Westfund Limited (WFD)

Westfund Health is a not-for-profit, member-owned health fund. We offer health cover right across Australia. We’re stable, secure and have been looking after members for 85 years. We have a full range of health cover options including hospital, general treatment (extras) and combined covers and your dependent children are automatically covered on your own membership until they’re 21.
Our members’ needs drive everything we do. That means providing you and your family with real value by offering high quality cover at very competitive rates, backed up by our easy to deal with service team. We also reward our members with special Member Advantages that build up over time. The longer you’re with us, the more you get back.
This information is provided by the fund

Westfund Limited provide further information regarding Gap cover doctors, Agreement hospitals, Ambulance cover information and Overseas visitors .

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.

Westfund Limited operates in all states and territories.

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 85.1% 86.9%
Management expenses (% cont) 11.5% 8.8%
Management expenses (average policy) $335 $263
Surplus 3.4% 4.3%
Member retention (%) 91% 87.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 88.2% 93.1% 95.3% 90.4% 93.3% 92.6% 98.0% 82.2%
Industry Result 81.4% 89.1% 93.3% 90.4% 95.7% 92.9% 93.5% 88.3%
Medical Services with No Gaps 78.9% 90.5% 94.2% 90.5% 96.0% 82.3% 91.1% 87.8%
Industry Result 77.8% 88% 91.5% 88.2% 93.6% 81.6% 89.3% 81.5%
Medical Services with No or Known Gaps 87.8% 94.6% 97.7% 94.8% 98.8% 90.8% 97.5% 93.5%
Industry Result 82.2% 89.8% 92.2% 90.9% 96% 94.7% 95.4% 87.8%
General Treatment (extras) Covered 41.5% 48.1% 40.0% 42.9% 47.1% 41.3% 37.8% 45.5%
Industry Result 45.8% 50.6% 51.4% 52.6% 55% 52.7% 51% 52.1%
Private Hospital Agreements 4 88 76 48 29 18 5 1
Industry Maximum 5 90 76 54 30 21 6 1
Day Hospital Agreements 10 84 66 41 24 19 3 1
Industry Maximum 10 85 72 49 25 21 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 0.1% 0.7%
Service Complaints 0%
All Complaints 0.6%
Investigations 1.4%
Address
PO Box 235
Lithgow
NSW  2790


Phone: 1300 937 838
Email: enquiries@westfund.com.au
Website: http://www.westfund.com.au
Branches: http://www.westfund.com.au/why-westfund/branch-locations

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