You put your health at risk everyday – Protect yourself with Police Health Insurance
Private health cover is something every Australian must consider. Not only does private health insurance ensure that you have access the health care but stops you being hit with extra fees and charges by the Australian government. One way of finding better value on your private health insurance is to join an members own fund and if you or a member of your family is part of the police force, you might want to consider the range of covers available from Police Health.
This restricted access health fund opens membership to Australians with connections to the police force. Specialising in top-level cover and with an aim to make health insurance as easy to understand as possible, Police Health has four competitive cover options to choose from: Top Hospital, SureCover Extras, Platinum Health and Platinum Plus.
Membership of Police Health is open to employees of state, territory and federal police departments, as well as any employees of police unions. Former employees of police associations, unions and services who retired after January 1, 2001 are also eligible. As are the partners, former partners and children of all those eligible to join.
As Police Health is a not-for-profit fund, any profits it makes are used to benefit its members. It offers personalised customer service and guarantees that you will talk to a real person every time you call for assistance, while it aims to offer value for money cover to all its members. Other features include generous rebates on extras and a fast claims processing service.
Police Health Insurance Levels of Cover
- Top Hospital. This hospital-only cover option provides a high level of protection for treatment in any registered private or public hospital or day surgery anywhere in Australia. With no excesses or co-payments required, you have freedom of choice when it comes to your doctor and your hospital. It offers 100% cover for all your hospital costs and covers an extensive range of procedures.
- SureCover Extras. The sole extras-only option available from Police Health, SureCover Extras offers top-level cover for the cost of a wide range of general treatments. It covers general dental, major dental, orthodontic, optical, physio, exercise physiology, chiropractic, naturopathy, acupuncture, osteopath, complementary therapies, speech therapy, occupational therapy, eye therapy, dietitian, podiatry, psychology, ambulance, pharmaceutical, health appliances and school accidents.
- Platinum Health. This combined hospital and extras option is chosen by 85% of Police Health members. It combines Top Hospital Cover with SureCover Extras Cover, but your premiums are a whole lot cheaper than if you take out these two cover options separately.
- Platinum Plus. This family cover option is designed to suit Police Health members with older children. Under this policy, your children can be covered until they reach 25 years of age - as long as they’re not married or in a de facto relationship. This options is available for a small premium increase over the Platinum Health option.
Are there any additional benefits?
- Rollover Benefit. When you have an unused extras benefit limit with Police Health, you can roll the remaining balance over into the following calendar year.
- Pharmaceutical benefits. You can visit any private pharmacy and claim your Police Health pharmaceutical benefits.
- Eyewear discounts. Police Health has joined forces with Luxottica, which owns Sunglass Hut, OPSM and Laubman & Pank, to offer discounts on sunglasses, frames, glasses and lenses.
The list of general exclusions from Police Health stipulate that your claim will not be paid if:
- It is for services received before you have served any relevant waiting periods
- It is for treatments for which Medicare does not pay a benefit, for example cosmetic surgery
- It is for services provided outside Australia
- It is for services that you may be able to claim the cost through some other form of cover, for example workers’ compensation insurance
- It is submitted more than two years after the date you receive the service
- It is for outpatient services, unless Police Health has an agreement in place with the hospital
- It is for pharmaceuticals that are not related to your reason for hospitalisation or are provided upon your discharge from hospital
- It is for exceptionally expensive drugs
- It is for prostheses that are not on the Federal Government’s approved list
- It is for personal and take-home items, for example television rental and newspapers
- It is for treatment you receive in a hospital emergency department
- It is for ambulance services covered by a third party arrangement, for example a state transportation scheme.
Just like any other private health fund, Police Health requires you to serve a waiting period before you can receive any policy benefits. Waiting periods are designed to prevent people taking out cover and then dropping it whenever it suits them, and a two-month waiting period applies across the board for all hospital and extras benefits, excluding accidents.
In addition, certain treatments and procedures attract longer waiting periods. For example, under hospital cover you will need to wait 12 months for obstetric care, pre-existing conditions and aids and appliances. Extras cover members will need to wait 12 months before they can receive major dental and orthodontics, hearing aids, and treatment for pre-existing conditions.
Police Health Insurance excess
If you’re admitted to hospital, many health funds require you to pay an excess to contribute to the cost of your hospital accommodation. As Police Health only offers top-level policies to its members, no excess or co-payment is required when you are admitted to hospital. However, you may be required to pay a excess during your waiting period if you were required to pay one by your previous health fund.
Police Health aims to make it as easy as possible for you to make a claim. Under hospital cover, most hospitals will send the bill directly to Police Health for you. However, if you receive the bill you can complete a Police Health claim form and then lodge the documents with the fund.
In situations where you are admitted to hospital as an inpatient, for example for radiology services, the services you receive will be covered up to the Medicare Benefits Schedule fee. If the doctor bills under Police Health’s Access Gap Cover scheme you will receive an even higher level of cover.
When it comes to extras claims, many providers will offer instant on-the-spot claiming electronically ... all you will have to do is swipe your membership card. All other claims can be completed by filling out and signing a Police Health claim form which can then be mailed, emailed or faxed back to the insurer.
Grab the Police Health mobile claims app