Standard clinical categories

 Standard clinical category treatments by product category Basic Bronze  Silver Gold
 Rehabilitation ✔R ✔R ✔R ✔
 Hospital psychiatric services ✔R  ✔R  ✔R  ✔ 
 Palliative care ✔R  ✔R  ✔R  ✔ 
 Brain and nervous system   ✔  ✔  ✔ 
 Eye (not cataracts)    ✔  ✔  ✔ 
 Ear, nose and throat   ✔  ✔  ✔ 
 Tonsils, adenoids and grommets   ✔  ✔  ✔ 
 Bone, joint and muscle   ✔  ✔  ✔ 
 Joint reconstructions   ✔ ✔ ✔
 Kidney and bladder   ✔ ✔ ✔
 Male reproductive system   ✔ ✔ ✔
 Digestive system   ✔ ✔ ✔
 Hernia and appendix   ✔ ✔  ✔ 
 Gastrointestinal endoscopy   ✔ ✔ ✔
 Gynaecology   ✔ ✔ ✔
 Miscarriage and termination of pregnancy   ✔ ✔ ✔
 Chemotherapy, radiotherapy and immunotherapy for cancer   ✔ ✔ ✔
 Pain management   ✔ ✔ ✔
 Skin   ✔ ✔ ✔
 Breast surgery (medically necessary)   ✔ ✔ ✔
 Diabetes management (excluding insulin pumps)   ✔ ✔ ✔
 Heart and vascular system     ✔ ✔
 Lung and chest     ✔ ✔
 Blood     ✔ ✔
 Back, neck and spine     ✔ ✔
 Plastic and reconstructive surgery (medically necessary)     ✔ ✔
 Dental surgery     ✔ ✔
 Podiatric surgery (provided by a registered podiatric surgeon)     ✔ ✔
 Implantation of hearing devices     ✔ ✔
 Cataracts       ✔
 Joint replacements       ✔
 Dialysis for chronic kidney failure       ✔
 Pregnancy and birth       ✔
 Assisted reproductive services       ✔
 Weight loss surgery       ✔
 Insulin pumps       ✔
 Pain management with device       ✔
 Sleep studies       ✔

✔ - Indicates the clinical category is a minimum requirement of the product category.

✔R - Indicates the clinical category is a minimum requirement of the product category. The clinical category may be offered on a restricted cover basis in Basic, Bronze and Silver product category only.

A blank cell may indicate the clinical category is not a minimum requirement of the product category, but may be included in a 'Plus' product. If it is on the product as a Restricted service, the product will be categorised as 'basic'.

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