CBHS Health Fund Limited (CBH)

CBHS is a not-for-profit private health fund, exclusively for employees and ex-employees, contractors and franchisees of the Commonwealth Bank Group and its affiliated companies.

This information is provided by the insurer

CBHS Health Fund Limited provide further information regarding:

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 see Agreement Hospitals for this insurer and further details are available from the insurer.

Business Structure

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

CBHS Health Fund Limited operates in all states and territories.

Membership restrictions

The current or former employees of the Commonwealth Bank Group (CBA Group) are eligible to join CBHS. The CBA Group includes (a) Commonwealth Bank of Australia (b) current and former subsidiaries (within the meaning of the Corporations Act 2001 (Cth)) of the Commonwealth Bank of Australia; (c) Gateway Bank Limited (d) a person who is, or was (i) an employee of a contractor to any of the CBA Group and who is, or was, involved in supplying goods or services to the CBA Group; or (ii) an employee of a franchisee of a subsidiary company within the CBA Group. In addition, CBHS eligibility rules allow for the above person's partner (including former partner), dependants, siblings, parents and grandchildren to join the fund. Remember once eligible, your eligibility (and your eligible family) remains regardless of your current employment.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health insurers. The following is a selection of statistics about this health insurer - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some insurers in some states, as there are insufficient numbers reported to APRA for states in which the insurer does not have a large membership.

Ombudsman complaints compared to market share
All complaints 1.4% 1.5% market share
Investigated complaints 3.3%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 92% 86%
Benefits as % of contributions 88.5% 85.4%
Management expenses % of contribution income 9% 9.5%
Management expenses per average policy $409 $358
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 83.3% 90.4% 93.4% 92.2% 94.7% 92.8% 93.2% 87.1% 91.7%
Industry Result 83.1% 89.7% 91.9% 90.3% 93.9% 93.0% 93.4% 90.0% 91.0%
Medical Services with No Gaps 79.1% 90.8% 90.9% 91.5% 91.2% 88% 90.6% 91% 90.7%
Industry Result 78.1% 89.8% 88.8% 89.7% 90.7% 87.6% 91.6% 88.5% 89.3%
Medical Services with No or Known Gaps 97.3% 98.4% 98.9% 98.9% 99.7% 97.4% 99.1% 97.9% 98.6%
Industry Result 92.7% 96.5% 97.6% 96.8% 99.1% 97.0% 98.2% 96.2% 97.1%
General Treatment (extras) Covered 44.5% 47.8% 49.2% 50.5% 52.8% 50.4% 47.8% 47.3% 48.9%
Industry Result 47.7% 50.1% 51.7% 53.4% 56.7% 56.6% 54.1% 58.8% 52.6%
Private Hospital Agreements 5 97 72 49 19 21 9 2 -
Industry Maximum 6 99 84 61 27 28 9 2 -
Day Hospital Agreements 8 89 72 48 26 22 5 1 -
Industry Maximum 11 108 94 64 35 39 9 2 -
Address:
Level 16, 6 Hassall Street
Parramatta
NSW 2150
Phone: