Inpatient/day surgery

Claim limits

Daily Ward and Treatment Charges¹

- Normal ward²

$800 per day*

- Intensive care unit ward

$2,200 per day*

* An additional claim limit of $200 per day applies for the first two inpatient² days

- Psychiatric (up to 60 days per policy year)

$160 per day

- Community hospital (Rehabilitative)³

$350 per day

- Community hospital (Sub-acute)³

$430 per day

- Inpatient palliative care service (general)

$460 per day

- Inpatient palliative care service (specialised)

$500 per day

Surgical procedures

A

B

C

- Table 1 A/B/C (less complex procedures)

$240 

$340 

$340 

- Table 2 A/B/C

$580 

$760 

$760 

- Table 3 A/B/C

$1,060 

$1,160 

$1,280 

- Table 4 A/B/C

$1,540 

$1,580 

$1,640 

- Table 5 A/B/C

$1,800 

$2,180 

$2,180 

- Table 6 A/B/C

$2,360 

$2,360 

$2,360 

- Table 7 A/B/C

$2,600 

$2,600 

$2,600 

Implants

$7,000 per treatment

Radiosurgery, including Proton Beam Therapy – Category 4

$10,000 per treatment course

Continuation of autologous bone marrow transplant treatment for multiple myeloma

$6,000 per treatment

Outpatient treatment

Claim limits

Patients receiving treatment for one primary cancer

- Cancer drug treatment¹

$200 - $9,600 per month, depending on cancer drug treatment¹

- Cancer drug services

$3,600 per year

Patients receiving treatment for multiple primary cancers²

- Cancer drug treatment¹

Sum of the highest cancer drug treatment limit amongst the claimable treatments received for each primary cancer per month

- Cancer drug services

$7,200 per year

Radiotherapy for cancer

- External (except Hemi-body)

 $300 per treatment

- Brachytherapy

$500 per treatment

- Hemi-body

$900 per treatment

- Stereotactic

$1,800 per treatment

- Proton Beam Therapy - Category 1

$300 per treatment

- Proton Beam Therapy - Category 2

$500 per treatment

- Proton Beam Therapy - Category 3

$1,800 per treatment

Kidney Dialysis

 $1,100 per month

Immunosuppressants for organ transplant

 $550 per month

Erythropoietin for chronic kidney failure

$200 per month

Long-term parenteral nutrition

$1,700 per month

Maximum claim limits

Claim limits

Per policy year

 $150,000

Per lifetime

No limit