Great people benefits good but bumpy claims process and short staffed on phones and in claims note...
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.
Unable to sympathise to a pts need even after giving incorrect information
Needing a private procedure completed I seeked out my health fund to ensure I was covered, after being told I needed a pre existing condition form I went to my local branch where I was then told I no longer needed to complete the form and that I was in fact covered. Happy to go ahead with the operation I was told merely a week before that I was in fact not covered and was told to once again get the form completed, I’m sick, still working full time and now needing to complete paperwork amongst two drs within 6 days or needing to foot the bill my...self. Although I understand procedure the fact I was told I was covered and then had that rebuked made me unable to trust this health care provider. People on the phone were polite however although saying they sympathised to the situation provided no possible ways of helping my situation. If you tell someone they are covered you should honor that’s agreement. Not take it away the week before the operation is to go ahead.
Be very Wary
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
Extremely happy with gmhba and their quick service and very good rates
Have been with gmhba since 2007 and always been very impressed with quick payments to my account and also very happy when I ring them and get great service.
October 2nd 2019 Update: Great service, and quick results
Im about to lodge a claim, having cataracts done so will let you know how quickly its resolved. Am having the first one done o nov 4 and the second one done on dec 2 so will claim early December
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Questions & Answers
What am I covered for
Does GMHBA cover some/all the cost of blood pressure monitors
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
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.
Thanks for your response . Perhaps GMHBA could clarify this .
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