CBHS Health Fund Review

Overview

CBHS Health is a private, member-owned health fund founded by the Commonwealth Bank of Australia Group over 65 years ago to ensure that all staff of CBA were afforded quality private health care. The health fund became independent of the bank in 1996, changed its name to CBHS Friendly Society and opened its membership to past employees.

The health fund has been open to the immediate family members of current and past employees of CBA Group since 2007 when they became CBHS (Commonwealth Bank Health Society) and in 2014, contractors and franchisors affiliated with the company became eligible to apply for membership.

CBHS Health Fund Key Facts

Founded: 1951

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

Private Hospital Agreements Nationwide: 248

Day Hospital Agreements Nationwide: 181

Health Deal Represented? No

Headquarters: Parramatta, NSW

CBHS Health Fund Hospital Cover

CBHS offers 4 hospital policies suitable for all needs and ages, ranging from Basic Hospital to Comprehensive hospital cover. All of these policies provide coverage for your stay as a private patient and as a minimum benefit include restrictive cover for rehabilitation, psychiatric, and palliative services. Here is a list of some of the current hospital covers available:

  • Comprehensive Hospital (Gold)
  • Active Hospital (Silver Plus)
  • Limited Hospital (Bronze Plus)
  • Basic Plus Hospital

CBHS Health Fund Extras Cover

Extras Cover takes care of the everyday healthcare service expenses that are not generally covered under Medicare such as dental services, prescription glasses, and physiotherapy. Here is a list of some of the current extras covers available:

  • Top Extras
  • Intermediate Extras
  • Essential Extras

CBHS Health Fund Combined Cover

CBHS Health offers 4 combined covers ranging from FlexiSaver all the way up to Prestige Gold. Here is a list of some of the current combined covers available:

  • Prestige (Gold)
  • StepUp (Bronze Plus)
  • KickStart (Basic Plus)
  • FlexiSaver (Basic Plus)

CBHS Health Fund Waiting Periods

CBHS recognise the waiting periods you have already served with a previous health fund if you switch; this is called “portability”. For first-timers taking out a hospital cover, members who may have lapsed in hospital coverage and those upgrading their level of cover, the waiting periods below will have to be served before members can claim on services:

Hospital Waiting Periods:

  • 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

How Do You Claim Extras with CBHS Health Fund?

Claiming extras with CBHS Health is easy and convenient. Here are the 5 ways in which you can claim:

On the spot: You can swipe your membership card at your service provider’s iSOFT or HICAPS electronic claims system. This will enable you to have your claim processed immediately.

App: Upload a photo of your receipt to the app to lodge your claim.

Online: You can log into your online account through their website and make your claim by providing the details on your receipt.

Email or fax: Claims can be made by scanning and faxing a completed Health Cover Claim form to Fax – (02) 9843 7676 and attaching receipts to the form.

By post: Claims can be lodged by submitting a completed claim form along with your receipt from your health provider.

CBHS Health Fund

Locked Bag 5014

Parramatta NSW 2124

CBHS Health Fund Gap Cover

CBHS Health Fund’s gap cover is called Access Gap Cover. If your doctor charges you more than the standard MBS fee, this is known as the ‘gap’ and can leave you with an out-of-pocket expense.  Access Gap can help to minimise or eliminate personal expense but it is the choice of the physician to participate in any given gap scheme.

Gap Cover Ratings By State

To determine how beneficial a gap scheme will be, we suggest comparing health funds in the same state or territory to show which of the funds offer a greater proportion of medical services covered with no gap. While it is more likely that a medical service covered under your health fund can be utilized at no personal cost to you, it is entirely the choice of the physician whether or not to participate in the gap cover 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.

Commonwealth Bank Health Society medical services with No Gap: 85%

Industry Average: 79.1%

Commonwealth Bank Health Society medical services with No or Known Gap: 95.9%

Industry Average: 90.5%

Commonwealth Bank Health Society medical services with No Gap: 89%

Industry Average: 89.5%

Commonwealth Bank Health Society medical services with No or Known Gap: 96.4%

Industry Average: 95.7%

Commonwealth Bank Health Society medical services with No Gap: 90.9%

Industry Average: 86.7%

Commonwealth Bank Health Society medical services with No or Known Gap: 98.2%

Industry Average: 95.1%

Commonwealth Bank Health Society medical services with No Gap: 92.4%

Industry Average: 89.2%

Commonwealth Bank Health Society medical services with No or Known Gap: 97.3%

Industry Average: 94.5%

Commonwealth Bank Health Society medical services with No Gap: 90.7%

Industry Average: 89.5%

Commonwealth Bank Health Society Medical Services with No or Known Gap: 98.6%

Industry Average: 96.6%

Commonwealth Bank Health Society medical services with No Gap: 85.6%

Industry Average: 84.4%

Commonwealth Bank Health Society medical services with No or Known Gap: 95.5%

Industry Average: 96.2%

Commonwealth Bank Health Society medical services with No Gap: 93.1%

Industry Average: 90.2%

Commonwealth Bank Health Society medical services with No or Known Gap: 98.8%

Industry Average: 96.7%

Commonwealth Bank Health Society medical services with No Gap: 87.2%

Industry Average: 84.2%

Commonwealth Bank Health Society medical services with No or Known Gap: 95.5%

Industry Average: 93.8%

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Renee Tan made the process simple.
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Tanya 17/10/2019
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Renee Tan made the process simple. She very clearly explained all the options and changes and how that would and could impact our health insurance. Renee gave great service, which makes me want to recommend your services to my family and friends.
Responded very quickly to my email for…
Responded very quickly to my email for…
Shirley 17/10/2019
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Responded very quickly to my email for help on finding a medical fund. Mark that I spoke to was great at helping and explaining everything to me that I needed to know. went through every step in detail and always asked if I had any question during the course of our conversation
Excellent service
Excellent service
Kristine 16/10/2019
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Excellent service. Daniel is really good in explaining everything and very patient.
Daniel listened to what I wanted
Daniel listened to what I wanted
Lorraine 16/10/2019
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Daniel listened to what I wanted , sent me email to review and called back when he said he would , also saved me $50+ per month , and kept adult kids on policy for a bit longer .
Wasn’t pushy
Wasn’t pushy
Shaylee 01/10/2019
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Wasn’t pushy, asked what I required gave me adequate thinking time and I got off the phone a happy customer
This team and in particular Daniel
This team and in particular Daniel
Peter 20/09/2019
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This team and in particular , Daniel was very helpful , took the time to explain in detail all aspects , and was very understanding and patient Highly recommend them
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