CLOSING THE GAP

The "medical gap" is the difference between the Medicare benefit paid by Medicare and health insurance and the doctor's actual fee.

Until recently Medicare determined how much a health fund could pay for medical services provided in hospital. But the Government has changed this and now allows Funds to pay higher benefits to bridge the "medical gap."

All funds now include cover in most of their hospital products which make it possible for doctors to reduce or eliminate the "gap" and more and more doctors are now providing this service to their patients. As with all benefit questions, you should always discuss your situation with your own health fund before treatment if possible.

To find out how your health fund can help you enjoy quality health services without unexpected financial surprises, click on the link to your health fund, listed below:

(*For the latest list of funds with their approved gap schemes and product details, please click here.)

AHIA MEMBER FUND
Phone Number
Internet Address
Australian Health Management 134 246 www.ahm.com.au
Australian Unity Health Ltd 13 29 39 www.australianunity.com.au
BUPA Australia Health Pty Ltd
   HBA
   Mutual Community
131 243 www.bupa.com.au
www.hba.com.au
www.mutualcommunity.com.au
CBHS Health Fund Ltd 1300 654 123 www.cbhs.com.au
Cessnock District Health Benefits Fund Ltd (02) 4990 1385 www.cdhbf.com.au

GMF Health Ltd (Not participating for WA providers)

1300 653 099

www.gmfhealth.com.au

GMHBA Ltd

1300 136 652

www.gmhba.com.au

Grand United Health Fund Pty Ltd

1800 800 245

www.grandunited.com.au

HBF Health Funds Inc

13 34 23

www.hbf.com.au

HCF

13 13 34

www.hcf.com.au

Health Insurance Fund of WA

1300 134 060

www.hif.com.au

Health-Partners Inc

(08) 8223 7588

www.healthpartners.com.au

Manchester Unity Australia Ltd

13 13 72

www.manchesterunity.com.au

MBF Australia Ltd

13 26 23

www.mbf.com.au

MBF Health Pty Ltd

133 234

www.nrma.com.au/health

Medibank Private Ltd

132 331

www.medibank.com.au

NIB Health Funds Ltd

13 14 63

www.nib.com.au

Queensland Country Health Ltd

1800 813 415

www.qccu.com.au

St.LukesHealth

1300 651 988

www.stlukes.com.au

Teachers' Union Health 1300 360 701 www.tuh.com.au