Defence Health Limited (AHB)

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Defence Health Limited, formerly known as Army Health Benefits Society (AHBS), operates on a not for profit basis and has been serving the Defence community since 1953.
This information is provided by the fund

Defence Health Limited 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.

Defence Health Limited operates in all states and territories.

Membership restrictions

(a) Current and former: (i) members of the Permanent and Reserve ADF; (ii) employees of the Department of Defence and related departments; (iii) employees of Defence related agencies, authorities and companies and companies contracted to Defence where in all cases the employee is or was involved in supplying goods or services to Defence. (b) Persons who were insured by Defence Health on 12 October 2007. (c) Extended family of above, being partners and former partners; dependent children; parents; adult children, their partners and dependent children; siblings, their partners and dependent children.

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 89.2% 85.7%
Management expenses (% cont) 5.6% 9.3%
Management expenses (average policy) $165 $268
Surplus 5.2% 4.9%
Member retention (%) 91% 88.6%
Coverage NSW & ACT VIC QLD WA SA TAS NT
Hospital Related Charges Covered 89.7% 93.6% 91.6% 90.7% 94.5% 94.4% 91.4%
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 43.9% 47.3% 46.0% 45.1% 48.8% 42.7% 43.9%
Industry Result 49.4% 49.5% 51% 51% 53.9% 49.3% 49.5%
Private Hospital Agreements 88 76 49 17 30 5 1
Industry Maximum 88 76 56 21 30 6 1
Day Hospital Agreements 83 70 43 22 23 3 1
Industry Maximum 88 72 49 22 24 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 1.3% 1.6%
Service Complaints 1%
All Complaints 1%
Investigations 0.6%
Address
PO Box 7518
Melbourne
VIC  8004

Phone: 1800 335 425
Email: info@defencehealth.com.au
Website: http://www.defencehealth.com.au

To view a list of Defence Health Limited products, please complete the following:

Policies

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