, rather than a restriction or exclusion, to save money on premiums.

For comprehensive information about CUA Health Insurance, please refer to the CUA Health Insurance brochure, available from cuahealth.com.au. CUA Health is a wholly owned non-guaranteed subsidiary of Credit Union Australia Limited ABN 44 087 650 959 (CUA), AFSL & Australian credit licence 238317.

Jun 06, 2019 | Found in: health, insurance,
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