Report of Health Fund Service and Performance

The Private Health Insurance Ombudsman, Mr John Powlay, yesterday published the second annual “State of the Health Funds Report”, providing information on the comparative performance and service delivery of private health insurance funds.

“This year’s State of the Health Funds Report also includes a comparison of the effectiveness of the various health fund gap cover schemes in eliminating or reducing any medical gaps involved in private hospital treatment,” Mr Powlay said.

“The report is focussed on general performance and service delivery by health funds rather than detailed information on all health insurance products” he said.

This year, the Ombudsman has also used the information contained in the State of the Health Funds Report to prepare report cards, “Individual Fund Summary Reports”, on each health fund.

As regards dental cover, BUPA funds (HBA, Mutual Community) cover 48%, Medibank Private cover 46% and MBF cover 52%.

The State of the Health Fund Report can be viewed on the Ombudsman’s website and copies of the report or individual fund summary reports can be requested by contacting the Ombudsman’s office.