Westfund Limited (WFD)
Westfund Health Insurance has been built on solid community values and a foundation of trust, located in the heart of regional Australia. We are proudly not-for-profit and are honoured to be trusted with looking after our members’ health.
Our history can be traced back more than six decades to the official registration of the Western District Mine Workers Medical Benefits Fund in Lithgow in 1953. The seeds of today’s Westfund were, however, sown long before this date and illustrate a potent connection to mutualism and of a community drawing strength by uniting together for collective purpose and benefit.
Today at Westfund, we still believe the member is the priority. We treat our members as people, not numbers.
While our care centres are located throughout regional communities, we have health providers located across Australia, providing support to our members nation-wide.
We empower our members to select the cover that best suits their needs with our Your Cover, Your Choice suite of products – linking individual Hospital and Extras covers together to provide greater flexibility.
Westfund Limited provide further information regarding:
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 and further details are available from the insurer.
Business Structure
This insurer is a mutual organisation that operates on a not-for-profit basis.
Westfund Limited operates in all states and territories.
Performance
This table compares this health insurer's performance on a range of factors. Some of this information has previously been published in the Private Health Insurance Ombudsman's State of the Health Funds report, available from the Ombudsman's website (www.ombudsman.gov.au). Please note information is not provided for some insurers in some states, as there are insufficient numbers reported for states in which the insurer does not have a large membership.
| Ombudsman complaints compared to market share | ||
|---|---|---|
| All complaints | 0.5% | 0.9% market share |
| Investigated complaints | 0.5% | |
| Health Insurer Retention and Finances | Industry result | |
|---|---|---|
| Member retention (hospital cover) | 87.1% | 86.5% |
| Benefits as % of contributions | 83.3% | 81.1% |
| Management expenses % of contribution income | 12.8% | 10.8% |
| Management expenses per average policy | $548 | $413 |
| Coverage | ACT | NSW | VIC | QLD | SA | WA | TAS | NT | Australia |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Related Charges Covered | 86.2% | 91.7% | 90.1% | 89.4% | 89.9% | 92.0% | 91.6% | 93.4% | 90.7% |
| Industry Result | 81.8% | 88.7% | 90.5% | 88.9% | 92.6% | 92.4% | 92.4% | 88.6% | 89.9% |
| Medical Services with No Gaps | 78.4% | 91.9% | 90.3% | 88.5% | 86.6% | 90.8% | 92.1% | 92.6% | 90.3% |
| Industry Result | 75.6% | 89.3% | 87.3% | 87.8% | 89.0% | 88.9% | 91.2% | 86.7% | 88.3% |
| Medical Services with No or Known Gaps | 91.3% | 97.7% | 98.7% | 97.8% | 99.3% | 98.5% | 99.2% | 98.9% | 97.8% |
| Industry Result | 91.2% | 96.4% | 97.8% | 96.8% | 99.3% | 98.0% | 98.8% | 95.9% | 97.2% |
| General Treatment (extras) Covered | 39.7% | 44.5% | 42.7% | 45.8% | 44.5% | 43.1% | 39.1% | 48.1% | 44.9% |
| Industry Result | 46.4% | 48.4% | 50.5% | 51.4% | 55.2% | 55.9% | 51.8% | 57.7% | 51.1% |
| Private Hospital Agreements | 5 | 91 | 70 | 50 | 18 | 21 | 8 | 1 | - |
| Industry Maximum | 8 | 98 | 72 | 58 | 24 | 24 | 8 | 2 | - |
| Day Hospital Agreements | 8 | 92 | 71 | 50 | 25 | 20 | 4 | 2 | - |
| Industry Maximum | 9 | 104 | 79 | 54 | 30 | 29 | 9 | 2 | - |
Lithgow
NSW 2790