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WellGuard Health Health insurance
Health cover for families & singles

Health cover that keeps up with your family

One plan for the whole household — private hospital treatment, everyday extras like dental and optical, mental-health support, and a 24/7 nurse on the line. Switch on, switch off, or change cover any time.

No medical exam for the Basic and Standard plans. No lock-in contract.

4.8 / 56,120 member reviews
12,400+network hospitals
98.4%of claims approved
A mother, father and their son laughing together outdoors — the kind of family WellGuard Health covers 41,800 families covered
3.2 daysaverage claim payout
24/7 nurse linetalk to a registered nurse
12,400+Hospitals in our network
3.2 daysAverage claim payout time
41,800Families covered today
38Countries you're covered in
4.8 TrustPilot & ProductReview Regulated health insurer 30-day cooling-off period 256-bit encrypted claims
Three plans, one clear promise

Pick the level of cover that fits your household

Every plan includes 24/7 telehealth, ambulance cover and the full 12,400-hospital network. Move up a tier to add private rooms, dental, optical and mental-health sessions.

Essentials

Basic

Everyday safety net — ambulance, public hospital and telehealth for a young or single household.

$89/ month

Indicative premium · single, age 30–39

  • Public hospital treatment, shared room
  • Emergency ambulance & paramedics
  • 24/7 telehealth GP appointments
  • $300 mental-health sessions a year
  • Claims app with instant receipts
  • No dental or optical extras
  • No choice of doctor or private room

$750 hospital excess · 12-month waiting period on pre-existing conditions

Most popular Best value

Standard

The one most families choose — private hospital, your own doctor, plus everyday dental and optical.

$149/ month

Indicative premium · single, age 30–39

  • Private hospital treatment, private room
  • Choose your own doctor & surgeon
  • $400 general dental + $250 optical
  • $500 physio & $800 psychology limits
  • Newborn dependants covered from day one
  • 24/7 telehealth GP appointments
  • No major dental, orthodontics or overseas cover

$400 hospital excess · 2-month wait on extras

Top cover

Premium

Everything, with higher limits and no excess — for growing families and frequent travellers.

$259/ month

Indicative premium · single, age 30–39

  • Private room, choice of doctor, $0 excess
  • $900 dental + $1,200 major dental & ortho
  • $1,000 physio & $2,000 psychology limits
  • Overseas emergency treatment & travel cover
  • Unused extras limits roll over for 2 years
  • Dedicated case manager for hospital stays
  • Worldwide network in 38 countries

No excess · 12-month waiting period on pre-existing conditions

Side by side

What each plan actually covers

Every limit below is the amount WellGuard pays per person, per calendar year, on top of whatever your public health system covers. Nothing is hidden in a footnote.

Comparison of WellGuard Health Basic, Standard and Premium plans
Annual limit per person Basic$89 / month Standard$149 / month Premium$259 / month
Hospital cover
Public hospital treatment
Private hospital treatment
Choice of doctor & surgeon
Private room
Hospital excess per admission $750$400$0
Emergency ambulance & paramedics
Rehabilitation & palliative care
Waiting period — pre-existing conditions 12 months12 months12 months
Everyday extras
General dental $400$900
Major dental & orthodontics $1,200
Optical — glasses & contact lenses $250$450
Physiotherapy $500$1,000
Psychology & mental-health sessions $300$800$2,000
Remedial massage & osteopathy $300$700
Prescription medicines $500
Unused extras limits roll over
Service & support
24/7 telehealth GP
Hospital network access Public hospitals12,400+ hospitals12,400+ & worldwide
Overseas emergency & travel cover
Claims app with auto-assessment
Cover for newborn dependants
Dedicated hospital case manager
Swipe the table sideways to see all three plans.
Limits are per person, per calendar year, and reset on 1 January. Extras need a 2-month wait and hospital cover a 2-month wait, except for pre-existing conditions (12 months) and pregnancy (12 months). This table is a summary — the full product disclosure statement and plan rules apply.
Hospital network

12,400 hospitals where your card is all you need

Walk in, show your WellGuard digital card, and we settle the bill directly with the hospital. No forms, no waiting for a refund, no arguing about codes at the front desk.

