The Finance Algorithm

Basic Accident Hospital & Flex Essentials Extras

A Basic hospital and extras policy from Peoplecare.

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

From

$165.04a month

Single, NSW & ACT, $750 excess, before the rebate.

Medicare levy surcharge
Exempts you
Excess options
$750
Ambulance
Emergency and non-emergency, call-out fees included, no limit
Who can join
Anyone

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

Peoplecare's page for this policy

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$165.0426th 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$165
QLD$171
WA$165
SA$165
NSW$165
ACT$165
VIC$165
TAS$165
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: No waiting period applies for hospital treatment resulting from an accident.

Pays towards 10 of 27 standard services

Yearly limits, per person, against the typical policy

  1. General dentalshared with 8 other services
    $800typical policy $800
  2. Optical
    $200typical policy $220
  3. Physiotherapyshared with 8 other services
    $800typical policy $450
  4. Chiropracticshared with 8 other services
    $800typical 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. Single vision lenses and frames
    $200.00typical policy $220.00
  4. Physiotherapy, first visit
    60% of the feetypical policy $42.00
This policyTypical policy
ServiceWaiting periodYearly limit, per personExample benefits (all states)
General dental2 months$800shared with 8 other servicesPeriodic oral exam (item 012): 60%Scale and clean (item 114): 60%Fluoride treatment (item 121): 60%Simple extraction (item 322): 60%
Optical6 months$200Multifocal lenses and frames: $200.00Single vision lenses and frames: $200.00
Physiotherapy2 months$800shared with 8 other servicesPhysiotherapy, first visit: 60%Physiotherapy, later visit: 60%
Chiropractic2 months$800shared with 8 other servicesChiropractic, first visit: 60%Chiropractic, later visit: 60%
Acupuncture2 months$800shared with 8 other servicesAcupuncture, first visit: 60%Acupuncture, later visit: 60%
Remedial massage2 months$800shared with 8 other servicesRemedial massage, first visit: 60%Remedial massage, later visit: 60%
Chinese herbal medicine2 months$800shared with 8 other servicesChinese herbal medicine, first visit: 60%Chinese herbal medicine, later visit: 60%
Dietetics2 months$800shared with 8 other servicesDietetics, first visit: 60%Dietetics, later visit: 60%
Exercise physiology2 months$800shared with 8 other servicesExercise physiology, first visit: 60%Exercise physiology, later visit: 60%
Osteopathy2 months$800shared with 8 other servicesOsteopathy, first visit: 60%Osteopathy, later visit: 60%

Not covered: major dental, endodontic (root canals), orthodontics, non-pbs medicines, podiatry, psychology, hearing aids, blood glucose monitors, audiology, antenatal and postnatal, orthoptics, health management programs, home nursing, occupational therapy, orthotics, speech therapy, vaccinations.

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.