Gold Optimum Hospital. No exclusions or restrictions; this policy covers up to 100% of the cost of treatment in the private or public hospital of your choice, and covers you for all 38 clinical categories.
Silver Plus Assure Hospital. Comprehensive cover that suits most people's needs. It doesn't cover you for procedures such as weight loss surgery, pregnancy, or assisted reproductive services so it's more affordable than Gold Optimum.
Bronze Plus Essential Hospital. Suited to the young and healthy, exclusions include joint replacement procedures and their revisions, kidney dialysis, spinal surgery and major eye surgery.
Bronze Plus Clasic Hospital. For those without any specific health issues or concerns. Available with a $350 or $700 excess, First Start covers you for some treatments of a public hospital or partnered private hospital and lets you choose your doctor.
Basic Plus Public Hospital. RT Basic Plus Public Hospital offers restricted benefits at a basic level of cover.
Extras coverage
Extras
There are three levels of extras cover, that can be purchased alongside hospital or as standalone products.
Premium Extras. This is RT Health's top-level extras cover option and it provides cover for general and major dental, orthodontics, optical, physiotherapy, chiropractic, occupational therapy, orthoptics, dietetics, audiology, podiatry, speech therapy, psychology, pharmaceuticals, vaccines, alternative therapies, home nursing, hearing aids, health aids and more.
Smart Extras. This mid-level policy option covers the same general treatments as a Premium Extras policy but does not provide as generous benefit limits. It also excludes orthodontics cover, creating a combination between a broad range of cover and affordability.
Value Extras. This entry-level extras cover option excludes a number of treatment types and features lower benefit limits. However, it still provides cover for general dental, optical, physio, chiropractic, occupational therapy, orthoptics, dietetics, alternative therapies, vaccines, pharmaceuticals, health aids and hearing aids.
Ambulance coverage
Ambulance
All RT hospital policies can cover ambulance attendance and transportation depending on where you live. Residents of VIC, SA, WA, TAS, NT can get up to $5,000 per person per year for emergency ambulance attendance or transportation. RT Ambulance cover only applies where the state government scheme does not.
RT health frequently asked questions
No excess for dependent children. RT Health hospital cover members will never have to pay an excess for their dependent children.
Affordable cover. Sole parent cover is available to make health insurance more affordable for single parent families.
Cover your kids up to the age of 25. If any of your kids are unmarried and full-time students, they can stay covered under your RT family policy until they reach 25 years of age.
Optical and dental discounts. Fund members can access a range of discounted products and services at the fund's new optical practices in Surry Hills and Newcastle. A range of dental and eyewear discounts are also available.
Free health management programs. RT Health members can take advantage of two free health management programs. Hospital at Home offers hospital-equivalent care to you at home, while health4life helps you make healthy lifestyle changes to prevent chronic disease.
Your RT Health claim will not be paid if:
It is for a treatment excluded from your level of cover. For example, Smart Hospital excludes cover for joint replacement procedures
It is for services received more than two years prior to submitting your claim
It is for a service for which Medicare does not offer a benefit
It is for cosmetic surgery that is not medically necessary
If you are admitted to a private hospital with which RT Health does not have a contract
It is for hospital or medical costs incurred for outpatient treatment
It is for private hospital emergency department fees
It is for treatment received overseas
It is for discharge pharmaceuticals
It is for hospital costs not related to the reason for your admission, for example TV hire and phone calls
You have Smart Hospital or Value Hospital cover and you receive treatment in a private hospital which you are only covered for in a public hospital
It is for treatment provided in a non-hospital facility, for example a nursing home.
If you receive treatment in a private hospital, in most cases the hospital's bills will be sent directly to your health fund. However, you may receive bills from the different doctors who treat you, and you'll need to take them to a Medicare office and fill out a two-way claim form. Medicare will then forward your claim on to RT Health to cover the 25% gap that Medicare does not pay.
When you need to make an extras claim, many providers will offer on-the-spot electronic claiming that simply requires you to swipe your membership card. Where this option is not available you will have to download a claim form from the RT Health website, fill it out and submit it to the health fund.
You can also submit a claim via the RT health insurance app. You can download the app from the Apple Store or Google Play Store.
RT Health has agreements in place with the vast majority of private hospitals and day surgeries in Australia. You can view a list of agreement hospitals on the RT website.
No, Australian law makes it possible for you to switch health funds without having to re-serve any waiting periods. As long as you join RT less than two months after leaving your previous fund, any waiting periods you've already served will be recognised.
Yes, all of the hospital cover options from RT Health come with rt health Medicover, which allows you to reduce your out-of-pocket hospital expenses or even avoid them altogether.
Yes, family members of people who work in the energy and transport industries are eligible to join RT Health.
Gary Ross Hunter was an editor at Finder, specialising in insurance. He’s been writing about life, travel, home, car, pet and health insurance for over 6 years and regularly appears as an insurance expert in publications including The Sydney Morning Herald, The Guardian and news.com.au. Gary holds a Kaplan Tier 2 General Advice General Insurance certification which meets the requirements of ASIC Regulatory Guide 146 (RG146). See full bio
Gary Ross's expertise
Gary Ross has written 648 Finder guides across topics including:
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Depending on your age, you may be eligible for an
aged-based discount. This is used to estimate your
rebate.
Under 65
65 - 69
70 or older
What's your household's taxable income?
This is the combined income you and your spouse earn before tax. It's needed to calculate the correct Australian government rebate.
$93,000 and under
$93,001 to $108,000
$108,001 to $144,000
$144,001 and over
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Combined (Extras + Hospitals)
Extras
Hospital
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*Prices updated March 2024, in line with Finder's
database of health insurance policies. Prices are based
on a single individual with less than $93,000 income and
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