The perks of private without the top price tag. Better Hospital cover includes great benefits for lots of procedures in a private hospital, but features some exclusions to keep your costs down.
Better Hospital provides benefits as a private patient in a private or public hospital for all procedures or services unless they are listed as an exclusion for the cover.
What’s partially covered
A co-payment applies to Better Hospital cover to help keep the costs of the premium down.
Taking out Frank’s Better Hospital cover won’t give you benefits as a private patient in a public hospital or private hospital for the following services.
Can I get more information?
Frank has a lot more information about the specifics of cover. Find out more about hospital fees, doctor’s fees, gap and all the nitty gritty here.
Yes, on most services you will have to serve a waiting period if you’re new to health insurance. With Frank (and most health insurers) you have to wait a specific amount of time between signing up and making your first claim. This is called a waiting period.
Better Hospital has the following waiting periods:
- 1 day for hospital treatment as a result of an accident
- 2 months for psychiatric, rehabilitation, palliative care and included hospital services and procedures that are not pre-existing conditions
- 12 months for pre-existing conditions
For psychiatric services, there is a 24 month period after the waiting period where Frank will pay benefits at a lower rate. This is called a benefit limitation period.
Find out more about waiting periods and benefit limitation periods here.
The good news is that waiting periods may not apply if you’re coming to Frank from another fund. Find out more about switching to Frank here.
Yes. If you are admitted to hospital you will have to pay an excess. The most you will have to pay in excess per year is:
Single $500 per year
Couple / Family $500 per person up to a maximum of $1,000 per policy
Under Frank’s Better Hospital, you’ll be covered for a private room in a participating private hospital for services included under your cover with a co-payment. If you’re admitted into a private room in a private hospital, you’ll be charged a co-payment of $100 per night. The co-payment is capped at $700, so after 7 nights you won’t have to pay any additional co-payment fees as part of the admission.
For public hospitals, frank will pay minimum benefits for a shared room only for the services included under your cover.
Always get written financial consent for any hospital admission.
You’ll still be covered, but there are special waiting periods for pre-existing conditions. For services that relate to your condition the waiting periods will be extended, generally to 12 months. Find out more about pre-existing conditions here.
All of Frank's hospital covers come with Gap Cover.
Every hospital procedure has a minimum benefit payable set by Medicare. This is called the Medicare Benefits Schedule (MBS) Fee. You always get 100% of this back if you have private health insurance. However, if your doctor charges more than this, Frank will cover you up to 120% of the MBS to help reduce your out of pocket costs. Anything your doctor charges above 120% of the scheduled fee is an out of pocket expense or known gap. You can check this amount with your doctor. Find out more about Gap Cover here.
Refer to the Better Hospital fact sheet for full product information including excesses, waiting periods and benefit limitation periods.
Information relating to this cover should be read and retained.