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 fund


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.

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 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 76.5% 87.1%
Management expenses (% cont) 7.7% 8.5%
Management expenses (average policy) $361 $276
Surplus 15.8% 4.4%
Member retention (%) 92.5% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 100% 92.6% 93.7% 93.5% 96.8% 93.1% 97.1% -
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 39.4% 49% 51% 49.5% 52.9% 49.6% 49.4% -
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 6 97 76 51 26 20 5 2
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 7 86 73 42 25 23 3 1
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
Locked Bag 25
WOLLONGONG
NSW  2500


Phone: 1800 148 626
Email: info@onemedifund.com.au
Website: http://www.onemedifund.com.au

To view a list of National Health Benefits Australia Pty Ltd (onemedifund) products, please complete the following:

Policies

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