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The CUA Health Mobile Claims app means you only need to upload a photo of your invoice to make a claim. If it’s under $300, it will be assessed immediately.
Find a branch, mobile banker or rediATM.
CUA Health Private Hospital cover options 75% and above are all top level, meaning you'll be covered for all clinically relevant treatment. The only difference is the co-payment or excess amount you’ll pay when you are admitted to hospital. If you want basic cover that still allows you to be fully eligible for the Medicare Levy Surcharge exemption, you can choose our 65% or Public option.See Hospital Cover in detail
Both CUA Health Gold and Silver Extras cover the same, full range of extras such as dental, optical and physio. What sets them apart is how much you can claim for each visit and the total amount you can claim each year. Have a look at the list of benefits covered under Extras and think about how often you use them. Our Extras cover options are only available when purchased with a Hospital cover product.See Extras Cover in detail
I am a Single living in the state of QLD eligible for a Full (27.82%) rebate.
|CUA Health||CUA Health||Medibank Private||NIB||BUPA|
|Private Hospital 75%||Private Hospital 90%||Top Hospital $500 Excess||Top Hospital $500 Excess||Top Hospital Cover - $500 Excess - Family|
|Two adults & dependant(s)||Two adults & dependant(s)||Two adults & dependant(s)||Two adults & dependant(s)||Two adults & dependant(s)|
|$231.93 $231.93 $246.76 $246.76 $240.58 $246.76 $246.76 $203.57||$278.69 $278.69 $296.40 $296.40 $288.98 $296.40 $296.40 $244.55||$261.75 $261.75 $138.85 $286.50 $261.75 $279.85 $294.90 $228.50||$303.01 $303.01 $230.60 $323.41 $250.85 $282.60 $332.47 $248.48||$254.45 $254.45 $133.15 $272.90 $237.30 $270.50 $285.30 $209.20|
|25% contribution, capped at $1,000 per person per calendar year||10% contribution, capped at $500 per person per calendar year||$500 per person and $1,000 per policy per calendar year||$500 per person and $1,000 per policy per calendar year||$500 per person per calendar year and $1,000 per policy per calendar year|
|Private patient - Private or Public||Private patient - Private or Public||Private patient - Private or Public||Private patient - Private or Public||Private patient - Private or Public|
(Hip & knee only)
(Hip & knee only)
Must cover all services where Medicare pays a benefit.
Excludes or restricts one or more of the following but includes any services in the basic classification: Pregnancy and birth related services, Assisted reproductive services, Cataract and eye lens procedures, Joint replacements i.e. shoulder, knee, hip and elbow including revisions, Hip and knee replacements, Hip replacements, Dialysis for chronic renal failure and Sterilisation.
Excludes or restricts one or more of the following: Cardiac and cardiac related services, Non-cosmetic plastic surgery, Rehabilitation, Psychiatric services, Palliative care.
Covers default benefits for treatment in public hospital only.
* Premium based on 26.790% government rebate and assumes no Lifetime Health Cover loading
^ For the first 24 months from joining, benefit is limited to public hospital rates.
# For the first 12 months from joining, benefit is limited to public hospital rates.
The Comparison Table is not intended to be a comprehensive comparison of all available products or all product features. While we endeavour to include a number of the more important features the information may not be accurate, complete or up to date, for a wide range of reasons. You should not purchase any policy based only on the Comparison Table and policy documentation should be reviewed in detail prior to the purchase of any policy. Information in the Comparison Table is sourced from the health fund websites and is current as at 27 June 2016.
Hospital policies help cover the cost of in-hospital treatment by your doctor and hospital costs such as accommodation and theatre fees. Generally, any medical services listed under the Medicare Benefits Schedule (MBS) can be covered on some form of private hospital insurance. Some services which are not listed on the MBS, such as elective cosmetic surgery or laser eye surgery, are only covered by private hospital insurance to a limited extent or not at all.
Hospital cover (Level of cover)
Hospital policies fall into four general categories (Top, Medium, Basic, Public). The classifications are based on the services that are shown as covered, excluded or restricted on standard information statements.
When you take out health insurance for the first time, switch insurers or increase your level of cover, CUA Health asks that you wait a period of time before you can claim for new or higher benefits. Take a look at the table below to find out what waiting periods apply.
