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 disputin...g 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.
Questions & Answers
If you have had private insurance for years with another company years I mean like 20 years plus do waiting periods apply when joining a new company? Thinking of going with people choice a non for profit company. Im with Medibank and get charged a fortune about $95 a month with 70% back.
Depends on the company. I know some companies dont make you sit through the waiting periods again however they do ask for your current details and member number etc to double check.
True Im certainly not signing up to a new one then having to wait two or three months to use anything and paying for it!
Hi Chloe, thanks for getting in touch!
If you're transferring from another fund, Peoplecare will recognise any waiting periods you've already served if you switch to a similar level of cover within 30 days of leaving the other fund. If you'd like more info, please give us a buzz on 1800 808 708 or we can have one of our customer service experts give you a call and answer any questions you have!
Take care Monique @ Peoplecare
I am considering changing to your fund - I have been fully insured with my current insurer for over 30 years. We ran into an unexpected problem when they refused to cover tests in Emergency before admission. What is the policy at PeopleCare
Thanks for getting in touch Steve. Sorry for the late response, we only just came across this one. Most funds don’t pay towards tests in emergency as the hospital considers you as an outpatient until you’re actually admitted as a patient. However, the hospital should be upfront with you about this and the fees involved. I hope this helps, please let us know if you have any more questions. If you’d like more info on our available covers PM us your details and I can have one of our Customer Service Experts contact you, or give us a buzz on 1800 808 700. Take care - Brooke @ Peoplecare
Hi what level of care is hip replacement covered...ty john.
Hi John! Thanks for getting in touch. Hip replacements are covered under our Premium Hospital cover as a Private Patient in a Private Hospital. You would then also be covered for rehabilitation after your hospital stay. We’d be happy to chat to you further about this to make sure you have all the info you need before joining such as excess, out of pocket expenses and waiting periods.
Please give us a buzz on 1800 808 700 or private message us your details and a time and date that would suit you best and one of our experts would be happy to give you a buzz. Take care – Brooke @ Peoplecare
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