GMHBA

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About GMHBA

GMHBA is a private health insurer that operates as an open health fund. 

Background

GMHBA was established in Geelong in 1934 when a group of workers from the Australian Cement Company set up the Cement Workers Hospital Benefits Scheme. Their objective was to ensure workers and their families could afford quality health care.

In 1958, it became the Geelong Medical and Hospital Benefits Association. Gradually, it evolved into an ‘open’ scheme and expanded outside Geelong. 

It changed its name to GMHBA in 2000. 

In 2009, GMBHA set up Frank Health Insurance, which claims to make health insurance clear and simple and keep costs to a minimum. 

Today, GMBHA has a network of regional branches providing private health insurance to more than 300,000 members across Australia.

Who can join GMHBA?

Anyone can join GMBHA because it is an open health fund.

What products does GMHBA offer?

GMBHA offers:

• Hospital Cover
• Extras Cover
• Combined Hospital and Extras (with AIA Vitality).

Do GMHBA policies include Ambulance Cover?

For residents of ACT and NSW with Hospital Cover, GMHBA provides emergency Ambulance Cover.

For residents of NT, SA and VIC with Extras Cover, GMHBA will refund up to 100% of the subscription with your state- or territory-based ambulance service.

For residents of WA, GMHBA does not provide cover and recommends you purchase an ambulance subscription.

For residents of QLD and TAS, you are already covered by a state-based scheme.

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Is GMHBA a not-for-profit health insurer?

Yes. GMHBA is a not-for-profit health insurer.

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Does GMHBA operate in all Australian states and territories?

Yes. GMHBA operates in all Australian states and territories.

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Does GMHBA sell its health insurance policies under other brands?

Yes. GMBHA sells its policies under the Frank Health Insurance brand.

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How does GMHBA Hospital Cover compare with other insurers?

Benchmarks	GMHBA	Industry average
Member retention for Hospital Cover	80.3%	88.6%
% hospital-related charges covered	89.7%	90.6%

Source: Private Health Insurance Ombudsman: State of the Health Funds Report: 2022

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Does GMHBA have agreements with some private hospitals or day hospitals to provide services at low cost or with no out-of-pocket costs?

Yes. GMHBA 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	97	98
NT	2	2
QLD	51	60
SA	20	23
TAS	5	9
VIC	74	76
WA	22	24

GMHBA also has agreements with a number of day hospitals so it can provide services at low cost or with no out-of-pocket costs:

Location	Number of day Agreement Hospitals	Industry maximum
ACT	8	9
NSW	87	103
NT	1	2
QLD	47	57
SA	25	30
TAS	6	8
VIC	67	79
WA	19	24

Source: GMHBA: performance

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How does GMHBA Extras Cover compare with other insurers?

Benchmark	GMHBA	Industry average
% Extras Cover charges covered	48.2%	52.0%

Source: Private Health Insurance Ombudsman: State of the Health Funds Report: 2022

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How does GMHBA compare with other private health insurers?

Benchmarks	GMHBA	Industry average
Market share	2.3%	–
% services with no gap	84.7%	88.8%
% services with no gap or where known gap payment made	93.8%	97.4%
Market share of complaints to the PHIO	3.2%	–
% complaints investigated by the PHIO	1.6%	–
Benefits as a % of contributions	84.5%	83.1%
Management expenses as a % of contribution income	11.2%	9.9%
Management expenses per average policy	$429	$375

Source: Private Health Insurance Ombudsman: State of the Health Funds Report: 2022

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Is GMBHA a member of any industry associations?

Yes. GMBHA 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.

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Does GMHBA let me claim online or via an app?

Yes. GMHBA allows you to make a claim via its online portal if it is for the full amount. 

To claim a partial refund, you need to download a claim form and post it to GMHBA. 

You can also swipe your GMHBA membership card when paying the account and your provider usually bills GMHBA directly.

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How to contact GMHBA

Phone:

1300 209 426

Website:

https://www.gmhba.com.au/

Webchat

Address:

Level 3
60-72 Moorabool Street
GEELONG VIC 3220

Postal address:

PO Box 761
GEELONG VIC 3220

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