Would not recommend Peoplecare to anyone based on my experiences
I knew I had to get major dental work done. Before I got the work done, I contacted Peoplecare to confirm I was covered / hadn't exceeded any relevant limits. I was told I was covered for a large portion up to a certain amount. I got the work done and submitted the claim at the end of April 2019. When we didn't hear anything back, I followed up in mid-late May 2019, and was told over the phone that the claim was denied on 2 May 2019 because a limit was exceeded. I still haven't received any written notification or reasons. We will be disputing any denial of a claim with the PHIO if not resolved with Peoplecare.
On a broader note, we also requested a Member Benefit Statement from Peoplecare back in April 2019. Going through it, we realised we were paying Peoplecare thousands of dollars in Provider Fees, and not even receiving half of that back through Total Benefits. We have decided to shop around, and have been pleasantly surprised by what's on offer out there. We are looking forward moving forward with a different fund, and putting Peoplecare behind us.
I have been with peoplecare for 33 coming to 34 years. I now have my child and husband with peoplecare. My policy payments are directed debit so payment is always made. Recently, my child has required an item that costs $1500. However upon calling peoplecare and going through nearly a week process of providing documents we were rejected for more help. Only being able to claim $200. After research and speaking to other companies, they offer more in return and willing to waive my waiting periods. Loyal members do not get looked after. Doesn’t matter if you’re 3 years or 30. They will put you through a process to be rejected in the end. You pay for insurance to get close to nothing in return. Poor effort Peoplecare.
I have been a member with Peoplecare since 2011
I pay $341 a month I am a loyal member
I was diagnosed with kidney cancer and needed an urgent operation
I contacted Peoplecare directly and quoted them item numbers to confirm I was covered for these procedures.
I thought I would have peace of mind with Peoplecare that they will take care of my expenses, I had prepaid $5392 in surgical and hospital fees.
What did I get back from Peoplecare $322
I am very disapointed
Been with CUA healthcare for 2 years now.
They've been excellent.
Great customer service.
Quick to get back to you and super fast at reimbursing when claiming.
Good at taking payment and that's about it
Paid my premiums for years without claiming a single item, payment method failed and when I called to rectify and pay up to date they told me my cover had been cancelled and my cover level was discontinued anyway so I would have to sign up and re-start waiting periods. An excellent opportunity to look for an alternative provider.
Raising premiums and less choices now
Even though customer service is generally good and friendly , really disappointed they have raised premiums again and now have cut further choices of hospital cover. They said the intermediate cover may come back with different benefits. The sad part is we have no say in anything about this regardless of your family or individual situation.
Have been with them for only 1 yr and within a few months needed 7 of my sons teeth removed in hospital. They were extremely helpful. Have always found very little waiting time on the phone and they even reissued my reward bonus when I failed to activate it. Thanks George for the great service. I love the way they don't force you to do everything online!! We have basic cover but still peace of mind, in fact the price I paid with my old fund when swapping I was able to include basic extras. Now that's a bonus I never expected!! Seems only the people who have problems seem to do reviews. I must admit getting this through took patience and persistence, I can see how you would give up unless you had a crappy experience, anger makes you more determined.
I love Peoplecare
I have been with Peoplecare since 1967 when it was Lysaghts. I have always found them helpful, polite and ready to listen. In fact they have at times gone above and beyond to help me.
Be careful and read fine print for unexpected expenses
Ordinary. Questioned out of pocket expenses over and above excess and I was told how lucky I was that the fund pain $19k in medical costs. We have paid into the fund over 20 years. Please
Excellent Health Insurance Product and Service
I've been a member of Peoplecare (and BHP Industry Fund predecessors) since Jan 1997. The policy has always been competitively priced and the customer service, including refunds, etc, exceptional. Previously I was with Medibank. Chalk and cheese.
Long Term customer - Poor service received Peoplecare are a joke
Staff are unhelpful and don't know how many people actually work for their organisation.
Get new staff they are crap and dont know how to deal with customers.
Spoke to a team member today to hold my membership whilst out of the country received verbal confirmation from the team member that I would not be charged today and the next fortnight. Surprise surprise I was charged sent an email to email@example.com @ 12.24pm no response then called the contact number and spoke to the most unhelpful person [name removed] who doesn't work for accounts yet tried to advise incorrect information.
I have been asked to send my bank statement to them so they can confirm payment what an inconvenience
Am currently looking for a new health insurer as this mob are useless pretty disappointed actually.
long term member- totally disgusted
totally disgusted in how I was treated and how a claim was handled, exceptionally poor customer service not only from staff but from a supervisor, what a joke, looking for abother provider
Poorcare, but they look great
I was with BUPA overseas after many years wth HCF in Sydney. I thought the look and feel of Peoplecare was attractive. Very approachable, good people with good intentions. That's all marketing. Fantastic marketing. When it comes to the nitty gritty of what you get - it's a complete rip off. Beware the waiting periods. Where are they disclosed? Up front like the friendly casual look and feel? Nope. And I've never ever experienced waiting periods like these guys - astonishing. I just wanted to claim cover for getting some glasses and a regular check up at the dentist. Nope.