12,400+Partner hospitals & clinics
640Day-surgery centres
9,200Allied-health practices
38Countries with direct billing
The entrance and drop-off loop of a modern private hospital in the WellGuard network
A bright hospital reception and patient welcome area
A clean, modern clinical treatment room with medical equipment
Direct billingat 12,400 network hospitals
Private hospital

Meridian Private Hospital

Northgate, CA · 412 beds

Cardiac, oncology, maternity

Cashless admissions
Day surgery

Sunridge Surgical Centre

Sunridge, CA · 9 theatres

Endoscopy, orthopaedics, dental surgery

Same-day discharge
Specialist clinic

Harbourview Specialist Clinics

Harbourview, CA · 74 suites

Paediatrics, dermatology, mental health

On-the-spot HICAPS
Allied health

WellSpring Allied Health

38 locations · CA, OR, NV

Physio, psychology, podiatry, dietetics

Claim on the spot
Claiming is the easy part

From receipt to reimbursed in four steps

Most claims take under two minutes to lodge and are assessed automatically. If a human needs to look at it, you'll hear from a named assessor — not a queue.

1

Get treated

Show your digital WellGuard card at any of the 12,400 network hospitals or clinics and we pay them directly. Outside the network? Pay and keep the itemised receipt.

2

Lodge it in the app

Snap a photo of the receipt in the WellGuard app or web portal. Takes about 90 seconds, and you can add a claim for the whole family in one go.

3

We assess it

87% of claims are auto-assessed within two hours. The rest are reviewed by a real assessor, and you can track the status of every claim live.

4

Money back

Funds land in your nominated account in 3.2 days on average — or instantly to your WellGuard wallet, which you can spend on any health service.

A doctor smiling as she talks a patient through their treatment plan
3.2 daysaverage time to payout

When something serious happens, you get a person

Hospital stays are stressful enough. Standard and Premium members get a real human to coordinate with the hospital, the surgeon and your employer — and to chase anything that needs chasing.

98.4%
of claims approved
87%
auto-assessed in 2 hours
1.9M
claims paid last year
  • Lodge a claim in 90 seconds — no paperwork to post
  • Track every claim's status live in the app
  • Pre-approval for planned surgery in 2 business days
Two children playing together on the sofa in their family living room
A grandmother and her granddaughter sharing breakfast together at a table
One policy, every generation

Add a partner, add the kids — keep the same cover

WellGuard cover grows with your household instead of resetting when your life changes. New babies join your Standard or Premium plan from day one, at no extra premium for the first 12 months.

"Our son needed grommets at four months old. We were in a private hospital the next week, no excess, and the claim was settled before we'd left the car park. Premium has already paid for itself."

Portrait of Priya R. Priya R.Premium family cover · 3 years

"I switched from a fund I'd been with for eleven years. WellGuard was $47 a month cheaper for the same private hospital cover, and the dental limits are actually usable."

Portrait of Daniel O. Daniel O.Standard couple cover · 18 months

"Mum is on our Premium policy as a dependant. Her knee replacement was direct-billed, and the case manager rang us every week. That's the part I'd pay for on its own."

Portrait of Amelia T. Amelia T.Premium multi-generation · 6 years
No obligation · no medical exam

Get your indicative quote now

Tell us who needs cover and the level you're after. You'll see an indicative monthly premium instantly — before anyone asks for your phone number.

  • Instant indicative premium, no credit check
  • 30-day cooling-off period on every new policy
  • Cover can start as early as tomorrow
  • A licensed adviser calls only if you ask them to
1800 555 240Mon–Fri 8am–8pm · Sat 9am–5pm

Your indicative quote

Two fields and a plan — that's all we need to price it.

Your details are used only to prepare this quote and are never sold. Premiums shown are indicative and exclude any applicable government rebate.

Straight answers

Questions people ask before they join

Do I need a medical exam to join?

No. Basic and Standard cover don't require a medical exam or blood test — you answer a short health questionnaire, and we cover you from your start date. Premium cover may ask for a health declaration for existing conditions, which we'll always explain before you pay anything.

What is a pre-existing condition waiting period?

Any condition you had signs or symptoms of in the six months before joining has a 12-month waiting period, on every plan. You're still covered for everything else from day one. We publish the full definition in the product disclosure statement — worth a read before you sign.

Can I switch plans or add my family later?

Yes, at any time and with no fees. Upgrades to a higher tier carry the extras waiting period for the new benefits; downgrades are effective from your next billing date. Adding a newborn to a Standard or Premium plan costs no extra premium for the first 12 months.

How do I claim for dental or physio?

At 9,200 allied-health practices you claim on the spot with your digital card and only pay the gap. Everywhere else, take a photo of the itemised receipt in the WellGuard app — it takes about 90 seconds and most extras claims are auto-assessed within two hours.

Am I covered when I travel overseas?

Premium includes emergency overseas treatment and travel cover in 38 countries, with direct billing at partner hospitals. Standard and Basic members can add a travel extension for $6–$14 a month depending on destinations and trip length.

What happens if I stop paying?

There's no lock-in contract, so you can cancel or pause any time before your next billing date. Claims lodged for treatment you'd already received are still paid. Rejoining later may restart waiting periods, so we'll always tell you what you'd be giving up.