National Health Benefits Australia Pty Ltd (onemedifund) (OMF)

onemedifund was established in 2007 as the health fund brand for National Health Benefits Australia Pty Ltd

This information is provided by the insurer

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

Business Structure

This insurer operates on a for-profit basis

National Health Benefits Australia Pty Ltd (onemedifund) 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 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 0% <0.1% market share
Investigated complaints 0%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 92% 86%
Benefits as % of contributions 82.9% 85.4%
Management expenses % of contribution income 9.9% 9.5%
Management expenses per average policy $584 $358
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 85.1% 93.0% 94.8% 95.5% 96.6% 94.8% 96.0% - 94.2%
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 67.7% 89.7% 89.7% 94.3% 91.2% 88.5% 93.0% - 90.4%
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 80.6% 96.7% 98.8% 99.3% 99.7% 98.1% 99.6% - 97.9%
Industry Result 92.7% 96.5% 97.6% 96.8% 99.1% 97.0% 98.2% 96.2% 97.1%
General Treatment (extras) Covered 42.5% 51.6% 55.5% 51.2% 54.8% 56.9% 52.9% - 53.3%
Industry Result 47.7% 50.1% 51.7% 53.4% 56.7% 56.6% 54.1% 58.8% 52.6%
Private Hospital Agreements 5 98 76 51 20 22 5 2 -
Industry Maximum 6 99 84 61 27 28 9 2 -
Day Hospital Agreements 8 88 69 46 27 21 6 1 -
Industry Maximum 11 108 94 64 35 39 9 2 -
Address:
Locked Bag 25
WOLLONGONG
NSW 2500
Phone: