Navy Health Ltd (NHB)

Navy Health is a restricted not-for-profit registered private health insurer. To see if you are able to join go to www.canijoin.com.au.
This information is provided by the fund

Navy Health Ltd 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.

Navy Health Ltd operates in all states and territories.

Membership restrictions

Once accepted as a member your and your family are entitled to lifetime membership eligibility. Membership of the fund is available to current and former; Serving and Civilian ADF personnel, Employees of civilian organisations contracted to provide services to the Department of Defence and Navy Health, members of the ADF Reserves, Cadets (RAN, ARA & RAFF). The extended families of each group above are also eligible to join. (Extended families include; parents, siblings, partners/ex-partners and the adult and dependant children of the family member). Navy Health offers discounted premiums to serving personnel. For more information go to www.navyhealth.com.au

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 86% 85.7%
Management expenses (% cont) 10.4% 9.3%
Management expenses (average policy) $337 $268
Surplus 3.6% 4.9%
Member retention (%) 92% 88.6%
Coverage NSW & ACT VIC QLD WA SA TAS NT
Hospital Related Charges Covered 89.9% 93.9% 91.6% 89.8% 96.1% 93.4% 78.5%
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 46.7% 51.5% 47.9% 46.3% 52.8% 48.7% 43.4%
Industry Result 49.4% 49.5% 51% 51% 53.9% 49.3% 49.5%
Private Hospital Agreements 82 74 49 17 30 5 1
Industry Maximum 88 76 56 21 30 6 1
Day Hospital Agreements 82 63 43 20 22 3 1
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 0.1%
Investigations 0.2%
Address
PO Box 172
Box Hill
VIC  3128


Phone: 1300 30 6289
Email: query@navyhealth.com.au
Website: http://navyhealth.com.au

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Policies

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