ACA Health Benefits Fund (ACA)

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ACA Health is a restricted member Health Fund with the sole purpose of caring for the Seventh-day Adventist Church employees, and their dependant families, with a range of health insurance products second-to-none.
This information is provided by the fund

ACA Health Benefits Fund provide further information regarding Gap cover doctors and Agreement hospitals .

Agreement Hospitals

This fund has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs. You can view Agreement Hospitals for this fund in your region and further details are available from the fund.

Business Structure

This insurer is a mutual organisation that operates on a not-for-profit basis.

ACA Health Benefits Fund operates in all states and territories.

Membership restrictions

Membership with ACA Health is open to current and past employees of the Seventh-day Adventist Church and its associated companies in Australia - including Sanitarium Health Food Co, Sydney Adventist Hospital, Adventist Retirement Villages and Adventist Schools. Spouses of employees are entitled to be under the family membership, as are dependent children. We consider children dependent until the age of 21, or, if they are under 25 and unmarried full-time students earning less than $10,000pa. Once you've become a member you are eligible to stay a member for life... This means that you can stay with us after leaving SDA Church employment, and are always eligible to rejoin if you ever choose to leave the Fund. Past dependents are always eligible to join the Fund in their own right. If you are unsure of your eligibility to join ACA Health, please contact us for further information.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health funds. The following is a selection of statistics about this health fund - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some funds in some states, as there are insufficient numbers reported to PHIAC for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 91.4% 85.7%
Management expenses (% cont) 8.3% 9.3%
Management expenses (average policy) $339 $268
Surplus 0.2% 4.9%
Member retention (%) 94% 88.6%
Coverage NSW & ACT VIC QLD WA SA TAS NT
Hospital Related Charges Covered 92.4% 94.2% 94.7% 92.5% 98.1% 94.5% 83.8%
Industry Result 88.8% 93% 90.4% 92.7% 95.4% 93% 87.7%
Medical Services with No Gaps 90.0% 93.6% 88.9% 76.6% 95.6% 89.4% 86.6%
Industry Result 87.5% 91.2% 88.4% 79.4% 93.9% 89.6% 81.4%
Medical Services with No or Known Gaps 94.3% 97.4% 94.2% 85.5% 98.3% 97.1% 92.6%
Industry Result 89.6% 95.1% 91.2% 93.7% 96.3% 95.3% 87.6%
General Treatment (extras) Covered 61.7% 61.7% 61.7% 61.2% 67.3% 56.6% 61.3%
Industry Result 49.4% 49.5% 51% 51% 53.9% 49.3% 49.5%
Private Hospital Agreements 78 73 47 16 30 5 1
Industry Maximum 88 76 56 21 30 6 1
Day Hospital Agreements 73 52 36 11 20 2 0
Industry Maximum 88 72 49 22 24 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints - <0.5%
Service Complaints -
All Complaints 0%
Investigations 0%
Address
146 Fox Valley Rd
(Locked Bag 2014)
Wahroonga
NSW  2076

Phone: 1300 368 390
Email: info@acahealth.com.au
Website: http://www.acahealth.com.au

To view a list of ACA Health Benefits Fund products, please complete the following:

Policies

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* All items marked with an asterisk are compulsory