CBHS Health Fund Limited (CBH)

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.

Performance Insurer Industry
Benefits as a % of contributions 96.2% 88%
Management expenses (% cont) 8.9% 9.2%
Management expenses (average policy) $391 $343
Surplus -5.1% 2.7%
Member retention (%) 91% 81%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 86.6% 90.7% 94.0% 92.8% 95.4% 92.7% 93.9% 96.2%
Industry Result 84.7% 90.8% 92.4% 91.1% 94.6% 93.5% 93.7% 91.2%
Medical Services with No Gaps 82.4% 90.1% 90.5% 92.3% 91.7% 86.0% 91.2% 95.2%
Industry Result 79.6% 90.5% 89.0% 90.8% 92.0% 87.5% 91.3% 88.9%
Medical Services with No or Known Gaps 95.8% 97.0% 98.3% 97.7% 98.7% 97.3% 98.7% 98.2%
Industry Result 92.8% 97.0% 98.0% 97.0% 99.5% 97.2% 98.6% 97.0%
General Treatment (extras) Covered 42.6% 47.8% 48.8% 50.2% 52.7% 49.9% 47.8% 46.1%
Industry Result 48.0% 50.7% 52.3% 54.1% 57.6% 57.1% 54.3% 59.5%
Private Hospital Agreements 5 94 72 50 25 21 8 2
Industry Maximum 8 96 77 57 28 25 8 2
Day Hospital Agreements 8 89 72 50 27 22 4 1
Industry Maximum 9 109 83 61 33 25 9 2
Share of PHIO complaints compared to insurer market share
Benefit Complaints 1%
Service Complaints 3.3%
All Complaints 2.2%
Investigations 2.9%
Market share 1.5%