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Westfund Health Insurance (Westfund) is a private health insurer that operates as an open health fund.
Background
Established in 1953, Westfund began as the Western District Mineworkers Medical Benefits Fund. It was set up to help miners based in central western New South Wales with hospital and medical expenses. In the 1990s, the fund expanded into regional Queensland.
In 2021, it re-branded as Westfund Health Insurance.
Today, Westfund has over 110,000 members mainly located in regional New South Wales and Queensland.
Who can join Westfund?
Anyone can join Westfund as it is an open health fund.
This also includes non-emergency transport but your policy may place a cap on this service. Check your policy for details.
Does Westfund Health offer corporate policies?
Yes. Westfund Health provides corporate policies to certain organisations. Search your organisation’s website or intranet to find out whether a corporate health insurance policy is available to you, and what conditions apply.
Is Westfund Health a not-for-profit health insurer?
Does Westfund Health have agreements with some private hospitals or day hospitals to provide services at low cost or with no out-of-pocket costs?
Yes. Westfund has agreements with a number of private hospitals that allow it to provide services to its members at low cost or with no out-of-pocket costs:
Location
Number of private Agreement Hospitals
Industry maximum
ACT
5
6
NSW
96
98
NT
2
2
QLD
52
60
SA
20
23
TAS
8
9
VIC
73
76
WA
21
24
Westfund alsohasagreements with a number of day hospitals to allow it to provide services at low cost or no out-of-pocket costs:
Is Westfund a member of any industry organisations?
Yes. Westfund is a member of Private Healthcare Australia (PHA), a body that represents 20 registered health insurers and 97% of people covered by private health insurance.
It is also a member of the Members Health Fund Alliance, an alliance of not-for-profit, member-owned, regional or community-based health insurers.
Does Westfund let me claim online or via an app?
Yes. Westfund Health allows you to make a claim online via the Members Online portal or using the Westfund app.
