The Finance Algorithm

Silver Hospital and Base 50% Back Extras

A Silver hospital and extras policy from AIA Health.

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

From

$138.24a month

Single, NT, $750 excess, before the rebate.

Medicare levy surcharge
Exempts you
Excess options
$500, $750
Ambulance
Emergency only, call-out fees included, no limit
Who can join
Anyone

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

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

Single cover, each policy at its cheapest excess, counting policies anyone can buy.

  1. Silver156 policies$226.7712th cheapest of 156
    $200.20$738.80
This policyEvery other Silver 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.

Single premium in each state

NT$151
QLD$245
WA$202
SA$225
NSW$238
ACT$238
VIC$244
TAS$243
CheaperDearer

To the nearest dollar, a month before the rebate. The tables below have every price to the cent.

What a higher excess saves

Single cover in NSW & ACT, a month. The excess is what you pay towards a hospital stay before the policy pays.

  1. $500 excess
    $237.94
  2. $750 excess$11.17 less than $500 excess
    $226.77

26 of 38 clinical categories covered in full, 3 restricted

Restricted means the policy pays only the minimum, about what a public hospital charges, so a private hospital stay can leave a large bill. Not covered means the policy pays nothing for that treatment in hospital.

  • Covered in full26
  • Restricted3
  • Not covered9

Covered 26

  • Back, neck and spine
  • Blood
  • Bone, joint and muscle
  • Brain and nervous system
  • Breast surgery (medically necessary)
  • Chemotherapy, radiotherapy and immunotherapy for cancer
  • Dental surgery
  • Diabetes management (excluding insulin pumps)
  • Digestive system
  • Ear, nose and throat
  • Eye (not cataracts)
  • Gastrointestinal endoscopy
  • Gynaecology
  • Heart and vascular system
  • Hernia and appendix
  • Implantation of hearing devices
  • Joint reconstructions
  • Kidney and bladder
  • Lung and chest
  • Male reproductive system
  • Miscarriage and termination of pregnancy
  • Pain management
  • Plastic and reconstructive surgery (medically necessary)
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Skin
  • Tonsils, adenoids and grommets

Restricted 3

  • Hospital psychiatric services
  • Palliative care
  • Rehabilitation

Not covered 9

  • Assisted reproductive services
  • Cataracts
  • Dialysis for chronic kidney failure
  • Insulin pumps
  • Joint replacements
  • Pain management with device
  • Pregnancy and birth
  • Sleep studies
  • Weight loss surgery

Waiting periods

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

Excess and other costs

Excess options: $500, $750, paid when you are admitted. No excess for dependants.

Offers the age-based discount for people who join between 18 and 29.

From the insurer: All policies include membership to AIA Vitality, the science-backed health and wellbeing program that rewards you for looking after your health. If you have held an AIA Health Insurance policy for a minimum of six months and have an AIA Vitality status of Silver or above, we will refund $250 of your excess (Excess Refund) in the event that you’re admitted to hospital.

Pays towards 11 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dental
    $500typical policy $800
  2. Optical
    $150typical policy $220
  3. Physiotherapyshared with chiropractic, exercise physiology, osteopathy
    $250typical policy $450
  4. Chiropracticshared with physiotherapy, exercise physiology, osteopathy
    $250typical policy $400
  5. Psychology
    $100typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    50% of the feetypical policy $35.20
  2. Scale and clean (item 114)
    50% of the feetypical policy $66.85
  3. Single vision lenses and frames
    100% of the feetypical policy $220.00
  4. Physiotherapy, first visit
    50% of the feetypical policy $42.00
  5. Psychology, first visit
    50% of the feetypical policy $75.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personPer policyExample benefits (all states)
General dentalconditions apply2 months$500-Periodic oral exam (item 012): 50%Scale and clean (item 114): 50%Fluoride treatment (item 121): 50%
Optical6 months$150$300Multifocal lenses and frames: 100%Single vision lenses and frames: 100%
Physiotherapyconditions apply2 months$250shared with chiropractic, exercise physiology, osteopathy$500Physiotherapy, first visit: 50%Physiotherapy, later visit: 50%
Chiropractic2 months$250shared with physiotherapy, exercise physiology, osteopathy$500Chiropractic, first visit: 50%Chiropractic, later visit: 50%
Psychology2 months$100-Psychology, first visit: 50%
Acupuncture2 months$100shared with remedial massage$200Acupuncture, first visit: 50%Acupuncture, later visit: 50%
Remedial massage2 months$100shared with acupuncture$200Remedial massage, first visit: 50%Remedial massage, later visit: 50%
Dietetics2 months$100-Dietetics, first visit: 50%
Exercise physiology2 months$250shared with physiotherapy, chiropractic, osteopathy$500Exercise physiology, first visit: 50%
Health management programs2 months$100-Health management program: 50%
Osteopathy2 months$250shared with physiotherapy, chiropractic, exercise physiology$500Osteopathy, first visit: 50%Osteopathy, later visit: $50.00

Not covered: major dental, endodontic (root canals), orthodontics, non-pbs medicines, podiatry, hearing aids, blood glucose monitors, audiology, antenatal and postnatal, chinese herbal medicine, orthoptics, home nursing, occupational therapy, orthotics, speech therapy, vaccinations.

Other services: Psychology benefit includes counselling services.

General and Preventative Dental are combined under one limit. Physiotherapy, Hydrotherapy & Myotherapy share an annual limit. This policy also provides access to AIA Vitality where you can earn rewards for leading a healthy lifestyle. By reaching Silver Vitality Status or above you can get an additional 10% back on any non-dental benefits. Visit www.aiavitality.com.au for more information.

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.

Compare

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.