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NewsNot all health insurers equal
Not all health insurers equal

Not all health insurers equal

The affordability of various types of insurance is always a hot button issue with consumers but when asked about private health insurance uncertainty as to out-of-pocket costs, there is an even higher concern.

In the wake of the news premiums will rise by an average 5.6% on April 1 the insurer’s industry body says members dropping their cover cite ‘unanticipated medical gaps’ as an even greater concern than the upfront cost itself.

Our Facebook page details dozens of stories about increases from insurers and there’s no doubt people are feeling it. One way to beat the price rise is to prepay your annual premium BEFORE April 1, which will lock in last year’s price.

One of the ironies of insurance generally is that we understandably focus on the headline price of the premium first and then, if at all, focus on the terms and conditions about what’s actually covered and for how much.

In my experience when using your private health cover the gap payments and out-of-pocket expenses are both growing in amount and even more unpredictable in extent. The Australian Medical Association (AMA) went some way to addressing the problem by issuing a report this week that compared cover from various funds and found there were some big differences.

The Private Health Insurance Report Card – the first in a series the AMA plans to release – found HBF paid the most for nine of the 22 procedures.

We’re currently running an offer for FiftyUp Club members for up to $300 cash back from HCF. Click here to see the offer.

Disclosure has improved, with doctors and hospitals forewarning about these unpalatable ‘extras’ and the funds explaining how your cover is subject to excesses and limits but there’s a long way to go.

Most general insurance covers you for the costly and unpredictable bad things in life: crashes, fires, theft etc. If you never claim, you’ve lived a blessed life.

Arguably private health insurance covers you for the costly but often more predictable outcomes of lifestyle and ageing; dodgy joints, faulty ticker etc. 

But however healthy you are or long you live it’s far more likely you’ll make a claim. The experience of too many as to the costs of that claim suggest the system needs much more reform to empower not just consumers but their confidence in the whole idea.

Originally posted on .

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Gregory Peter
Gregory Peter from VIC commented:

OMFG WHAT HAVE I DONE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!WHAT A RIP OFF AND WHAT A BALLS-UP!!!!!!! DON'T GO THERE PLEASE!!!!!!!!!!!!!!!!! I just filled out the application online for the HCF offer. Was quoted online that I would pay $236.20 per month for top hospital and gold extras. Got an email back a few minutes after committing myself to what i thought would be a $35.38 per month saving on my existing top hospital and top extras cover with another company only to find the premium has been increased to $318.95 per month which is actually an increase of $46.37 per month. The HCF hotline could not explain why the big increase from quote to reality and now I have to try and cancel the HCF membership before I start paying and, more importantly, before they cancel my existing 30+ year membership with the other health insurance company. If I said I was disgusted that would be the understatement of the year!!!!! 

Someone
Someone from NSW commented:

Shame that the discount is not for existing hcf customers. I guess you are penalised for loyalty or already being a customer ? 

Someone
Someone from VIC commented:

We are members of G.M.H.B.A. Medical fund can you see if that is the best cover for us 

michael
michael from VIC commented:

Before signing up with HCF go to www.productreview.com.au) hcf. There is a lot of unhappy members. 

Norman
Norman from NSW commented:

HCF have just informed me our health cover will increase by 8% on the 1st of April or $304.80 per year for Top Plus and Multicover for a total of $ 4150.80 per year. My wife and I are both pensioners and have been with HCF since the early 50's but we cannot afford this increase, and would like to change to a more affordable Health Insurer who can offer the same benifits as HCF but at a more reasonable rate. Norman. NSW. . 

Someone
Someone from NSW commented:

There's a real inconsistency in the way health funds are allowed to present their offers. I've found the only way to compare apples with apples is to print out each provider's PDF schedule with the fine detail of what is actually provided to make a true comparison. Here's the catch NIB quote their rebates in percentages (of the amount charged) for treatment whereas HCF quote rebates in actual dollar amounts. More work needs to be done by the regulators to mandate an approved standard to make it easier to understand the true benefits from each provider. Additionally Health Funds should be more actively involved in providing incentives for healthy living rather than whacking all members with the blanket annual increase. Driving healthly living should be part of their charter. 

Kim
Kim from NSW commented:

I have been paying into HCF since 1995 and have been privately covered since I was 15 I am now 60. When I had to have a hip replacement HCF would not cover me because I was not in the Top cover. I had to go on a waiting list to go to a public hospital that medicare paid for. I pay into HCF, pay the medicare levy as well as my husband pays the medicare levy and then we pay a gap when we have to claim. It is a rip off. 

michael
michael from VIC commented:

Try Latrobe Health for a quote. I just signed up with them. They gave me the option of paying six monthly or twelve monthly in advance and I would be getting cover at this years rates for the chosen period if I joined before 1st April. I was with HCF !!!!!! 

LS
LS from VIC commented:

For a developed country, we sure are backwards compared to say, Singapore. They have a much more transparent system whereby the costs of medical procedures etc in various hospitals etc are published on a single website. It's a no-brainer. Why don't, or can't, we do that here? 

patricia
patricia from NSW commented:

Talked with H C F earlier in the campaign , to be informed it would save us $3 but we would be on a waiting list for various cover , and only be covered for basic not private !! We have been in private since 1964 [ CANNOT WIN ] 

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