Which HIF Hospital policies includes ART/IVF?

Our Gold Top Hospital Cover option include Assisted reproductive technology (ART) services such as IVF. With this cover, you can claim benefits towards your anaesthetist and doctors’ fees when admitted to hospital as an inpatient. You'll also be covered for theatre fees and accommodation in an HIF-contracted private hospital1, supporting your journey with IVF private health insurance benefits.

Top cover
  • Why choose Gold Top?

    • Top hospital cover for total peace of mind
    • Private room in an HIF-contracted hospital1 
    • Choice of hospital excess to reduce your premium
    • Includes AccessGap cover to help minimise out-of-pocket expenses
    • Your child can remain on your policy until they turn 21 (or up to their 31st birthday if they're studying full time)
    • Provides access to HIF Second Opinion - receive a second opinion on any diagnosis, condition or treatment
    • View full Hospital Cover comparison table

If you'd like to receive a medical benefit estimate prior to undergoing ART, simply send us the associated Medicare item numbers (available from your specialist) and we'll be happy to help.


What are the waiting periods for ART/IVF?

If you're considering assisted reproductive technology (ART) or IVF treatment through HIF's hospital cover, it's important to be aware of the applicable waiting periods. The waiting period for members who haven’t previously held Hospital cover that includes ART and maternity services is:

  •  12 months (pre-existing condition) 
  •  2 months (not a pre-existing condition)

Understanding these timeframes is essential when planning for IVF with private health insurance, as eligibility and timing can impact your treatment journey.

 

Frequently Asked Questions?

Does private health insurance cover IVF?

Yes, private health insurance can cover IVF, but only for the in-hospital parts of treatment. HIF’s eligible hospital policies include assisted reproductive technology benefits such as theatre and hospital costs when you’re admitted for IVF. Out-of-hospital IVF expenses like consultations, tests, and medications aren’t covered. 

What is the difference between ART and IVF?

Assisted Reproductive Technology (ART) is an umbrella term that covers a wide range of fertility treatments and procedures designed to help people conceive. ART includes several different methods, such as IVF, ICSI, ovulation induction that involves hospital admission, and other related services. 

In Vitro Fertilisation (IVF) is one specific type of ART. It involves combining an egg and sperm outside the body before transferring the embryo back into the uterus. 

In short: 

  • ART = the broader category of fertility treatments. 

  • IVF = one of the treatments within ART. 

This aligns with how HIF groups and covers services under the Assisted Reproductive Services clinical category. 

 Do I need a certain level of cover to access ART? 

Yes. To access assisted reproductive technology (ART) services such as IVF or ICSI through HIF, you must hold a Hospital Cover that includes Assisted Reproductive Services. ART is not included on all levels of cover, so you’ll need to be on a Gold or Gold-tier equivalent product that lists Assisted Reproductive Services as an included clinical category.

If your current cover does not include this category, you would need to upgrade your Hospital Cover and serve any relevant waiting periods before claiming ART-related hospital services. 

What should I check before starting IVF or fertility treatment?

Confirm your waiting period, check your excess, review your hospital cover inclusions, and ask your specialist whether any part of your treatment requires hospital admission.

Want more info?

If you would like to check your eligibility for ART procedures or to find out more about IVF health insurance options and discuss some options, please don't hesitate to get in touch.

Related pages:


Find out more about HIF Hospital Cover.

Use the panels below to learn more about commonly used inpatient services.