The Finance Algorithm

HCF MY FAMILY SILVER PLUS

A Silver Plus hospital and extras policy from HCF.

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

From

$144.43a month

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

Medicare levy surcharge
Exempts you
Excess options
$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$312.8185th 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$144
QLD$321
WA$246
SA$280
NSW$313
ACT$313
VIC$313
TAS$286
CheaperDearer

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

30 of 38 clinical categories covered in full, 1 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 full30
  • Restricted1
  • Not covered7

Covered 30

  • 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
  • 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

Restricted 1

  • Hospital psychiatric services

Not covered 7

  • Assisted reproductive services
  • Cataracts
  • Dialysis for chronic kidney failure
  • Insulin pumps
  • Joint replacements
  • Pain management with device
  • 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: $750, paid when you are admitted. No excess for accidents or dependants.

From the insurer: Affordable hospital cover packaged with flexible extras. Designed for growing families who want pregnancy cover and a range of extras services and therapies. No excess for accident related treatment and dependants under 25. Includes involuntary unemployment assistance, accident safeguard, travel and accommodation benefits for hospital admission and cover for unlimited emergency ambulance trips. See fund rules for more information. Access to over 100 exclusive offers through HCF Thank You program. For more information visit: www.hcf.com.au/thankyou.

Pays towards 16 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dentalshared with 14 other services
    $800typical policy $800
  2. Major dentalshared with 14 other services
    $800typical policy $1,000
  3. Optical
    $200typical policy $220
  4. Physiotherapyshared with 14 other services
    $800typical policy $450
  5. Chiropracticshared with 14 other services
    $800typical policy $400
  6. Psychologyshared with 14 other services
    $800typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    $33.00typical policy $35.20
  2. Scale and clean (item 114)
    $63.00typical policy $66.85
  3. Full crown, veneered (item 615)
    $600.00typical policy $773.80
  4. Single vision lenses and frames
    100% of the feetypical policy $220.00
  5. Physiotherapy, first visit
    $56.00typical policy $42.00
  6. Psychology, first visit
    $50.00typical policy $75.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personExample benefits (all states)
General dentalconditions apply2 months$800shared with 14 other servicesPeriodic oral exam (item 012): $33.00Scale and clean (item 114): $63.00Fluoride treatment (item 121): $27.00
Major dentalconditions apply12 months$800shared with 14 other servicesSurgical extraction (item 322): $167.00Full crown, veneered (item 615): $600.00
Endodontic (root canals)conditions apply12 months$800shared with 14 other servicesRoot canal filling (item 417): $165.00
Optical2 months$200Multifocal lenses and frames: 100%Single vision lenses and frames: 100%
Non-PBS medicinesconditions apply2 months$800shared with 14 other servicesNon-PBS prescription: $50.00
Physiotherapyconditions apply2 months$800shared with 14 other servicesPhysiotherapy, first visit: $56.00Physiotherapy, later visit: $49.00
Chiropracticconditions apply2 months$800shared with 14 other servicesChiropractic, first visit: $38.00Chiropractic, later visit: $33.00
Psychologyconditions apply2 months$800shared with 14 other servicesPsychology, first visit: $50.00Psychology, later visit: $50.00
Acupunctureconditions apply2 months$800shared with 14 other servicesAcupuncture, first visit: $36.00Acupuncture, later visit: $36.00
Remedial massageconditions apply2 months$800shared with 14 other servicesRemedial massage, first visit: $36.00Remedial massage, later visit: $36.00
Chinese herbal medicineconditions apply2 months$800shared with 14 other servicesChinese herbal medicine, first visit: $36.00Chinese herbal medicine, later visit: $36.00
Dieteticsconditions apply2 months$800shared with 14 other servicesDietetics, first visit: $35.00Dietetics, later visit: $35.00
Exercise physiologyconditions apply2 months$800shared with 14 other servicesExercise physiology, first visit: $33.00Exercise physiology, later visit: $33.00
Health management programsconditions apply2 months$800shared with 14 other servicesHealth management program: $110.00
Osteopathyconditions apply2 months$800shared with 14 other servicesOsteopathy, first visit: $46.00Osteopathy, later visit: $39.00
Vaccinationsconditions apply2 months$800shared with 14 other servicesVaccination: $50.00

Not covered: orthodontics, podiatry, hearing aids, blood glucose monitors, audiology, antenatal and postnatal, orthoptics, home nursing, occupational therapy, orthotics, speech therapy.

Other services: A flexible mid level extras package that covers a range of services particularly for growing families. In chair teeth whitening treatment provided by a dentist included, a service limit of an in-chair treatment -max 8 teeth/session; applies every 36 months. Health Management Programs include ante/post natal services such as child birth education classes, lactation consults, pregnancy compression garments & Australian Breastfeeding Association fees. Includes mental health services (psychology, HCF-approved counselling, accredited mental health social worker and HCF-approved online cognitive behavioural therapy courses).

Features a combined limit of $800 per person per calendar year. A higher psychology benefit ($70) may apply after Medicare Mental Health Treatment Plan is used up.

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.