The most important thing about Hospital cover is knowing what you’re covered for.
To make it easier for you to understand what is and what isn’t covered by your policy, in 2019 the government introduced standardised clinical categories, with minimum requirements for what must be covered.
Every hospital procedure or service that we cover under your Hospital cover has a list of Medicare Benefits Schedule (MBS) items associated with it. These MBS items are now grouped into ‘clinical categories’.
Understanding the clinical categories on your Hospital cover
Hospital cover needn’t be confusing. Simply refer to the ‘Individual Cover Details’ for your chosen cover for a list of all the clinical categories covered.
Get your Individual Cover Details when you log in or register for Members Online. Find it in the section ‘Your Cover Details’. Or contact us and we’ll send it to you.
Understanding MBS items
Each treatment that’s covered within a clinical category has a Medicare Benefits Schedule (MBS) item. There are over 5,700 MBS items that provide patient benefits for a wide range of services including consultations, diagnostic tests, and operations.
With the introduction of standardised clinical categories, it’s now possible for all consumers to know exactly which MBS items are covered under their Hospital product.
To search MBS items visit MBS Online.
Learn more about clinical categories and the hospital treatments each category covers on the Department of Health website.
We’ve prepared the following information to help with your questions
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Health Partners is committed to providing quality and affordable health care, and we value our members and our obligation to protect your privacy. As part of our responsibility in protecting your privacy, from time to time we review our policies to ensure we are meeting our obligations. We have recently made some updates to our Privacy Policy. Please click here to view the Health Partners Privacy Policy.
© Copyright Health Partners. 2024 All Rights Reserved.
Health Partners is committed to providing quality and affordable health care, and we value our members and our obligation to protect your privacy. As part of our responsibility in protecting your privacy, from time to time we review our policies to ensure we are meeting our obligations. We have recently made some updates to our Privacy Policy. Please click here to view the Health Partners Privacy Policy.