Key takeaways
- Compare combined hospital and extras policies side by side to see if one fund offers better value for both types of cover
- Check that your hospital tier and extras inclusions align with your lifestyle and income to avoid paying for benefits you won’t use
- Look beyond bundled deals since mixing hospital and extras from different funds can often lower your monthly cost
*Prices are based on a single individual with less than $105,000 income, $750 excess and living in Sydney.
The table below lists some combined health insurance policies from Finder partners, covering accidents, emergency ambulance, dental and more. All prices are based on a single individual with less than $105,000 income and living in Sydney.
What are hospital, extras and combined cover?

Hospital only
Hospital cover pays for hospital treatment during illness or injury, including accommodation, surgery and other costs.
Extras only
Extras helps pays for non-hospital treatments that are not covered by Medicare, including optical, dental, physio and more.
Combined
Hospital and extras covers both types of treatment, giving you comprehensive coverage for a huge range of medical costs.Do I need both hospital and extras cover?
Not everyone needs a combined policy, and you may not even need health insurance at all. However, there are some life stages where people generally start to think about whether they need life insurance.
If you're young and healthy, you may only need basic hospital cover, but may still want comprehensive extras, like dental and physio. If you're older, then hospital cover may be a higher priority for you. Other important differences include the following:
- Earn over $90k? Not having sufficient hospital cover when your income is above a specified level attracts a Medicare Levy Surcharge, while extras does not.
- Turning 31? You are charged a Lifetime Health Cover (LHC) loading of 2% for every year you don’t take out hospital cover after you turn 31 years of age. Extras policies don't have this penalty applied.
What can you claim on combined hospital and extras cover?
A combined hospital and extras policy covers you for in-hospital services that are also covered by Medicare. You can be claim for up to 38 services depending on the level of cover you choose (e.g. basic, bronze, silver or gold).
Extras, on the other hand, lets you claim in-hospital services that typically aren't covered by Medicare. This can include things such as dental, physiotherapy, opticals and remedial massage.
How to mix and match
Mixing and matching your hospital and extras options is the best way to get the most out of your benefits. Say for example you're young and healthy and don't need a high level of hospital cover but still want peace of mind knowing that you have hospital cover. Add to this that you like to get a remedial massage, need glasses and are fastidious about your teeth and see the dentist a couple of times a year. In this hypothetical situation, you can choose a basic tier hospital policy with comprehensive extras.
To go a step further, when you're comparison shopping, make sure you're looking beyond just one provider for both options. You might find a better deal by taking out your hospital with one fund and your extras with another.
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Frequently asked questions
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No, ambulance cover is not automatically included in every combined policy. While many hospital policies include some level of emergency ambulance cover, particularly for state-funded services, it can vary by fund and hospital tier. Some policies may only cover a limited number of services or have restrictions based on your state of residence.
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A hospital excess is an amount you agree to pay upfront when you are admitted to hospital for treatment. Choosing a higher excess can lower your regular premiums but means you pay more out of pocket if you need hospital care. The excess applies only to the hospital component of your combined policy and does not affect your extras claims. You typically only pay the excess once per person or once per policy in a calendar year.
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The Australian Government Rebate on private health insurance is a contribution from the government towards the cost of your premiums. It is income tested so the amount you receive depends on your income tier your age and your family status. This rebate helps reduce the overall cost of both the hospital and extras components of your combined policy making private health insurance more affordable. You can claim it as a premium reduction or as a tax offset.
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Claiming for extras services is generally straightforward. Most health funds offer several ways to claim including on the spot at your provider using a HICAPS terminal online through your fund's member portal or app or by submitting a claim form directly to your fund. You usually pay the full fee to your provider then receive a portion back from your health fund up to your annual limits and per visit caps.
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Yes, most health insurance policies in Australia include a cooling off period usually 30 days. This means if you change your mind after purchasing a combined policy you can cancel it within this timeframe and receive a full refund of any premiums paid provided you have not made any claims.
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Finder writers are subject matter experts and use primary sources, in-depth research and interviews with other experts to ensure you're getting accurate, up-to-date information. Articles are fact checked in line with our editorial guidelines.
- Private Health Insurance Ombudsman (PHIO)
- Department of Health and Aged Care - Private Health Insurance
- Australian Prudential Regulation Authority (APRA) - Private Health Insurance Statistics
- Australian Taxation Office (ATO) - Medicare Levy Surcharge
- PrivateHealth.gov.au - Australian Government Private Health Insurance Information
Gary Ross Hunter has over 6 years of expertise writing about insurance, including life, health, home, and car insurance. Having reviewed hundreds of product disclosure statements and published over 800 articles, he loves simplifying complex insurance topics for everyday readers. Gary has contributed to major outlets like Yahoo Finance, The Sydney Morning Herald, and news.com.au, and holds a Bachelor of Arts (Honours) in English Literature from the University of Glasgow, along with a Tier 2 General Advice certification, ensuring his work adheres to ASIC’s RG146 standards. See full bio
- Health, home, life, car, pet and travel insurance
- Managing the cost of living
Richard Laycock is Finder’s insights editor after spending the last five years writing and editing articles about insurance. His musings can be found across the web including on MoneyMag, Yahoo Finance and Travel Weekly. Richard studied Media at Macquarie University and The Missouri School of Journalism and has a Tier 1 Certification in General Advice for Life Insurance. See full bio
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