Health Insurance Question VS putting money aside

funnysht on 10/04/2020 - 14:00
Last edited 10/04/2020 - 14:01

Im thinking about getting private healht insurance, for me and wife would cost approx $500/month for top cover. I know there's a lot of opinions out there and it is much dependent on your personal cirumstances. But this is long term not just in coronavirus.

I would like to know what out of expesnses they had to pay even with private health insurance.

For example.

I read that a rough cost of hip replacement is approx 6-10k total. how much would you expect the private health company would pay and how much would you end up paying.

If anyone can give examples, what they paid, that would be great! :)

Health & Beauty

Comments

  • chumlee on 10/04/2020 - 14:32
    +2

    $500 pm you will not get value back out of that. That's $6K a year in premiums plus you will still have out of pocket expenses.

    Rolls Royce isn't for you

    • funnysht on 10/04/2020 - 14:34

      true im leaning that way

      but i wanted to see what other people's experiences were with their claim backs from private care for operations and what their out of expenses were

  • Ocker on 10/04/2020 - 16:12

    The biggest out of pocket if you go private will be for the specialist, his side kick (if he has one) and the anesthetist. Those costs can run into the thousands

  • [Deactivated] on 10/04/2020 - 16:21

    Had two joints reconstructed , private health only covers approx 30% of schedule fees, though they did cover theatre costs, was about 5k out of pocket in total. The price for jumping the queue

    • funnysht on 10/04/2020 - 16:54

      really…how come only 30%? so you paid 5k in total out of pocket..do you know how much the private health paid?

      • [Deactivated] on 10/04/2020 - 18:00

        Not sure, few grand for each

      • poboy on 10/04/2020 - 23:04

        Private health covers up to the standard fee of an item. If a specialist charges more than this standard fee, the patient pays the difference.

  • vinni9284 on 10/04/2020 - 17:45
    +1

    It's only worth if you get $90K+ PA as you pay additional MLS if you don't get PHI. Otherwise, it's a scam IMO.
    Cheers

  • screensaver on 10/04/2020 - 17:58

    Some funds pay more than others, I saw a chart at choice or canstar it partially said HCF was above average, Bupa was average etc. I have found the cheapest and am keeping it for 10 years straight to get rid of my loading. You have to keep it for 10 years or you will have to pay an expensive loading. I pay 17.98 at Qantas and it covers most things, not hip replacement but pain management with a device is covered and they give me lots of points

  • Gandalf the Thrifty on 10/04/2020 - 21:22

    Simply, if you go into private hospital you'll need to pay lot more money on top of premiums, for the advantage of less wait time for procedure.

    • Plan might have excess fee you pay once per year on admission eg $200/500/1000
    • Surgeon gap fee $300-500+
    • Anesthesist gap fee $200+
    • Assisting surgeon maybe $200+
    • Private obstetrician can have management fee $2000+

    You need check that actually covered for the replacement joints as they can be $1000s.

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