Silver health insurance

With Silver tier health insurance, you can claim back on dozens of treatments - it's the second highest form of cover available to you.

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Silver tier health insurance can be an affordable cover option that helps you meet the cost of treatments such as dental surgery or back, neck and spine procedures. It can also cover you for your hearing devices, among other important health needs you may have. Silver health insurance lets you access about two-thirds of the treatment categories you can get with gold insurance.

Best Silver Health Insurance 2020

Below you'll find the finalists from the 2020 finder awards. Each policy was chosen based on criteria such as the excess/co-payment amount, number of associated (agreement) hospitals, treatments covered in public or private hospitals, waiting periods and annual benefit limits.

What is Silver tier hospital cover?

Under the new system of health insurance in Australia, hospital cover is now split into four distinct categories, Basic, Bronze, Silver and Gold. Silver tier cover is available for those wanting a more comprehensive level of hospital cover than basic or bronze policies. It provides unrestricted access to 26 clinical categories of hospital treatments, with the option to add additional treatments under silver plus+ policies.

Below are some examples from Finder Partners to help you compare policies and prices.

Name Product Price Per Month Hospital Services Back neck and spine Cataracts Heart and vascular system Joint replacements Hide CompareBox Apply
ahm starter silver
Qantas Silver Hospital
Medibank Silver Everyday

Compare up to 4 providers

Quotes are based on a single individual with less than $90,000 income, $500 excess and living in Sydney.

Compare hospital cover in Australia

Use this free tool to see more options and quotes from Australian health funds. You can also filter by tier level (Bronze, Silver or Gold) on the results screen.

What does the Silver hospital tier cover?

Silver health insurance covers about 68% of the clinical treatment categories that are offered by a Gold tier hospital policy. Silver tier hospital cover includes:
  • Brain and nervous system
  • Eye (not cataracts)
  • Ear, nose and throat
  • Tonsils, adenoids and grommets
  • Bone, joint and muscle
  • Joint reconstructions
  • Kidney and bladder
  • Male reproductive system
  • Digestive system
  • Hernia and appendix
  • Gastrointestinal endoscopy
  • Gynaecology
  • Miscarriage and termination of pregnancy
  • Chemotherapy, radiotherapy and immunotherapy for cancer
  • Pain management
  • Skin
  • Breast surgery (medically necessary)
  • Diabetes management (excluding insulin pumps)
  • Heart and vascular system
  • Lung and chest
  • Blood
  • Back, neck and spine
  • Plastic and reconstructive surgery (medically necessary)
  • Dental surgery
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Implantation of hearing devices

As previously mentioned, Silver tier cover also offers cover for certain benefits on a restricted basis. These clinical categories are:

What is silver plus (+)?

With the roll out of the health insurance reforms, health funds have the option of offering a "Plus [+]" option for any policy outside of the gold tier, in this case a Silver Plus [+] policy. All this means is a policy with Plus [+] provides cover that is above the minimum requirements of the silver tier. For example, CUA offer a Silver Plus policy that in addition to the minimum benefits required for a Silver tier policy, Premium Hospital Non-Obstetrics (Silver Plus) offers benefits for:

  • Cataracts
  • Dialysis for chronic kidney failure
  • Insulin pumps
  • Joint replacements
  • Pain management with device
  • Sleep studies

Who needs Silver hospital insurance?

If you had a relatively comprehensive policy before the changes, you may find yourself with a Silver tier policy following the reforms. Those who'll see the most benefit from a Silver policy include:

Those not looking to start a family

If you're not planning to start a family in the near future but still want reasonable coverage, then a Silver policy might be a good choice for you. It provides you with a range of benefits but doesn't provide cover for clinical categories you're not going to use such as pregnancy and birth and assisted reproductive services.

Older Australians

Silver tier cover provides a range of benefits that are suitable for older Australians including:

  • Heart and vascular system
  • Lung and chest
  • Blood
  • Back, neck and spine
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Implantation of hearing device

Other additional cover options

If you're looking for a step up in cover from Bronze, Silver offers cover for an additional eight clinical categories. In addition to those benefits listed above, you'll also have cover for:

  • Plastic and reconstructive surgery (medically necessary)
  • Dental surgery

When are these changes happening?

Depending on who you have your private health insurance with, it may have already happened. The four tiers for hospital insurance came into effect on 1 April 2019. The aim is to have all health funds adopting these categories by 1 April 2020.


Picture: Unsplash

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