If you feel your private health cover is a waste of money,
take another look at how you use it. Experts say the inclusion of
more alternative "extras" therapies means consumers can claim not
only on a wider range of treatments but in some cases can even
recoup the combined cost of their hospital and extras premium each
year.
Health fund broker iSelect says many households that often visit
dentists, physiotherapists, chiropractors, homeopaths and other
health providers don't realise how many of these treatments they
can claim on health insurance. Used wisely, says iSelect's Sue
Bowman, you might even find you get back more from your fund than
you put in.
Reclaim your costs
You can make your refunds bigger than your repayments by knowing
exactly how much your fund pays in each area. Most funds have
limits on how much can be paid each year under different
categories.
The accompanying table from iSelect takes two scenarios, a young
single person and a family, and three policies to suit each, to
show how members can recoup much of - or get paid more than - the
premium by using the extras.
These funds represent typical policies and items covered, not
best or worst value. The premiums, which take into account the 30
per cent rebate, can differ, depending on the state. The premiums
are also based on a hospital excess of $400-$500, meaning you pay
the first $400-$500 for a hospital visit. Obstetrics is not covered
in the young singles cover but it is included in the family
policies.
Let's look at the policies for a young single person. On MU's
Healthmate Advanced the annual premium is $1223. But in the table
you'll see that the maximum payable for dental work (not including
orthodontics) is $1400, for optical products it is $225, for physio
$600, for chiro $350 and for natural therapies $250 - a total of
$2825.
The totals vary on the two other singles policies - both in
terms of the potential total benefits payable, as well as the
individual limits for different therapies. While this table is not
intended as an exhaustive comparison of extras insurance, the
differences show how important it is to shop around. Just using the
funds in the table, if you use a lot of physio the first two
singles policies could be more attractive because their limits are
higher, at $600 a year.
But if your teeth are prone to many fillings and repair, you may
need the higher limits ($1850) of the last two policies.
In the policies for young families - adults aged between 35 and
45 - iSelect shows the Latrobe policy costs $2080 a year but has
the potential to pay $2725 if you use a lot of the extras.
The AHM cover, which costs $2322, could pay out $3030 and the
MBF cover, which costs $2775, could recoup $2175. "Most people
don't realise they can retrieve the cost of the cover if they use a
lot of these services,"Bowman says.
Case study
An extra bonus
Carolyn and Robert Steinman, plus baby Sara see their private
health insurance policy as a back-up in case of an emergency. As a
nurse, Carolyn says she wants her family to have "all options
available" if the need arises, especially being able to avoid
sometimes lengthy hospital waiting lists. While the family has thus
far not made a hospital claim, they have found the extras cover
useful, particularly for alternative therapies. "We find it good
because we use it for naturopathy, chiro and acupuncture," Carolyn
says. "To get that little bit back - about $20 on a $60
consultation - makes it much easier. It all adds up over the course
of a year."
A HEALTHY DEAL HOW YOU CAN GET BACK MORE
SOURCE: ISELECT.COM.AU (Table not available on database)