The Finance Algorithm

Gold Private Hospital and Ancillary Lite

A Gold hospital and extras policy from ACA Health.

  • ACA Health only takes seventh-day Adventist Church employees, Local Church Officers and their families.

Premiums for every state, cover type and excess this policy is sold with, and what it covers, from the statement ACA Health files with the government. Monthly, before the rebate and any Lifetime Health Cover loading.

From

$308.83a month

Single, All states, no excess, before the rebate.

Medicare levy surcharge
Exempts you
Excess options
None
Ambulance
Emergency only, call-out fees included, no limit
Who can join
Restricted

The Private Health Information Statement for this price, on PrivateHealth.gov.au.

ACA Health's page for this policy

Against every other Gold hospital and extras policy in NSW & ACT

Single cover, each policy at its cheapest excess, corporate and restricted policies included.

  1. Gold84 policies$308.834th cheapest of 84
    $280.00$776.74
This policyEvery other Gold policy

Monthly premium by state and cover type

NSW prices also apply in the ACT. Each price in the tables opens its official Private Health Information Statement on PrivateHealth.gov.au, with a PDF to download.

No excess

StateSingleCoupleFamilySingle parentExtended familyExtended single parent
All states$308.83$617.66$617.66$489.01$802.96$604.79

All 38 clinical categories covered in full

  • Covered in full38

Covered 38

  • Assisted reproductive services
  • Back, neck and spine
  • Blood
  • Bone, joint and muscle
  • Brain and nervous system
  • Breast surgery (medically necessary)
  • Cataracts
  • Chemotherapy, radiotherapy and immunotherapy for cancer
  • Dental surgery
  • Diabetes management (excluding insulin pumps)
  • Dialysis for chronic kidney failure
  • Digestive system
  • Ear, nose and throat
  • Eye (not cataracts)
  • Gastrointestinal endoscopy
  • Gynaecology
  • Heart and vascular system
  • Hernia and appendix
  • Hospital psychiatric services
  • Implantation of hearing devices
  • Insulin pumps
  • Joint reconstructions
  • Joint replacements
  • Kidney and bladder
  • Lung and chest
  • Male reproductive system
  • Miscarriage and termination of pregnancy
  • Pain management
  • Pain management with device
  • Palliative care
  • Plastic and reconstructive surgery (medically necessary)
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Pregnancy and birth
  • Rehabilitation
  • Skin
  • Sleep studies
  • Tonsils, adenoids and grommets
  • Weight loss surgery

Waiting periods

Pre-existing conditions
12 months
Pregnancy and birth
12 months
Psychiatric, rehabilitation and palliative care
2 months
All other hospital treatment
2 months

Excess and other costs

No excess on any version of this policy.

Co-payments: $100 a day in a shared room, $100 a day in a private room, $100 for day surgery.

From the insurer: No co-payments are payable when admitted to a public hospital. For NSW & ACT residents only, Hospital cover includes ambulance cover for emergency (unlimited with no waiting period) and call-out fees (paid for each attendance, including emergency treatment without transport to hospital) in that state or territory only.

Pays towards 11 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dentalshared with major dental, endodontic (root canals)
    $700typical policy $800
  2. Major dentalshared with general dental, endodontic (root canals)
    $700typical policy $1,000
  3. Optical
    $200typical policy $220
  4. Physiotherapyshared with chiropractic, podiatry, osteopathy
    $300typical policy $450
  5. Chiropracticshared with physiotherapy, podiatry, osteopathy
    $300typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    $100.00typical policy $35.20
  2. Scale and clean (item 114)
    $100.00typical policy $66.85
  3. Full crown, veneered (item 615)
    $400.00typical policy $773.80
  4. Single vision lenses and frames
    $200.00typical policy $220.00
  5. Physiotherapy, first visit
    $37.50typical policy $42.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personExample benefits (all states)
General dental9 months$700shared with major dental, endodontic (root canals)Periodic oral exam (item 012): $100.00Scale and clean (item 114): $100.00Fluoride treatment (item 121): $100.00
Major dental9 months$700shared with general dental, endodontic (root canals)Surgical extraction (item 322): $168.00Full crown, veneered (item 615): $400.00
Endodontic (root canals)9 months$700shared with general dental, major dentalRoot canal filling (item 417): $400.00
Optical4 months$200Multifocal lenses and frames: $200.00Single vision lenses and frames: $200.00
Non-PBS medicines2 months$250Non-PBS prescription: $50.00
Physiotherapy2 months$300shared with chiropractic, podiatry, osteopathyPhysiotherapy, first visit: $37.50Physiotherapy, later visit: $26.50
Chiropractic2 months$300shared with physiotherapy, podiatry, osteopathyChiropractic, first visit: $25.00Chiropractic, later visit: $25.00
Podiatry2 months$300shared with physiotherapy, chiropractic, osteopathyPodiatry, first visit: $25.00Podiatry, later visit: $25.00
Acupuncture2 months$100shared with remedial massageAcupuncture, first visit: $20.00Acupuncture, later visit: $20.00
Remedial massage2 months$100shared with acupunctureRemedial massage, first visit: $20.00Remedial massage, later visit: $20.00
Osteopathy2 months$300shared with physiotherapy, chiropractic, podiatryOsteopathy, first visit: $25.00Osteopathy, later visit: $25.00

Not covered: orthodontics, psychology, hearing aids, blood glucose monitors, audiology, antenatal and postnatal, chinese herbal medicine, dietetics, exercise physiology, orthoptics, health management programs, home nursing, occupational therapy, orthotics, speech therapy, vaccinations.

Example benefits are what the policy pays for that item at a provider without a special arrangement with the insurer; a percentage is of the fee charged. The typical policy is the middle one of the 708 extras policies on the market that aren't sold only through employers.

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Source: PrivateHealth.gov.au data (Private Health Insurance Ombudsman) via data.gov.au, licensed CC BY 3.0 AU. Normalised by The Finance Algorithm from the extract dated 1 Oct 2026, read on 23 Oct 2026.

Premiums are monthly and shown before the Australian Government rebate and any Lifetime Health Cover loading or age-based discount. Confirm the price and the cover with the insurer before you buy; the official statement for every policy is on PrivateHealth.gov.au. This is general information, not advice, and no insurer pays to be listed or ranked here.