The Finance Algorithm

Silver Hospital and Better Set 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

$166.21a 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$254.7437th 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$179
QLD$272
WA$230
SA$253
NSW$266
ACT$266
VIC$272
TAS$271
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
    $265.91
  2. $750 excess$11.17 less than $500 excess
    $254.74

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 20 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dental
    $700typical policy $800
  2. Major dentalshared with endodontic (root canals)
    $700typical policy $1,000
  3. Optical
    $200typical policy $220
  4. Physiotherapyshared with exercise physiology
    $450typical policy $450
  5. Chiropracticshared with osteopathy
    $450typical policy $400
  6. Psychology
    $300typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    $35.00typical policy $35.20
  2. Scale and clean (item 114)
    $61.20typical policy $66.85
  3. Full crown, veneered (item 615)
    $630.00typical policy $773.80
  4. Single vision lenses and frames
    100% of the feetypical policy $220.00
  5. Physiotherapy, first visit
    $40.00typical policy $42.00
  6. Psychology, first visit
    $100.00typical policy $75.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personPer policyExample benefits (all states)
General dental2 months$700-Periodic oral exam (item 012): $35.00Scale and clean (item 114): $61.20Fluoride treatment (item 121): $25.00
Major dental12 months$700shared with endodontic (root canals)-Surgical extraction (item 322): $150.00Full crown, veneered (item 615): $630.00
Endodontic (root canals)12 months$700shared with major dental-Root canal filling (item 417): $140.00
Orthodontics12 months$600, $2,400 lifetime-Braces, upper and lower, with retainer (item 881): $600.00
Optical6 months$200$400Multifocal lenses and frames: 100%Single vision lenses and frames: 100%
Non-PBS medicines2 months$350-Non-PBS prescription: $40.00
Physiotherapy2 months$450shared with exercise physiology$900Physiotherapy, first visit: $40.00Physiotherapy, later visit: $30.00
Chiropractic2 months$450shared with osteopathy$900Chiropractic, first visit: $40.00Chiropractic, later visit: $30.00
Podiatry2 months$200-Podiatry, first visit: $40.00Podiatry, later visit: $30.00
Psychology2 months$300-Psychology, first visit: $100.00Psychology, later visit: $50.00
Acupuncture2 months$150-Acupuncture, first visit: $35.00Acupuncture, later visit: $30.00
Remedial massage2 months$150$300Remedial massage, first visit: $35.00Remedial massage, later visit: $30.00
Hearing aids12 months$300-Hearing aid: $300.00
Blood glucose monitors12 months$250shared with orthotics-Blood glucose monitor: $100.00
Audiology2 months$120-Audiology, first visit: $70.00Audiology, later visit: $70.00
Dietetics2 months$200shared with health management programs-Dietetics, first visit: $40.00Dietetics, later visit: $40.00
Exercise physiology2 months$450shared with physiotherapy$900Exercise physiology, first visit: $40.00Exercise physiology, later visit: $30.00
Health management programs2 months$200shared with dietetics-Health management program: $40.00
Orthotics12 months$250shared with blood glucose monitors-Orthotics: $45.00
Osteopathy2 months$450shared with chiropractic$900Osteopathy, first visit: $45.00Osteopathy, later visit: $35.00

Not covered: antenatal and postnatal, chinese herbal medicine, orthoptics, home nursing, occupational therapy, speech therapy, vaccinations.

Other services: Health Checks such as mammograms, bowel cancer testing kit, prostate cancer checks and skin cancer checks are also covered under this policy. $50 per health check, per person, up to the annual limit of $100. Swimming Lessons are also covered under this policy, $50 per swimming lesson, per person, up to the annual limit of $100. Psychology benefit includes counselling services.

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.