Accidents
An accident is an unexpected incident caused by externals factor that results in injury to the body and requires treatment within 7 days of the incident by a recognised Medical Practitioner or Dentist. It must have occurred within Australia and cannot be related to any other ailment, illness or condition (including pregnancy).
To be covered for an accident you must:
have the appropriate level of cover for that treatment
ensure your premium payments are up to date
For injuries resulting from the accident, benefits are payable for the initial inpatient hospital treatment and ongoing inpatient hospital treatment that occurs within 180 days from the date of the accident.
If you have been involved in an accident and received compensation or damages from a third party
you cannot claim additional benefits in relation to this accident
you must repay TUH any benefits and associated costs already paid by TUH.
Visits to public or private hospital emergency departments or other hospital treatments where you are not admitted as an inpatient (as determined by law), are not covered by private health insurance.
