Silver Health Insurance

Compare silver tier hospital cover health insurance through Savvy today.

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, updated on July 6th, 2023       

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Health Insurance Banner

We’ve partnered with Compare Club to bring you a range of health insurance policies to help you compare them side by side.

Are you wondering if a silver health insurance policy is the right level of health insurance for your needs? It may offer the best health insurance cover available in Australia to a wide range of people, but it’s worth comparing different policies to help you determine which is most suitable for your personal needs.

You can compare silver hospital cover plans through Savvy, looking at the cover they offer, the prices, inclusions and more. Just by answering a few simple questions about the cover you’re after, you can compare a range of policies from a panel of leading providers. Get started with your health insurance quotes through us today.

What is silver health insurance and how does it work?

Private health insurance in Australia is divided into two basic types: hospital cover and extras cover. While extras cover helps with the cost of non-Medicare funded healthcare in the community, such as dental and optical, hospital cover assists with the costs of being treated as a private patient in hospital.

Hospital cover is divided into four levels or tiers: basic, bronze, silver and gold.  A silver tier hospital policy offers the second-highest level of health cover available, below that offered by a gold policy. It provides financial assistance for many of the costs of admission into hospital as a private patient and offers rebates on a wide range of clinical categories.

A silver health insurance plan will cover many of the costs of being treated as a private patient in either a private or public hospital. These costs may include:

  • Hospital admission and room fees
  • Consultations with doctors, specialists and anaesthetists
  • Tests administered prior to surgery or post-op in hospital, such as x-rays, CT and MRI scans
  • The cost of surgery or other treatments received as an inpatient including theatre fees
  • The cost of medications and pharmaceuticals given to a private patient
  • Specified allied health services such as psychiatrists, psychologists, nutritionists and pain management specialists who deliver their services to you as an inpatient
  • Possibly may include ambulance cover, although this will depend on the state you live in, and which fund you buy from

What are silver plus policies?

If a particular policy offers additional cover than that required by law, it is called a ‘plus’ policy. For instance, if a silver policy offered certain clinical categories which were ordinarily provided by a gold policy, an insurer may call this a ‘silver plus’ policy. The price of each level of health insurance policy generally rises as the number of clinical categories that are covered by the policy increases.

What clinical treatment categories does silver hospital insurance cover?

The treatments that are covered at each tier are regulated by the Australian Government, so particular areas of treatment have to be offered with each level of cover. For example, a silver hospital cover policy is required to offer all the categories provided under basic and bronze cover, as well as a list of new, silver-specific categories, as a minimum (at least 29 clinical categories). This makes it easy for Aussies to compare health insurance policies to find the best silver plan for their personal needs.

When it comes to the areas included under silver hospital cover, they begin with those provided by the cheapest tier of hospital insurance, basic hospital cover. These are:

  • Rehabilitation
  • Hospital psychiatric services
  • Palliative care

Next comes a bronze policy, which adds another 18 clinical categories, including:

  • 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) 

As mentioned, a silver hospital cover health insurance policy offers cover for a minimum of 29 clinical categories, including all those at basic and bronze level. The following clinical areas are required to be offered at silver level only:

  • Heart and vascular system
  • Lung and chest
  • Blood
  • Back, neck and spine
  • Plastic and reconstructive surgery (medically necessary)
  • Dental surgery
  • Podiatric surgery
  • Implantation of hearing devices

How do I compare silver health cover policies?

Even though all silver health insurance policies offer cover for the same clinical categories, there are still many differences in the policies on offer. To compare silver hospital policies, look at the following aspects:  

  • Cost – there is a wide variation in the cost of silver policies, as some offer just the basic clinical categories, while other silver plus policies may add on additional coverage that is usually only found in gold policies, making them more expensive
  • Excess – an excess is the amount you may have to pay if you make a claim on your hospital insurance policy. It can range from zero to a maximum of $750. Compare whether there is a yearly policy limit on the excess you may have to pay if you require multiple hospital stays.
  • Co-payments – this is another out-of-pocket payment you may have to make if you do have a hospital stay. Co-payments range from zero to $100 a night.
  • Inclusions and exclusions – each policy will come with product information documents which will detail what is and isn’t included in your policy. It’s worth reading these documents carefully before buying a health insurance policy so you can know what you can be covered for.
  • Special offers – it's worth comparing health insurance policies through Savvy regularly, as some health funds occasionally advertise special offers to attract new customers. These may include free weeks’ coverage (provided you meet payment requirements as set out by your insurer).

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Frequently asked questions about silver health cover policies

What isn’t covered by a silver hospital insurance policy?

What isn’t covered by a silver hospital policy will depend on which health fund policy you decide to buy. While some of these may be included under silver plus cover, the following clinical categories aren’t mandatory under a silver policy:

  • cataracts
  • joint replacements
  • pregnancy and birth
  • assisted reproductive services
  • weight loss surgery
  • dialysis for kidney failure
  • insulin pumps
  • pain management with device
  • sleep studies
Can I get a silver policy which covers pregnancy and birth services?

Some insurers can offer silver plus policies which include cover for pregnancy and birth, although a gold tier policy is the only level of hospital cover which is required to offer this option by law.

How much does a silver hospital policy cost?

This will depend on the health fund you choose to buy a policy from and the benefits that policy offers. The level of excess chosen, the percentage of Medicare Rebate you are entitled to and whether you have a Lifetime Health Cover loading may all also affect the cost of the premiums you pay.

If I upgrade my health cover to a silver policy, will I have to serve more waiting periods?

If you're upgrading to a silver policy from a bronze or basic hospital policy, you'll have to serve additional waiting periods for areas you haven’t been insured for previously. However, if you just swap health funds and stay on the same level, you likely won’t have to serve any additional waiting periods if the covered clinical categories remain the same.

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Disclaimer:

Savvy is partnered with Compare Club Australia Pty Ltd (AFS representative number 001279036) of Alternative Media Pty Ltd (AFS License number 486326) to provide readers with a variety of health insurance policies to compare. Savvy earns a commission from Compare Club each time a customer buys a health insurance policy via our website. We don’t arrange for products to be purchased from these brands directly, as all purchases are conducted via Compare Club.

Savvy’s comparison service is provided by Compare Club. Compare Club compares selected products from a panel of trusted insurers and does not compare all products in the market.

Any advice presented above or on other pages is general in nature and doesn’t consider your personal or business objectives, needs or finances. It’s always important to consider whether advice is suitable for you before purchasing an insurance policy.

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