ACA Health Benefits Fund (ACA)

ACA Health is a restricted member Health Fund with the sole purpose of caring for the Seventh-day Adventist Church employees, and their families, with a range of health insurance products second-to-none.
This information is provided by the fund

ACA Health Benefits Fund provide further information regarding Gap cover doctors and Agreement hospitals .

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 view Agreement Hospitals for this fund in your region and further details are available from the fund.

Business Structure

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

ACA Health Benefits Fund operates in all states and territories.

Membership restrictions

Membership with ACA Health is open to current and past employees of the Seventh-day Adventist Church and its associated companies in Australia - including Sanitarium Health Food Co, Sydney Adventist Hospital, Adventist Retirement Villages and Adventist Schools. Spouses or partners, children, siblings, parents and grandchildren of employees and past employees are also entitled to join. We consider children dependent until the age of 21, or, if they are under 25 and unmarried full-time students earning less than $20,000pa. Once you've been employed by a SDA Church company in Australia you, and your family members, are eligible to join for life... This means that you can still join ACA Health or stay with us after leaving SDA Church employment. You are also always eligible to rejoin if you ever choose to leave the Fund. If you are unsure of your eligibility to join ACA Health, please contact us for further information.

Performance

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

Performance Fund Industry
Benefits as a % of contributions 89.1% 87.1%
Management expenses (% cont) 9.5% 8.5%
Management expenses (average policy) $449 $276
Surplus 1.4% 4.4%
Member retention (%) 93% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 87.9% 94.4% 93.8% 96.5% 95.3% 96.4% 91.3% 100%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 78.5% 91.7% 95.0% 91.8% 94.0% 87.6% 92.4% 86.2%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 91.1% 95.2% 98.5% 95.8% 99.3% 93.6% 98.0% 94.4%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 61.3% 61.4% 63.1% 64.1% 65.3% 60.3% 59.9% 66.7%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 4 79 72 46 28 16 5 1
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 5 70 51 36 21 11 2 0
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints - <0.5%
Service Complaints -
All Complaints 0%
Investigations 0%
Address
148 Fox Valley Rd
(Locked Bag 2014)
Wahroonga
NSW  2076


Phone: 1300 368 390
Email: info@acahealth.com.au
Website: http://www.acahealth.com.au

To view a list of ACA Health Benefits Fund products, please complete the following:

Policies

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