What is an Excess and Co-Payment?
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Written by John Connor
Updated over a week ago

What is an Excess?

An Excess is an amount you agree to pay towards your treatment if you are hospitalised, usually to reduce the premium of your cover without compromising what you are covered for.

The Excess is payable on admission to hospital once per person, per calendar year, regardless of how many times you may need to go to Hospital and does not apply to dependant children on a policy.

Excess example: You have ExtrasJar Health Bronze Plus Essentials Hospital with a $750 Excess. On admission to hospital you pay your $750 excess to the hospital for your first admission. If you are re-admitted in the same calendar year, you will not have to pay your excess again.

What is a Co-Payment?

A Co-payment is an amount in addition to your nominated Excess, that is payable by you every time you are admitted to hospital for a minimum of one night (ie. not day surgery).

Co-Payments do not apply to day admissions or to dependant children listed on a policy.

Here’s an example of how the co-payments work:

Co-payment example: You have a hospital cover with a $250 excess and $300 co-payment. On admission to hospital you pay your $250 excess and where you stay for a minimum of one night, you will also be required to pay your $300 co-payment.
If you’re re-admitted in the same calendar year (again for a minimum of one night), you will not have to pay your excess, however you will still be required to pay your $300 co-payment. If you’re admitted again before the end of the calendar year and stay overnight you’ll continue to be required to pay your $300 co-payment each time for each admission.

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