Prices below are based on

Prices below are based on

This is used to calculate any Australian Government Rebate (AGR) you may be entitled to.If you’re unsure how to calculate your income, this ATO calculator can help.


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Medibank Basic Plus Healthy Start and Top Extras

Hospital cover designed to meet the needs of the young and healthy combined plus get more of a safety net with your Extras with services like Major dental.

from

Youth Discount applied

Youth Discount not available

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Medibank Basic Plus Healthy Start and Top Extras

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The amount you can claim back at Members’ Choice providers, up to annual limits.

The amount you pay before Medibank contributes to your hospital costs.

New season. New sunnies. No worries.

For a limited time only, join eligible Medibank Hospital and Extras cover and get a Specsavers e-gift card: $200 for singles, $400 for couples/families. Plus, we’ll waive your 2&6 month waiting periods on extras. Offer ends 7 December. New members only.~ Use promo code: SPECSAVERS2020

Get a quote Find out more

Your cover also includes 

 

Hospital cover

 

  • Cover for things young people may need, like joint reconstructions and dental surgery
  • Rest assured you'll receive the benefits of our gold level of hospital cover in the event of an Accident⁺
  • Unlimited Emergency Ambulance Australia-wide^

What is a waiting period?

The time you need to wait before you can receive benefits for services or items listed in your cover.

When do they apply?

To new members, or when switching to a higher level of cover.

Switching funds?

If you're switching from another health fund, on similar cover, we'll recognise waiting periods already served.

What is a pre-existing condition?

An ailment, illness or condition that, in the opinion of a Medical Practitioner appointed by Medibank, the signs or symptoms existed at any time during the six months before you either took out your new cover, or transferred to a higher level of cover (12 month waiting period applies).

Inclusions Waiting period

What is a waiting period?

The time you need to wait before you can receive benefits for services or items listed in your cover.

When do they apply?

To new members, or when switching to a higher level of cover.

Switching funds?

If you're switching from another health fund, on similar cover, we'll recognise waiting periods already served.

What is a pre-existing condition?

An ailment, illness or condition that, in the opinion of a Medical Practitioner appointed by Medibank, the signs or symptoms existed at any time during the six months before you either took out your new cover, or transferred to a higher level of cover (12 month waiting period applies).

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We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

1 day

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

Nil

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

2 months

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

2 months

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

2 months

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

2 months

(12 months for pre-existing)

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

2 months

(12 months for pre-existing)

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

2 months

(12 months for pre-existing)

We pay limited benefits for restricted services. This means that if you choose to be treated in a private hospital the benefits we pay will not cover all hospital costs and are likely to result in significant out-of-pocket expenses. For restricted services in a Public hospital we will pay minimum shared room benefits.

Nil
Exclusions

Hospital costs explained

Hospital cover helps with the cost of treatments you receive in hospital as a private patient. Of course, everyone is different, and so our hospital covers come in all shapes and sizes to suit different priorities and stages in life.

 

Your cover also includes

 

Extras cover

  • You choose the cover to suit your budget and lifestyle - 60%, 75% or 90% back from Members' Choice providers
  • Cover for a wide range of services, including more costly ones, like major dental, orthodontics and hearing aids
  • 100% back on up to two dental check-ups every year (including bitewing x-rays) at any Members’ Choice Advantage dentist1, OR
  • 100% back on an annual dental check-up & clean at any Members' Choice dentist, on top of your annual limit (excludes x-rays)1

 

12 months for surgical dental procedures
$400 opening balance. Top up of $200 each year, up to limit.
$800 opening balance. Top up of $400 each year, up to limit.
$1,000 opening balance. Top up of $500 each year, up to limit.
Combined with: Remedial Massage, Natural Therapies
Combined with: Remedial Massage, Natural Therapies
Combined with: Remedial Massage, Natural Therapies
- see Remedial massage
- see Remedial massage
- see Remedial massage
Combined with: Breathing appliances, blood glucose & blood pressure monitors
Combined with: Breathing appliances, blood glucose & blood pressure monitors
Combined with: Breathing appliances, blood glucose & blood pressure monitors
Inclusions Annual limits per person Icon help Waiting period Icon help
Claim back percentage: 60% 75% 90%
Claim back percentage:
N/A N/A N/A 1 day
$800 No annual limit No annual limit 2 months Icon help
$500 $1,000 $1,200 12 months
$400 Icon help $800 Icon help $1,000 Icon help 12 months
$200 $225 $250 6 months
$200 combined limit Icon help $300 combined limit Icon help $400 combined limit Icon help 2 months
$300 $600 $700 2 months
$200 $400 $500 2 months
$200 $400 $500 Nil
$200 $400 $500 2 months
Combined limit Icon help Combined limit Icon help Combined limit Icon help 2 months
$200 $400 $500 2 months
$150 combined limit Icon help $200 combined limit Icon help $250 combined limit Icon help 12 months
24 months
$200 $400 $500 2 months
$200 $400 $500 2 months
$400 $800 $1,200 36 months
$200 $400 $600 2 months
$200 $400 $500 2 months
$200 $400 $500 2 months

What are annual limits?

The maximum amount of benefits payable towards services, items or groups of services and/or items in a calendar year.

Switching health funds?

Benefits paid under your previous cover will be taken into account in determining the benefits payable under your Medibank cover.

What is a waiting period?

The time you need to wait before you can receive benefits for services or items listed in your cover.

When do they apply?

To new members, or when switching to a higher level of cover.

Switching funds?

If you're switching from another health fund, on similar cover, we'll recognise waiting periods already served.

Extras costs explained

Extras cover gives you money back for non-hospital services such as dental, physio, optical and more.

