
At GMHBA we know that small things can help you get value from your hospital cover, which is why we've added an excess waiver to same day hospital procedures on all eligible* hospital covers. It's one of the ways we're helping you save on out-of-pocket costs.
*Does not apply to closed hospital products. All hospital waiting periods apply, including standard 2- and 12-month waiting periods and waiting periods for pre-existing conditions which may be up to 12 months.
^Pricing based on Single, aged 30 living in VIC earning $101,000 or less (Base Tier Australian Government Rebate) and excludes . Prices and displayed products can change if details vary.
All of our hospital covers include no excess for same day stays, pick one that suits you
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Accident Only Hospital (Basic)
FROM$ 19 .30
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per week
Hospital Excess $750Minimum basic hospital cover with accident protection-
Upgraded cover in the event of an accident
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Excess waiver for same day stays
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Emergency ambulance cover
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Basic Plus Starter Hospital
FROM$ 19 .50
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per week
Hospital Excess $750Basic Plus Hospital cover with some key inclusions, as well as accident protection-
Upgraded cover in the event of an accident
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Excess waiver for same day stays
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Dental surgery
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Joint reconstructions
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Bronze Plus Advantage Hospital
FROM$ 24 .35
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per week
Hospital Excess $750Our most comprehensive Bronze Plus cover which balances peace of mind with great value-
Upgraded cover in the event of an accident
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Excess waiver for same day stays
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Plastic & reconstructive surgery (medically necessary)
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Back, neck & spine
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Silver Plus Hospital
FROM$ 30 .25
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per week
Hospital Excess $750A popular choice offering a range of services with some exclusions to keep costs down-
No excess for children under 21
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Excess waiver for same day stays
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Heart & vascular system
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Lung & chest
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Silver Plus Premium Hospital
FROM$ 43 .25
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per week
Hospital Excess $750High level cover with minimal exclusions-
No excess for children under 21
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Excess waiver for same day stays
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Joint replacements
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Cataracts
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Gold Optimum Hospital
FROM$ 72 .20
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per week
Hospital Excess $750Peace of mind hospital cover with no exclusions-
No excess for children under 21
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Excess waiver for same day stays
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Single room guarantee – if you request a single room in a private hospital
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Pregnancy & birth
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Lifetime Health Cover (LHC)
The Lifetime Health Cover (LHC) loading is a Government loading on your private hospital cover premiums. It was introduced on July 1, 2000 to encourage people to take out private hospital cover earlier, and to maintain their cover.
Understanding what services are covered
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Included
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Not Included
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Restricted
Restricted services are limited to a minimum (default) benefit as set by the Australian Government for accommodation as a private patient in a shared room of a public hospital. The benefit does not cover the cost of a private room in a public hospital or any room in a private hospital, and does not cover theatre costs. If you are admitted to a private hospital for treatment that is restricted by your policy, large out-of-pocket expenses will apply.
Waiting periods
Hospital services
A waiting period is the time between when you first take out health insurance or upgrade your cover and when you're actually covered for a hospital treatment.
Hospital waiting period durations – when treatment or service is included on your cover – are as follows:
Waiting period: 0 days (accidents must occur after joining)
Accidents - bodily injuries resulting from accidents which occur after the date of joining GMHBA or upgrading to a higher cover.
Waiting period: 2 months
Any other benefit for hospital (or hospital substitution) treatment unless otherwise stated.
Waiting period: 12 months
Obstetrics and maternity, pre-existing ailment, illness or condition (other than psychiatric, rehabilitation and palliative care).
Pre-existing conditions
A pre-existing condition is one where signs or symptoms of your ailment, illness or condition, in the opinion of a medical practitioner appointed by GMHBA (not your own doctor), existed at any time during the six months preceding the day on which you purchased your hospital insurance or upgraded to a higher level of hospital cover and/or benefit entitlement.
A special waiting period applies to obtain benefits for hospital treatment for new members who have pre-existing conditions. The waiting period also applies to existing members who have recently upgraded their level of hospital cover. If the ailment, illness or condition is considered pre-existing:
New members
New members must wait 12 months for any hospital benefits (other than psychiatric, rehabilitation and palliative care).
Existing members (transferring or upgrading)
Members transferring/upgrading to a higher hospital cover must wait 12 months to get the higher hospital benefits (other than psychiatric, rehabilitation and palliative care).
Waiting periods
Extras services
A waiting period is the time between when you first take out health insurance or upgrade your cover and when you're actually covered for a treatment or service.
Waiting periods for extras services – when included on your cover – are as follows:
Waiting period: 0 days
Ambulance transport and subscriptions
Waiting period: 2 months
Any services that are not specified below
Waiting period: 6 months
Optical
Waiting period: 12 Months
Major dental, orthodontics, podiatry surgical procedures and orthotic appliances (foot), orthopaedic appliances (GMHBA approved), medical devices and aids including hearing aids, blood glucose monitor, extremity pump, nebuliser pump, pressure garments, prostheses (GMHBA approved, non-surgical), sleep apnoea monitor and tens monitor.
Why choose private health insurance with GMHBA
Accidents happen, that’s why we have included accident protection on all hospital products.
Peace of mind during an emergency means a lot, which is why we have included emergency ambulance cover on all hospital products.
2025 Winner of Outstanding Value Award – Hospital & Extras Insurance: Victoria
For 90 years, we’ve been driven by believing health insurance should be run to benefit members, not shareholders.
Through our Healthier Together newsletter, podcast and, community events, we continue to support the health of our members.
GMHBA partners with a number of organisations to support the health and wellbeing of our members and community.
Canstar approved, four years in a row!
GMHBA has done it again with Canstar’s 2025 Winner of Outstanding Value Award – Hospital & Extras Insurance: VIC. We are proud to provide Australians with 5 star health cover for our hospital and extras products.
Switching to GMHBA
Find the right cover for you
View our range of hospital and extras products, and choose the cover that best suits your needs.
We'll do the paperwork
That's right - we’ll take care of cancelling your old membership, request the transfer certificate from your old insurer and handle all of the paperwork for you.
You won't re-serve waiting periods*
Join on the same or lower level of cover within 30 days of your previous cover ceasing, and we will recognise waiting periods served with your old insurer.
*Waiting periods apply for increased cover.