Rude, condescending, deceiving, have to follow up with claims, or else they don't pay.
When I first signed up with Peoplecare 'Hospital and Extras' it cost me more than $2000/year, they were more than willing to answer my questions and return calls with my 'LHC' inquiries.
There were times for them to pay a claim, simply wasn't as straight forward as other insurers, which can be time consuming to have to prove to them payments were not received, and this back and forth stuff can get too much, they are not apologetic when they make mistakes, and if anything they are defensive!
A month ago I decided to change over from 'Hospital and Extras' to just the 'Extras' a big step down and I was going to save heaps, only costing me less than $600/year. One particular staff member became incredibly rude, and blurted out random negative feedback, which made me very uncomfortable. Then when I asked to speak with a manager, she was worse and came across quite aggressive in her mannerisms and extremely condescending. She made many excuses to not help with a serious inquiry, and would repeat, 'now moving forward', over and over.
Customer support records are not up to date, and communication skills are non existent in my opinion.
PEOPLECARE, I'm happy to find another insurer, an insurer who is more efficient, who pay claims without the customer having to follow up 10 calls later. Most of my reviews are about the importance of customer support, not being respectful of your customers is enough reason for me to drop you and find a safer reliable Health Insurer.
I bought extra health cover from them before, they were pretty good with customer service and claim. Was happy with them. I didn't feel I needed the extra cover, so I cancelled it, and they helped me with the cancellation straightaway. If I were to get extra health cover, I think I'd choose them again.
Good while it lasted - leaving today.
I've been with Peoplecare for about 5-6 years on their top hospital and extras. Paid many thousands over the years and claimed very little, but I felt secure knowing that if I did need a major claim I would be fine.
From the few claims I have made the process has mostly been painless and it is great to call and get a local person.
However, as with other health funds prices have gone up a lot since a couple of years ago, the latest increase quite steep. On top of that I have had my employment hours cut basically in half. I now rely largely on Government benefit to pay rent, food, etc... really hard currently, until my work picks up again in a few months. I called Peoplecare about a temporary suspension, BUT, I don't qualify unless I'm totally unemployed. Despite experiencing financial hardship under the pure definition I do not meet their definition/criteria. So I had to decide whether or not to forego my 2 shifts a week at work and become totally reliant on Centrelink in order to meet Peoplecare's criteria and therefore be granted a suspension, keeping all my served waiting periods etc... or be forced to totally cancel my membership and then in a few months join again (maybe not Peoplecare) and reserve all the waiting periods again?
I have decided to cancel because I think it would be foolish and unfair to taxpayers for me to deliberately forego work and rely on Centrelink.
Anyway, obviously Peoplecare have their reasons for such criteria, I suspect it might be to deter anyone trying to exploit them in some way, although I can't think how right now. Nonetheless, I now feel I have wasted thousands of dollars over many years and I certainly don't feel like Peoplecare actually do care.
Goodbye private health insurance... and having worked in Private Health Care myself I have personally witnessed so many things wrong with the whole private system that I often think a person is better off in the public system for most medical issues.
I can't complain...
We have been with them since 2012. During this time, we had 2 child births plus couple of other claims. All our claims were promptly settled. Compared to what we paid in 2012, we now pay $1000 more. I think it is the case with all health funds out there. I still think they are quite reasonable compared to the service we received.
Don't feel valued!
Just had our premium increase by 6%! Been with Peoplecare for 5 years and obviously they feel we don't qualify for the average increase. We even have the top cover. Feeling a bit taken for granted by them to be honest.
Just joined this fund a month ago to save some private fund cost and received a letter stating that my premiums will increase by 8.2% for the new year...this is $400 extra. The company is doing well with total equity up by 10.5% while cash flow is up 10.2% for the 2016 FY and so I am struggling to see the sense in the huge premium increase.
March 5th 2018 Update: Second consecutive huge premium increase OF 7.7%.
Last year I wrote about the 8.2% premium increase and got all sorts of explanations for that. This year my friendly premium increase letter states that there will be a 7.7% premium increase. Last year the 8.2% increase was way over the average industry increase while this year it is about double. So, over the last 2 years then we are experiencing a total increase of 16.5% I wonder what the explanation for this hefty increase would be this time! I will certainly start looking around for quotes from other providers this time as the rate of premium increases, so far above the industry standard, is just not fair and acceptable for a health fund who makes strong financial returns.
I had a claim repeatedly rejected. It was a simple case, I had symptoms caused by taking antibiotics, backed up by declarations from both my GP and specialist. I had no symptoms prior to taking the antibiotics.
Peoplecare categorised this as a pre-existing condition. I provided a large quantity of medical information, which wasn't deemed sufficient to prove I didn't already have the condition. I don't know what other information I could have given. The review process is opaque and the 'medical' expert reviewing the information does not appear to be objective, or impartial.
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