CBHS Corporate Health (CBC) Review

Overview

CBHS Corporate Health is part of the CBHS Health Fund and was established 60 years ago by the Commonwealth Bank. The health fund has over 210,000 members.

CBHS advocates employee wellbeing and is a fund that works in conjunction with corporations to provide health insurance to its employees but is not restricted to business organizations.

Health Fund Key Facts

Founded: 1947

For-Profit or Not-For-Profit?: For-Profit

Private Hospital Agreements Nationwide: 247

Day Hospital Agreements Nationwide: 181

Head Office: Parramatta, NSW

Health Deal Represented?: No

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CBHS Corporate Hospital Cover

CBHS Corporate Health offers 4 levels of Hospital Covers:

  • Entry Hospital (Basic Plus)
  • Bronze Hospital Plus
  • Silver Plus Hospital
  • Gold Hospital

CBHS Corporate Extras Cover

Extras Cover takes care of the everyday healthcare service expenses you may incur during your hospital stay that are not typically covered under Medicare such as dentist visits, optometric, chiropractor and physio requirements.

CBHS offers 3 Extras policies beginning with their Starter Extras, which provides cover for preventative dental, optical and physiotherapy services. The remaining level of Extras Cover provides a wider coverage of medical services such as audiology and midwifery. The 3 Extras Cover options CBHS offers are:

  • Starter Extras
  • Value Extras
  • Premier Extras

CBHS Corporate Combined Cover

Hospital and Extras Covers can be bought individually or combined to provide members with a more comprehensive health care package. The level of protection you’ll receive depends on which of the combined policies you’ve chosen. The Combined Cover Options by CBHS are:

  • HealthStarter (Basic Plus)
  • Premium Package (Gold)

CBHS Corporate Wait Periods

CBHS Corporate Health recognizes the waiting periods you may have already served with a previous health fund. For first-timers taking out a policy, the waiting periods below will have to be served before members can benefit from their health scheme. However, if members are switching health funds, waiting periods will not need to be re-served.

The standard hospital wait periods are:

  • Ambulance services: 1 Day
  • Accidental Injury: 1 Day
  • New Conditions: 2 Months
  • Pregnancy and birth-related services: 12 months
  • Pre-existing conditions: 12 months
  • Rehabilitation & Palliative care: 2 months
  • Weight Loss Surgery: 12 months

How Do You Claim Extras With CBHS Corporate Health?

Claiming for extras is very easy with CBHS. Members of CBHS Health have the following options to claim:

On the spot: You can swipe your membership card at an iSOFT facility or at almost 20,000 health care providers that support the HICAPS electronic claims system. This will enable your claim to be processed immediately.

Online: You can log into your online account through the website www.cbhscorporatehealth.com.au and lodge your account by providing the details included on your receipt to their eClaims system.

By post: You can fill out a claim form and submit it along with your receipt from the provider to:

What Is CBHS Corporate Gap Cover?

Their gap cover scheme is called, Access Gap Cover.

When you use a medical service, your fees are split between Medicare (75%) and your health fund (25%).

Your doctor can, however, charge you more than the standard Medicare Benefits Schedule (MBS) and the difference will have to come out of your pocket. That difference is ‘the gap’.

Some doctors and hospitals have agreements with health funds to cover the complete gap. This is called a ‘no gap agreement’. An agreement to cover a partial gap is known as a ‘known gap agreement’ and will usually cost you less than $500.

Access Gap Cover is an arrangement designed between CBHS and physicians to minimise or completely remove out-of-pocket medical expenses for its customers. With Access Gap Cover (AGS) doctors are encouraged to claim directly from CBHS Corporate (including the Medicare benefit), which means less queuing for patients.

Gap cover Ratings By State

You can gauge how efficient a gap scheme is by comparing health funds in the same state or territory and determining which of the fund offers a greater proportion of medical services covered at no gap. While it is more likely that a medical service covered under your fund can be utilised at no personal cost to the customer, it is entirely the choice of the physician whether or not to participate in the gap scheme. 

Medical Services with No Gaps: The percentage of claims that were fully refunded.

Medical Services with No or Known Gaps: The percentage of claims that were fully refunded, or where the policy holder knew the cost before the surgery was performed. 

The information below outlines the percentages of services covered under no-gap and known-gap.

CBHS Corporate Health Medical Services with No Gap: 85.7%

Industry Average 79.1%

CBHS Corporate Health Medical Services with No or Known Gap: 85.7%

Industry Average: 90.5%

CBHS Corporate Health Medical Services with No Gap: 67.8%

Industry Average: 89.5%

CBHS Corporate Health Medical Services with No or Known Gaps: 78.2%

Industry Average: 95.7% 

CBHS Corporate Health medical services with No Gap: 34.6%

Industry Average: 86.7%

CBHS Corporate Health medical services with No or Known Gap: 65.4%

Industry Average: 95.1%

CBHS Corporate Health medical services with No Gap: 96.0%

Industry Average: 89.2%

CBHS Corporate Health medical services with No or No or Known Gap: 96.9%

Industry Average: 94.5%

CBHS Corporate Health medical services with No Gap: 59.3%

Industry Average: 89.5%

CBHS Corporate Health medical services with No or Known Gap: 92.6%

Industry Average: 96.6%

CBHS Corporate Health medical services with No Gap: 89.7%

Industry Average: 84.4%

CBHS Corporate Health medical services with No or Known Gap: 92.6%

Industry Average: 96.2%

CBHS Corporate Health Medical Services with No Gap:

Industry Average: 90.2%

CBHS Corporate Health Medical services with No or Known Gap:

Industry Average: 96.7%

CBHS Corporate Health Medical Services with No Gap:

Industry Average: 84.2%

CBHS Corporate HealthMedical Services with No or Known gap:

Industry Average: 93.8%

What is CBHS Corporate Health Ambulance Cover?

Medicare does not provide ambulance cover, and while some states provide a subsidy for emergency transportation, others may require ambulance usage to be an out-of-pocket expense.

Ambulance Cover insures you against personal expenses in case of an emergency.

All hospital covers provided by CBHS Corporate offer ambulance coverage.

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