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
Questions & Answers
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 .
Is GMHBA refunding extras to policy holders not used during COVID?
Perhaps a rethink on the way this question is asked may help - at least me - especially the reference to COVID
I am not aware of what may be suggested here
What exactly has prompted this question?
Is their murmuring within the ranks I know nothing about?
There was a mention on Channel 7 last week that some health funds were refunding portions of unused extras on policies during 2020.
Thanks. It is now dawning on me as to your intent ... don't follow those type of sensational Public Affairs TV shows
My response: Why expect a refund?
What about 'normal' years when 'we' don't use all of our 'entitlements'
So, why should we cry foul just because we have a political lockdown?
I did not receive a full Extras refund fr GMHBA on new spectacles, as I did not think to check if my wife had claimed earlier in the same year (mine was at a considerable cost - three sets of specs: general, reading and 'required' prescription sun glasses (early cataracts developing). If I had just held out till the new Extras year rolled over ... !
Would be nice to be able to claim 'certain extras' to support specific medical conditions, in my case, a quality BP monitor
My long history of cardiac claims (GMHBA) would surely have given some value where our GMHBA Extras have generally (I think) been on the moderate side. Not sure how this could be manageable without an even greater admin burden on the Health Fund
And where do you stop like, a no-claim bonus where we don't use our Hospital cover for any year?
On my care insurance I recently had an automatic refund of approx $250, all because I had just included one of my daughters (aged 45) as another authorized driver (not a full-time driver). I was not under any penalties on that policy, although her no-claim accident history counted towards that $250.
My only point here is flexibility if possible at all, and every case on its merit and loyalty. Thank you. John
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