The amount of money you can claim back depends on the level of cover you have. Generally speaking, the higher the level of cover, the higher your annual limit and higher the percentage you can claim back. Which means more money back in your pocket.                 

Canstar awarded ‘Outstanding Value Insurance’ 12 years in a row

We’re proud to deliver outstanding value health insurance products designed to suit your needs. But don’t just take our word for it.

Why choose Medibank?

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30 day cooling off period

If you're not completely happy with your cover in the first 30 days of joining, let us know and we'll transfer you to a more suitable cover or refund your premiums (as long as no claims have been made).

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100% optical

Join Medibank Extras today and get 100% back on optical items (up to your annual limit) at any recognised provider. Some services like lens coating are excluded and waiting periods apply.

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Better health begins with better teeth

Medibank members with extras cover for 2 months or more can get 100% back on up to two dental check-ups every year, including bitewing x-rays, at any Members’ Choice Advantage dentist.¹

Request a call back

Leave your details and a Medibank expert will be in touch to take you through your options. In providing your telephone number, you consent to Medibank contacting you about health insurance.

^ Tasmania and Queensland have state schemes that cover ambulance services for residents of those States.

# Medibank has Members' Choice providers for these services. Not available in all areas.

~ Some items and services may require a Referral Letter and may have a benefit replacement period. Please see the Cover Summary or Member Guide for more information.

+ Covers with Restricted or Excluded services will be treated as Included services where treatment is required for injuries sustained in an Accident that occurs after joining this cover. Treatment must be sought within 7 days of the Accident. Excludes claims covered by third parties such as Workcover and our Private Room Promise. Out of pockets may apply. Refer to your Cover Summary.

1 Members can claim a maximum of two 100% back dental check-ups per member, per year—either two check-ups at a Members’ Choice Advantage dentist (including up to two bitewing x-rays per check-up where required), or a first check-up at a Members’ Choice dentist (excluding x-rays) and a second check-up at a Members’ Choice Advantage dentist. These check-ups do not count towards annual limits. Waiting periods apply.

² For Accidents that occur after your cover starts and for which treatment is sought within 7 days. Excludes claims covered by third parties such as WorkCover and our Private Room Promise. Out of pockets may apply.

³ OSHC members should call the Student Health & Support Line on 1800 887 283

⁴ Limited to two dental check-ups on all extras annually. Maximum two bitewing x-rays per check-up, where clinically needed. Not available in all areas.

⁵ 6 month waiting period applies. Some lens coatings excluded. 

~ For new members on new memberships who join and start eligible combined hospital and extras between 27 November – 7 December 2020 and who have not held Medibank health cover in previous 60 days. Must quote promo code SPECSAVERS2020 and set up direct debit when joining. Excludes Accident Cover, Ambulance Cover, Visitors Health Insurance, Working Visa Health Insurance, OSHC, ahm covers, Corporate covers and other selected covers. 2 & 6 waiver terms: 2 and 6 month waiting periods on extras waived. Other waiting periods apply. If you’ve reached your limits from a previous fund you may not be able to claim straight away. Not available with any other offer. Prepaid digital Mastercard® (Specsavers E-Gift Card) terms: Must maintain eligible cover and direct debit for 40 consecutive days after the policy start date. Gift card could take up to 8 weeks from the policy start date to arrive via SMS to the phone number provided on the Medibank policy. Specsavers E-gift card is not a credit card and is not reloadable. The Card is valid until the expiry date shown on the front of the Card and cannot be used after expiry. EML Payment Solutions Limited ABN 30 131 436 532 (Australian Financial Services License 404131) is the issuer of the Gift Card pursuant to license by Mastercard Asia/Pacific Pte. Ltd. Mastercard is a registered trademark, and the circles design is a trademark of Mastercard International Incorporated. Eligible Customers will receive an activation code from Edge Loyalty in accordance with these Terms. If the Eligible Customer has a supported Apple or Android smart phone, the Eligible Customer will: a) Receive a text message from Edge Loyalty (at the number provided) with an activation code (Activation Code) and link to the Mobile Pay website, operated by Edge Loyalty https://edgemobilepay.com . b) Click the link in the text message that will lead the Eligible Customer to the Mobile Pay Website and proceed to download and install the Mobile Pay app, an application owned and operated by Edge Loyalty. c) Follow the prompts to enter their mobile number and the Activation Code (as found in the text message to redeem the Gift Card). d) Follow the prompts to add the Gift Card to their mobile wallet. If the Eligible Customer does not have a supported Apple or Android smart phone, the Eligible Customer will be sent an incompatible alert (Incompatible Notification) and will be prompted to visit a webpage to make a Customer Claim to receive an alternative reward, being a physical prepaid eftpos® gift card. The full terms and conditions relating to the physical prepaid eftpos® Gift Card are available at https://activateacard.com.au/activateacard/termseftpos. The eftpos prepaid gift card is issued by EML Payment Solutions Limited ABN 30 131 436 532 AFSL 404131. Please visit https://activateacard.com.au/ to review the card terms and conditions, to check the card expiry and the card balance. An Eligible Customer must activate their Gift Card within two (2) months of the date of issue (Issue Date). The Gift Card is valid for twelve (12) months from the Issue Date. If the Gift Card has not been activated or redeemed within the prescribed time frames set out above, the balance will be forfeited. No refunds, exchanges or credits permitted. E-Gift Cards must be activated within 2 months of issue by following the link to access Mobile Pay via the App store. E-Gift card is valid for 12 months from date of activation. For full terms and conditions on activating and using your card see https://edgemobilepay.com/terms-and-conditions. The E-Gift Card can be used to make transactions that exceed the available balance, but the Eligible Customer will need to pay the difference by another method if accepted by the merchant where the transaction takes place. Full terms and conditions can be found at: https://edgemobilepay.com/terms-and-conditions

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