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GMHBA Health Insurance

GMHBA Health Insurance

4.2 from 323 reviews · View Statistics
Listing monitored by GMHBA Health Insurance

Reviews

2.3
4 reviews
5
(1)
4
(0)
3
(0)
2
(1)
1
(2)
  • Value for Money
    2.0 (3)
  • Transparency
    1.5 (2)
  • Customer Service
    3.0 (3)
  • Claim Resolution Time
    • 2-4 weeks (1)
    • 3+ months (1)
  • Claim ApprovedYes · No (3)
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Cassandra
CassandraSydney, NSW
  • 18 reviews
  • 16 likes
  • Verified

Great people benefits good but bumpy claims process and short staffed on phones and in claims note...

published

Great until you claim about hospital admission.....issues with item numbers
Issues charging excess where didn't apply not sure what happened....?
Great staff but multiple problems claiming - item numbers argued about with surgery
Claims Process not aligned with surgeon caused angst with parties involved
Maybe not enough technical staff for claims enquiries ?.dont know
Staff very professional esp [name removed] is amazing and [name removed] too.
But.... claims process via email very bumpy lots of swings and roundabouts but this and that....
Issues contacting with long wait times 10 day wait for claiming minimum 15-20min wait on phone. Great people. High premiums.

Value for Money
3/5
Transparency
2/5
Customer Service
5/5
Incentivised Review No
Claim Made Yes
Plan CoverageHospital and extras
Coverage TypeFamily
Under 30No
Claim Resolution Time2-4 weeks
Claim DateNovember 2019
Claim ApprovedNo
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Unable to sympathise to a pts need even after giving incorrect information

published
Value for Money
1/5
Transparency
1/5
Customer Service
2/5
Incentivised Review No
Claim Made Yes
Plan CoverageHospital and extras
Coverage TypeSingle
Claim Resolution Time3+ months
Claim DateJanuary 2019
Claim ApprovedNo
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Kim Testa
Kim Testa
  • 2 reviews
  • 2 likes

Be very Wary

published

We were lured to this Fund with the promise that we would have continued cover when we changed funds. This was not the case. Be very wary when joining this Fund. Needless to say we went back to HCF

Value for Money
2/5
Customer Service
2/5
Incentivised Review No
Claim Made Yes
Plan CoverageHospital and extras
Claim ApprovedNo
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Questions & Answers

Lynette Rochow
Lynette Rochowasked

What am I covered for

No answers
Marlene K
Marlene Kasked

Does GMHBA cover some/all the cost of blood pressure monitors

No answers
Wilma S.
Wilma S.asked

Which A C T pathology groups do GMHBA have agreements with . I would like to join but have read reviews which Suggest ACT residents may be disadvantaged .thank you Wilma

2 answers
Old boy
Old boy

Capital Pathology has the bulk of the business in the ACT. Only a problem if you are hospitalised and lot of blood tests were done, as in my case. I am not sure if GMHBA has no fee agreements with others in the ACT.

Wilma S.
Wilma S.

Thanks for your response . Perhaps GMHBA could clarify this .

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Details

CategoryHealth Insurance
Visit official website
  • AHIFC: GMH

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