GMHBA Limited (GMH)

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GMHBA Limited

Since 1934, GMHBA has been providing Australians with the right choice for high quality, affordable health insurance. We have established an enviable reputation for providing members with relevant and contemporary selections of hospital and extras covers.

GMHBA is a 100% member based not-for-profit organisation. Our competitive rates ensure that members receive value for money health insurance all year round.

Today, GMHBA provides private health insurance to over 200,000 individuals and families across Australia.
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This information is provided by the fund


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.

Business Structure

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

GMHBA Limited operates in the Australian Capital Territory, New South Wales, Northern Territory, Queensland, South Australia, Tasmania, Victoria and Western Australia.

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 88.2% 85.7%
Management expenses (% cont) 10.8% 9.3%
Management expenses (average policy) $296 $268
Surplus 1% 4.9%
Member retention (%) 85.6% 88.6%
Coverage NSW & ACT VIC QLD WA SA TAS NT
Hospital Related Charges Covered 84.2% 92.2% 86.8% 88.2% 90.9% 85.3% 84.7%
Industry Result 88.8% 93% 90.4% 92.7% 95.4% 93% 87.7%
Medical Services with No Gaps 68.0% 82.5% 72.1% 63.0% 69.0% 71.2% 66.7%
Industry Result 87.5% 91.2% 88.4% 79.4% 93.9% 89.6% 81.4%
Medical Services with No or Known Gaps 78.6% 90.5% 79.0% 74.0% 81.4% 87.7% 72.7%
Industry Result 89.6% 95.1% 91.2% 93.7% 96.3% 95.3% 87.6%
General Treatment (extras) Covered 48.4% 49.1% 50.3% 52% 52.5% 50.0% 49.0%
Industry Result 49.4% 49.5% 51% 51% 53.9% 49.3% 49.5%
Private Hospital Agreements 83 74 49 17 28 5 1
Industry Maximum 88 76 56 21 30 6 1
Day Hospital Agreements 76 52 40 17 20 3 1
Industry Maximum 88 72 49 22 24 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 2.2% 1.8%
Service Complaints 1%
All Complaints 3.3%
Investigations 2.3%
Address
PO Box 761
GEELONG
VIC  3220

Phone: 1300 4 GMHBA (46422)
Email: service@gmhba.com.au
Website: http://www.gmhba.com.au

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

Policies

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