At Bupa we care about your health and the cost of your health care. So we are helping you get greater value, certainty and simplicity.
Bupa has agreements with most private hospitals and day surgeries to provide members with certainty about the hospital costs associated with the treatment. At most hospitals with agreements, members will have a no out of pocket experience for their hospital treatment (except for any excess or copayment that may apply to your level of cover). These hospitals will also forward your hospital charges directly to Bupa, to save you the inconvenience of making a claim.
So to get the best value from your Bupa hospital insurance, we suggest you choose a hospital with an agreement with Bupa.
You can search for a hospital with an agreement via our hospital search function or by downloading a Bupa Hospital Listing.
Bupa has different hospital arrangements in place which are described below:
OVERNIGHT HOSPITALS
Members First Hospitals
At Members First Hospitals members will receive the following guaranteed benefits:
- No gaps for hospital accommodation, intensive care and theatre
- Provision of a single room for admissions where a request for a private room has been made at least 24 hours prior to admission or the hospital will provide you with a rebate of $50- subject to conditions
- Free newspaper, local phone calls and free to air television.
- Surgically implanted prosthesis paid up to the minimum level required by the Federal Government which in most cases is full cover
- Maternity Care support and educational services regarding childbirth and parenting
- Payments towards the fees charged by the surgeon, anaesthetist or other specialist for your inpatient treatment – ask your doctor about using the Bupa Medical Gap Scheme designed to eliminate or reduce your medical costs.
Product excesses and co-payments apply
Network Hospital
At most Network Hospitals members will receive the following guaranteed benefits:
- No gaps for hospital accommodation, intensive care and theatre
- Free local phone calls and free to air television.
- Surgically implanted prosthesis paid up to the minimum level required by the Federal Government which in most cases is full cover
- Payments towards the fees charged by the surgeon, anaesthetist or other specialist for your inpatient treatment – ask your doctor about using the Bupa Medical Gap Scheme designed to eliminate or reduce your medical costs.
Product excesses and co-payments apply
At a small number of Network hospitals you may be charged a fixed daily fee for one type of service (either rehabilitation or psychiatric).
Fixed Fee Hospitals
Bupa has arrangements with a small number of hospitals where members receive the same benefits as a Network Hospital but members may be charged a fixed daily fee. This fee is charged per day and capped at a maximum number of days per stay. The hospital should inform you of the out of pocket expense when making a booking. The fixed daily fee charged by the hospital is in addition to any excess or copayment you may have as part of your hospital cover.
Members who hold Ultimate Cover have this fee reimbursed so if you want peace of mind regarding fixed fee hospitals please talk to a Bupa consultant about upgrading your level of cover.
At Fixed Fee Hospitals members will receive the following guaranteed benefits:
- A fixed gap for hospital accommodation, intensive care and theatre
- Free local phone calls and free to air television.
- Surgically implanted prosthesis paid up to the minimum level required by federal Government which in most cases is full cover
- Payments towards the fees charged by the surgeon, anaesthetist or other specialist for your inpatient treatment – ask your doctor about using the Bupa Medical Gap Scheme designed to eliminate or reduce your medical costs.
Product excesses and co-payments also apply
Public Hospitals
If a member is treated as a public patient in a Public Hospital they will recieve free treatment for accommodation, intensive care and theatre, prostheses and medical services.
If a member elects to be treated as private patient in a Public Hospital they will receive the following guaranteed benefits:
- No gaps for hospital accommodation, intensive care and theatre
- Surgically implanted prosthesis paid up to the minimum level required by Federal Government which in most cases is full cover
- Payments towards the fees charged by the surgeon, anaesthetist or other specialist for your inpatient treatment – ask your doctor about using the Bupa Medical Gap Scheme designed to eliminate or reduce your medical costs.
Product excesses and co-payments apply
DAY HOSPITALS
Members First Day Hospitals
At Members First Day Hospitals members will receive the following guaranteed benefits:
- No gaps for hospital accommodation and theatre
- Surgically implanted prosthesis paid up to the minimum level required by Federal Government which in most cases is full cover
- No gaps on fees charged by the surgeon, anaesthetist or other specialist for your inpatient treatment.
Product excesses and co-payments apply
Network Day Hospitals
At Network Day Hospitals members will receive the following guaranteed benefits:
- No gaps for hospital accommodation and theatre
- Surgically implanted prosthesis paid up to the minimum level required by the Federal Government which in most cases is full cover
- Payments towards the fees charged by the surgeon, anaesthetist or other specialist for your inpatient treatment – ask your doctor about using the Bupa Medical Gap Scheme designed to eliminate or reduce your medical costs.
Product excesses and co-payments apply
