The Finance Algorithm

Gold Ultimate Health Cover

A Gold hospital and extras policy from Bupa.

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

From

$356.40a month

Single, NT, 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
Anyone

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

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

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

  1. Gold33 policies$640.4530th cheapest of 33
    $364.80$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.

Single premium in each state

NT$356
QLD$691
WA$625
SA$610
NSW$640
ACT$640
VIC$640
TAS$512
CheaperDearer

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

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.

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

From the insurer: You get a Gap Bonus to help pay for medical gaps when admitted to hospital. Plus, access to an advice line to help you navigate the health system. For more details on the product contact Bupa.

Pays towards 25 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dental
    No annual limittypical policy $800
  2. Major dentalshared with endodontic (root canals)
    $1,600typical policy $1,000
  3. Optical
    $420typical policy $220
  4. Physiotherapy
    $1,500typical policy $450
  5. Chiropracticshared with osteopathy
    $1,000typical policy $400
  6. Psychology
    $1,000typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    $45.10typical policy $35.20
  2. Scale and clean (item 114)
    $90.45typical policy $66.85
  3. Full crown, veneered (item 615)
    $1,408.00typical policy $773.80
  4. Single vision lenses and frames
    $294.55typical policy $220.00
  5. Physiotherapy, first visit
    $69.40typical policy $42.00
  6. Psychology, first visit
    $147.50typical policy $75.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personPer policyExample benefits (NSW & ACT)
General dentalconditions apply2 monthsNo annual limit-Periodic oral exam (item 012): $45.10Scale and clean (item 114): $90.45Fluoride treatment (item 121): $35.00Simple extraction (item 322): $132.00
Major dentalconditions apply12 months$1,600shared with endodontic (root canals)-Full crown, veneered (item 615): $1,408.00
Endodontic (root canals)12 months$1,600shared with major dental-Root canal filling (item 417): $280.50
Orthodontics12 months$1,600, $3,200 lifetime-Braces, upper and lower, with retainer (item 881): 100%
Optical2 months$420-Multifocal lenses and frames: $416.55Single vision lenses and frames: $294.55
Non-PBS medicinesconditions apply2 months$1,500-Non-PBS prescription: $75.00
Physiotherapy2 months$1,500-Physiotherapy, first visit: $69.40Physiotherapy, later visit: $57.75
Chiropractic2 months$1,000shared with osteopathy$2,000Chiropractic, first visit: $55.80Chiropractic, later visit: $38.50
Podiatry2 months$1,000-Podiatry, first visit: $65.00Podiatry, later visit: $45.10
Psychology2 months$1,000-Psychology, first visit: $147.50Psychology, later visit: $131.00
Acupuncture2 months$1,000shared with remedial massage, chinese herbal medicine, exercise physiology-Acupuncture, first visit: $43.00Acupuncture, later visit: $34.00
Remedial massage2 months$1,000shared with acupuncture, chinese herbal medicine, exercise physiology-Remedial massage, first visit: $62.50Remedial massage, later visit: $55.00
Hearing aidsconditions apply12 months$850, 1 every 3 years-Hearing aid: 100%
Blood glucose monitorsconditions apply12 months$600, 1 every year-Blood glucose monitor: 85%
Antenatal and postnatalconditions apply2 months$500-Antenatal and postnatal, first visit: $22.00Antenatal and postnatal, later visit: $22.00
Chinese herbal medicine2 months$1,000shared with acupuncture, remedial massage, exercise physiology-Chinese herbal medicine, first visit: $35.20Chinese herbal medicine, later visit: $26.40
Dieteticsconditions apply2 months$1,000-Dietetics, first visit: $64.00Dietetics, later visit: $41.00
Exercise physiology2 months$1,000shared with acupuncture, remedial massage, chinese herbal medicine-Exercise physiology, first visit: $35.20Exercise physiology, later visit: $26.40
Orthoptics2 months$1,000-Orthoptics, first visit: $60.00Orthoptics, later visit: $40.00
Health management programs6 months$300-Health management program: 50%
Home nursingconditions apply2 months$400-Home nursing, first visit: $44.00Home nursing, later visit: $44.00
Occupational therapy2 months$1,000-Occupational therapy, first visit: $110.50Occupational therapy, later visit: $78.00
Orthoticsconditions apply12 months$1,000, 1 every year-Orthotics: $100.00
Osteopathy2 months$1,000shared with chiropractic$2,000Osteopathy, first visit: $69.00Osteopathy, later visit: $47.50
Speech therapy2 months$1,000-Speech therapy, first visit: $112.00Speech therapy, later visit: $74.00

Not covered: audiology, vaccinations.

Preventative dental is not counted against the dental limit.

Other services: Includes access to Blua Online Doctor Appointments. We pay 100% of the cost for eligible consults only, up to a yearly limit of 3 services per person. Benefits are not payable for services listed on the Medicare Benefits Schedule (MBS). 2-months waiting period, eligibility criteria, terms and conditions apply. 100% of travel expenses up to $200 per person, and $75 per night of accommodation fees up to $300 per person for essential hospital or medical treatment where the total return distance is 200km or more from home. Where applicable, benefits are paid under Hospital cover only (you cannot claim under both Hospital and Extras for the same trip). 2-months waiting period and eligibility criteria apply. Mental health includes Psychology, Digital Mental Health, Social Work (psychological therapies), and Counselling (including Indigenous Counselling). Sub-limits apply for Digital Mental Health. Orthotics and other health aids are payable under the Health Appliances category up to $1000 per year. Sub-limits and restrictions apply. 100% cover for laser eye surgery by Bupa recognised providers. Excludes lens implant for eye correction and wavefront scans. A 3 year waiting period applies for new members joining this policy.

From the insurer: When requiring urgent hospital treatment as the result of an accident, the Accident Benefit can boost extras limits (subject to eligibility criteria).

Ante/Post-natal consultations and courses including lactation consultations, with a Bupa recognised provider in private practice. Home nursing covers selected services. Dietary covers consultations only. Two fully custom-made orthoses (one pair) are payable once per person per calendar year. Blood Glucose monitors are payable once per year. Hearing Aids are payable once every 3 years. Dentures payable once every 3 years. Periodic oral examination 012, Scale & Clean 114, Fluoride treatment 121 payable once every 6 months. Pharmacy benefit paid after current PBS patient contribution deducted.

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.