Westfund Limited (WFD)

We understand the health needs of people in regional Australia because we grew up here and we’re on your side. We are different because we live here. Our building blocks as an early not-for-profit health fund for miners is still deeply rooted in today’s Westfund – we exist for the health and strength of local communities and have been doing so since 1881.
We have members, not customers and we treat you like a real person. We’re always looking to fill the gaps in local healthcare and continue to provide ongoing regional investment and support, particularly in regional NSW & QLD. Westfund has invested millions of dollars in these areas to deliver much needed services to its members.
Our dental and optical services and community initiatives help improve health outcomes and we also assist various local clubs and community groups to help bring people together to live happier healthier lives. We always operate in our members best interests and are deeply connected to local communities, because this is where we live.
This information is provided by the fund

Westfund Limited provide further information regarding Gap cover doctors, Agreement hospitals, Ambulance cover information, Preferred providers 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 86.8% 87.1%
Management expenses (% cont) 12.6% 8.5%
Management expenses (average policy) $423 $276
Surplus 0.6% 4.4%
Member retention (%) 89.5% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 86.2% 93.1% 95.1% 91.2% 96.1% 90.9% 96.9% 95.3%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 78.5% 91.7% 95.0% 91.8% 94.0% 87.6% 92.4% 86.2%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 91.1% 95.2% 98.5% 95.8% 99.3% 93.6% 98.0% 94.4%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 42.9% 48.0% 46.0% 49.2% 46.2% 44.1% 41.7% 51.3%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 6 97 76 51 26 20 5 2
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 7 86 73 42 25 23 3 1
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 0.3% 0.7%
Service Complaints 0.2%
All Complaints 0.3%
Investigations 0.2%
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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Policies

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