The Finance Algorithm

ADF Total Package Gold

A Gold hospital and extras policy from Defence Health.

  • Corporate policy, sold through employers and associations.
  • Defence Health only takes current or former members of the ADF and the Defence community and their families.

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

From

$162.46a month

Single, NT, $500 excess, before the rebate.

Medicare levy surcharge
Exempts you
Excess options
None, $250, $500
Ambulance
Emergency and non-emergency, call-out fees included, no limit
Who can join
Through an employer or group

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

Defence 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$290.312nd 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.

Single premium in each state

NT$201
QLD$351
WA$325
SA$339
NSW$337
ACT$337
VIC$329
TAS$336
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. No excess
    $337.01
  2. $250 excess$17.53 less than no excess
    $319.48
  3. $500 excess$46.70 less than no excess
    $290.31

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

Excess options: none, $250, $500, paid when you are admitted. No excess for dependants.

From the insurer: Includes home nursing, midwifery and a range of health programs. Access Gap available to reduce or eliminate out of pocket medical costs where the treating doctor, specialist, surgeon, anaesthestist, pathologist or radiologist agrees to use it. Go to defencehealth.com.au or call 1800 335 425 for details.

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)
    $950typical policy $1,000
  3. Optical
    $255typical policy $220
  4. Physiotherapy
    $850typical policy $450
  5. Chiropracticshared with osteopathy
    $750typical policy $400
  6. Psychologyshared with 8 other services
    $1,000typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    $37.60typical policy $35.20
  2. Scale and clean (item 114)
    $71.40typical policy $66.85
  3. Full crown, veneered (item 615)
    $801.60typical policy $773.80
  4. Single vision lenses and frames
    100% of the feetypical policy $220.00
  5. Physiotherapy, first visit
    $59.00typical policy $42.00
  6. Psychology, first visit
    $102.00typical policy $75.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personExample benefits (all states)
General dental2 monthsNo annual limitPeriodic oral exam (item 012): $37.60Scale and clean (item 114): $71.40Fluoride treatment (item 121): $21.20
Major dental12 months$950shared with endodontic (root canals)Surgical extraction (item 322): $124.70Full crown, veneered (item 615): $801.60
Endodontic (root canals)12 months$950shared with major dentalRoot canal filling (item 417): $117.40
Orthodontics12 months$800Braces, upper and lower, with retainer (item 881): $800.00
Optical2 months$255Multifocal lenses and frames: 100%Single vision lenses and frames: 100%
Non-PBS medicines2 months$400shared with vaccinationsNon-PBS prescription: $80.00
Physiotherapy2 months$850Physiotherapy, first visit: $59.00Physiotherapy, later visit: $41.00
Chiropractic2 months$750shared with osteopathyChiropractic, first visit: $47.00Chiropractic, later visit: $33.00
Podiatry2 months$1,000shared with 8 other servicesPodiatry, first visit: $47.00Podiatry, later visit: $33.00
Psychology2 months$1,000shared with 8 other servicesPsychology, first visit: $102.00Psychology, later visit: $77.00
Acupuncture2 months$300shared with remedial massage, health management programsAcupuncture, first visit: $31.00Acupuncture, later visit: $27.00
Remedial massage2 months$300shared with acupuncture, health management programsRemedial massage, first visit: $31.00Remedial massage, later visit: $27.00
Hearing aids12 months$1,000shared with blood glucose monitors, orthoticsHearing aid: $1,000.00
Blood glucose monitors12 months$1,000shared with hearing aids, orthoticsBlood glucose monitor: $400.00
Audiology2 months$1,000shared with 8 other servicesAudiology, first visit: $72.00Audiology, later visit: $52.00
Antenatal and postnatal2 months$1,000shared with 8 other servicesAntenatal and postnatal, first visit: $40.00Antenatal and postnatal, later visit: $40.00
Dietetics2 months$1,000shared with 8 other servicesDietetics, first visit: $59.00Dietetics, later visit: $33.00
Exercise physiology2 months$1,000shared with 8 other servicesExercise physiology, first visit: $30.00Exercise physiology, later visit: $24.00
Orthoptics2 months$1,000shared with 8 other servicesOrthoptics, first visit: $65.00Orthoptics, later visit: $45.00
Health management programs2 months$300shared with acupuncture, remedial massageHealth management program: $120.00
Occupational therapy2 months$1,000shared with 8 other servicesOccupational therapy, first visit: $85.00Occupational therapy, later visit: $45.00
Orthotics12 months$1,000shared with hearing aids, blood glucose monitorsOrthotics: $300.00
Osteopathy2 months$750shared with chiropracticOsteopathy, first visit: $47.00Osteopathy, later visit: $33.00
Speech therapy2 months$1,000shared with 8 other servicesSpeech therapy, first visit: $107.00Speech therapy, later visit: $52.00
Vaccinations2 months$400shared with non-pbs medicinesVaccination: $80.00

Not covered: chinese herbal medicine, home nursing.

Preventative dental is not counted against the dental limit.

Other services: Health and Wellbeing annual limit $300 includes: Acupuncture, Remedial Massage, Myotherapy - initial consultation: $31.00, subsequent consultation: $27.00, Group Physiotherapy - $20.00 per session, Group Exercise Physiology $14.00 per session and Health Management. Also includes cover for Laser Refractive Eye Surgery - annual limit: $1,000 every two financial years; School Accident - annual limit: $600. Health appliances limit also includes: Orthopaedic Shoes – sub-limit: $300; Nebuliser – sub-limit: $300 every three financial years; Spacer – sub-limit: $300. Accredited Counsellors and Mental Health Social Workers are included as approved providers under Psychology, refer to Product Guides for further information.

From the insurer: No lifetime limit on orthodontics. All benefits are per person. Benefits reset on 1 July each year. Details and claim conditions are in product guides available at defencehealth.com.au

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.