With our private hospital cover you can be treated as a private patient in a private or public hospital. CUA Health has agreements with the majority of private hospitals and day surgeries where you will receive benefits for your hospital accommodation, including:
Please contact us prior to any hospital admission to make sure your hospital is in agreement with CUA Health.
Simply choose the cover that’s right for you. If you’re transferring from another provider, be sure to have your policy details handy and we’ll look after all the paperwork for you.Join now
If you have any questions about your health cover, you can take a look at our Health Insurance Frequently Asked Questions. Alternatively you can call us on 1300 499 260 or drop into your local CUA branch.
Please read the information carefully and retain for your future reference. If you join CUA Health, confirmation of your cover and policy information will be sent to you. If you change your mind CUA Health provides a cooling off period of 30 days from the start date of your policy. For more information including Code of Conduct and Complaints resolution refer to information for policy holders.
CUA Health insurance is provided by CUA Health Ltd 98 098 685 459 (CHL) which is not an authorised deposit-taking institution. While CUA Health Insurance may be distributed by Credit Union Australia Ltd ABN 44 087 650 959 (CUA), CUA is not liable for this product and does not stand behind CHL.
It’s important to know that we only pay a benefit for services performed by private practitioners in a private practice, provided their associations and services are recognised by us. If you’re unsure if the provider you have selected, or service you require is covered under your policy, please contact CUA Health for confirmation. The items, limits and benefits are provided as a general guide only. Please call us if any further information is required. Calendar year limits cover the period 1 January to 31 December each year.
When changing health insurers, Extras benefits paid by your old health fund will be counted towards your annual limits in your first year of membership with us.
During the first 24 months from joining and after waiting periods have been served, benefits paid for these treatments will be limited to the same amount you would receive in a public hospital for the same treatment. After 24 months from joining you will be eligible for the full benefits under the policy.
If you choose our Public Hospital cover, benefits will be limited to public hospital rates. You have the option to select you own doctor or specialist, however, public hospital waiting lists still apply. This product is not designed to be used in a private hospital as large out-of-pockets expenses may apply.
The medical charge is the cost for any services performed by doctors or specialists. This includes, but is not limited to – surgeons, anaesthetists, pathologists and assistant surgeons. Medicare sets an amount payable toward the medical costs, called the Medicare schedule fee. Medicare pays 75% of the schedule fee and CUA Health pays the remaining 25%. If the doctor or specialist chooses to charge above the schedule fee, then the difference is paid by you, unless your doctor or specialist chooses to participate in CUA Health’s Access gap cover scheme – see below for more info.
The Access Gap Cover Scheme will reduce or in some instances eliminate your out-of-pocket expenses for specialist care you receive while in hospital.
Doctors and specialists electing to participate in the Access Gap Cover Scheme can bill CUA Health directly. So, not only does your hospital treatment cost you less, but the billing system is made easier for you too.
Access to a complete list of doctors and specialists participating in the Access Gap Cover Scheme is available here. If your doctor or specialist chooses to use the Scheme, you will either:
Your doctor or specialist may choose to use the Scheme on a patient-by-patient basis. Of course, whether or not your doctor or specialist participates in the Access Gap Cover Scheme will not change the relationship you have with him or her, or affect the treatment you receive.
Excess: An upfront amount that you agree to pay towards the cost of hospital treatment, in exchange for lower premiums. For example, if you have 100% Private Hospital Cover with $250 excess, if you require hospital treatment you’ll pay $250 per person, per calendar year. This does not apply to day surgery or dependants listed on the policy.
Co-payment: A percentage amount that you agree to pay towards the cost of hospital treatment, in exchange for lower premiums. For example, if you choose the 90% Private Hospital Cover, you would need to pay 10% of the hospital charge, capped at a fixed amount of $500 per person, per calendar year. CUA Health would then pay the remaining hospital charge. ^ Not payable for dependant children up to 23 years old or 25 if full-time student.
CUA Health has agreements with the majority of private hospitals and day surgeries. If your hospital or day surgery doesn’t have an agreement with CUA Health, you may be subject to large out-of-pocket expenses, in addition to any excess or co-payment. Please check with your hospital prior to admission. Access to a complete list of agreement hospitals is available here.