The Finance Algorithm

Basic Accident Hospital with Flex Extras: Eyes / Wellness

A Basic hospital and extras policy from Health Partners.

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

From

$124.67a 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 Basic hospital and extras policy in NSW & ACT

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

  1. Basic95 policies$168.3530th cheapest of 95
    $127.40$304.30
This policyEvery other Basic 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$125
QLD$175
WA$156
SA$156
NSW$168
ACT$168
VIC$176
TAS$172
CheaperDearer

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

0 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.

  • Restricted3
  • Not covered35

Restricted 3

  • Hospital psychiatric services
  • Palliative care
  • Rehabilitation

Not covered 35

  • 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
  • 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
  • Plastic and reconstructive surgery (medically necessary)
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Pregnancy and birth
  • Skin
  • Sleep studies
  • Tonsils, adenoids and grommets
  • 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: $750, paid when you are admitted.

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

From the insurer: Accident Cover provides you with protection for all excluded clinical categories on your policy. Meaning, you will receive the highest level of cover if you require treatment as a result of an accident (as defined by Health Partners). T&Cs apply. Members can also access a range of discounts, refer to the ‘Member Discount’ page at healthpartners.com.au.

Pays towards 16 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dentalshared with major dental, endodontic (root canals)
    $500typical policy $800
  2. Major dentalshared with general dental, endodontic (root canals)
    $500typical policy $1,000
  3. Optical
    $200typical policy $220
  4. Psychologyshared with 6 other services
    $200typical policy $400
This policyTypical policy

What it pays on common claims, against the typical policy

  1. Periodic oral exam (item 012)
    60% of the feetypical policy $35.20
  2. Scale and clean (item 114)
    60% of the feetypical policy $66.85
  3. Full crown, veneered (item 615)
    60% of the feetypical policy $773.80
  4. Single vision lenses and frames
    60% of the feetypical policy $220.00
  5. Psychology, first visit
    60% of the feetypical policy $75.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personExample benefits (all states)
General dentalconditions apply2 months$500shared with major dental, endodontic (root canals)Periodic oral exam (item 012): 60%Scale and clean (item 114): 60%Fluoride treatment (item 121): 60%Simple extraction (item 322): 60%
Major dentalconditions apply12 months$500shared with general dental, endodontic (root canals)Full crown, veneered (item 615): 60%
Endodontic (root canals)conditions apply12 months$500shared with general dental, major dentalRoot canal filling (item 417): 60%
Opticalconditions apply2 months$200Multifocal lenses and frames: 60%Single vision lenses and frames: 60%
Non-PBS medicinesconditions apply2 months$200shared with vaccinationsNon-PBS prescription: $0.00
Podiatry2 months$200shared with 6 other servicesPodiatry, first visit: 60%Podiatry, later visit: 60%
Psychology2 months$200shared with 6 other servicesPsychology, first visit: 60%Psychology, later visit: 60%
Acupuncture2 months$200shared with remedial massage, chinese herbal medicineAcupuncture, first visit: 60%Acupuncture, later visit: 60%
Remedial massage2 months$200shared with acupuncture, chinese herbal medicineRemedial massage, first visit: 60%Remedial massage, later visit: 60%
Chinese herbal medicine2 months$200shared with acupuncture, remedial massageChinese herbal medicine, first visit: 60%Chinese herbal medicine, later visit: 60%
Dietetics2 months$200shared with 6 other servicesDietetics, first visit: 60%Dietetics, later visit: 60%
Orthoptics2 months$200shared with 6 other servicesOrthoptics, first visit: 60%Orthoptics, later visit: 60%
Health management programs2 months$200shared with 6 other servicesHealth management program: 60%
Occupational therapy2 months$200shared with 6 other servicesOccupational therapy, first visit: 60%Occupational therapy, later visit: 60%
Speech therapy2 months$200shared with 6 other servicesSpeech therapy, first visit: 60%Speech therapy, later visit: 60%
Vaccinationsconditions apply2 months$200shared with non-pbs medicinesVaccination: $0.00

Not covered: orthodontics, physiotherapy, chiropractic, hearing aids, blood glucose monitors, audiology, antenatal and postnatal, exercise physiology, home nursing, orthotics, osteopathy.

Other services: In South Australia, get more from your cover with Health Partners providers, like a bonus $100 on your Optical Limit. Also get 60% back on dental and optical services up to your limits, at Health Partners and other recognised providers. Plus, save 20% on most full-price non-prescription items at over 50 pharmacies across SA, which include participating Priceline and TerryWhite Chemmart stores. T&Cs apply.

From the insurer: Flex Extras gives you the flexibility to choose the cover that suits your needs. If your needs change or you’re not using a selected option, you can remove or change it at any time to find the right mix for you. T&Cs apply. Waiting periods, exclusions, limits and conditions may apply.

Health Partners providers are in SA only (Dental, Optical, Physio and Pharmacy). Get more back with Health Partners providers, including a bonus $100 on your Optical limit. Plus, access your pharmacy limit and receive 20% discount on most everyday non-prescription items at participating pharmacies. T&Cs apply. Waiting periods, exclusions, limits and conditions may apply.

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.