CBHS - Health Fund

CBHS Health Fund

If you work or have worked for the Commonwealth Bank Group, CBHS Health Fund might be right for you.

CBHS is a private health insurance fund run exclusively for current and former staff of Commonwealth Bank Group and their subsidiaries which include Aussie, Bankwest, Colonial First State and more. If you’re eligible to become a member, you and your family can benefit from comprehensive medical protection. Keep reading to review the products and benefits offered by CBHS.

CBHS is a restricted health fund, meaning that only current and former employees of the Commonwealth Bank Group and their families are eligible to join.

Compare the policy options offered by CBHS Health Fund

What are the different options available to you from CBHS?

CBHS Hospital Cover

Basic Hospital Cover

This policy allows you to choose your own doctor or specialist when being treated in a public hospital and covers the basics, subject to conditions, such as:

  • Hospital accommodation
  • Theatre fees
  • Emergency ambulance
  • Chronic disease management programs
Limited Hospital Cover

This mid-level policy covers essential services but only offers restricted cover for benefits you're less to need (e.g. pregnancy services). Cover includes:

  • Emergency ambulance
  • Pharmacy
  • Access Gap cover
  • Surgically implanted prostheses
  • Pharmacy
  • Access to private hospitals
Active Hospital Cover

This policy is designed for young professionals and empty nesters. It offers a high level of cover and, like the Limited policy, excludes cover for services you're unlikely to use. You will have cover for benefits such as:

  • Emergency ambulance
  • Heart surgery
  • Gastroscopies
  • Rehabilitation
  • Surgically implanted prostheses
  • Major eye surgery
  • Cancer treatment
  • Colonoscopies
Comprehensive Hospital Cover

This is CBHS's top level hospital policy and covers benefits including:

  • Daily co-payment option for reduced premiums
  • Emergency ambulance
  • Theatre and labour ward fees
  • All hospital treatments where a Medicare benefit is payable
  • Hospital Substitute Treatment

CBHS Extras Cover

Essential Extras

This entry level extras policy will cover you for the basics including:

  • Dental
  • General health
  • Prescribed optical
  • Therapies
  • Wellness benefits
Intermediate Extras

This includes higher service limits than the Essential Extras policy and, in addition to the extras cover by the essentials policy, provides cover for:

  • Chiro, dental, physio optical and some therapies
  • Health management programs
  • Preventative dental
Top Extras

This product allows you to enjoy comprehensive treatments and services coverage including:

  • Major dental
  • Prescribed optical appliances
  • Physiotherapy
  • Osteopathy
  • Wellness benefits
  • Hypnotherapy
  • Alternative therapies

CBHS Package Cover

FlexiSaver

This entry-level cover can offer a cost-effective health insurance solution by excluding several treatments most young and healthy applicants won't need. It includes:

  • Optical
  • General dental
  • Physiotherapy
  • Preventative dental
  • Physiotherapy
KickStart

Designed as an affordable, basic package for the young and healthy, this policy covers essentials such as:

  • Accidents and medical emergencies
  • Knee and shoulder reconstructions
  • Removal of wisdom teeth
  • Tonsil removal
  • Appendix removal
  • Access Gap Cover
  • Ambulance transportation
  • Therapies
  • General health
StepUp

StepUp is CBHS’s mid-level cover option that combines the benefits of Limited Hospital and Intermediate Extras cover, which includes:

  • Access Gap Cover
  • Dental
  • Emergency Ambulance transport
  • General health
  • Health care aids
  • Limited Hospital, plus pregnancy related services
  • Prescribed optical
  • Therapies
  • Wellness benefit
Prestige

This offers the highest level of cover available from CBHS and offers generous extras benefits including:

  • Access Gap Cover
  • Access to Best Doctors
  • Dental
  • Emergency ambulance transport
  • Hospital accommodation
  • Medical expenses
  • Wellness benefits
  • Prescribed optical

CBHS additional benefits

Depending on the type of cover you choose, as a CBHS member you may also have access the following benefits:

  • Health management program. Receive advice and support to help you reach your lifestyle and wellbeing goals.
  • Best Doctors. This network gives members access to medical experts who can review your case.
  • The Choice Network. This network of providers offers no gap services to members.
  • Member discounts. CBHS members can enjoy discounted gym memberships, cheap eyewear and a range of other health discounts.
  • Health care aids. CBHS offers benefits on artificial aids, hearing aids and health care appliances.
  • Hospital in the home. This alternative to hospital treatments and rehab services allows you to stay at home in some cases.
  • Support groups. Find support groups for people who suffer from a similar health issue to you.

Paying your CBHS Health Fund health insurance premiums

CBHS Health Fund premiums can be paid fortnightly, monthly, quarterly or annually. Payment methods include direct debit, CBA and Bankwest salary deductions, and credit card.

How many members does CBHS Health Fund service?

CBHS has more than 92,000 members and boasts a 1.4% market share of the Australian health insurance industry.

Does CBHS get a lot of complaints?

CBHS Health Fund accounts for:

  • 1.4% of the Australian health insurance market
  • 1.3% of all complaints about benefit payments
  • 0.3% of all complaints about service
  • 1.3% of all complaints that require investigation

Source: Private Health Insurance Ombudsman, State of the Health Fund Report 2016

How many hospital agreements does CBHS Health Fund have in my state and in total?

The level of cover you choose isn’t the only factor that determines the benefit your health fund pays for hospital services. Your cover is also affected by whether or not your health fund has an agreement with the hospital where you receive treatment

The table below outlines the number of hospital agreements CBHS Health Fund has in your state or territory. The industry maximum agreements across each state and territory are also included for your reference.

Private hospital agreementsDay hospital agreements
NSW78 (industry maximum: 101)66 (industry maximum: 96)
ACT4 (industry maximum: 7)5 (industry maximum: 9)
VIC73 (industry maximum: 84)50 (industry maximum: 75)
QLD46 (industry maximum: 57)34 (industry maximum: 51)
SA28 (industry maximum: 29)20(industry maximum: 27)
WA16 (industry maximum: 23)11 (industry maximum: 26)
TAS5 (industry maximum: 8)2 (industry maximum: 5)
NT1 (industry maximum: 2)0 (industry maximum: 1)

What isn't covered by CBHS policies?

Your CBHS Health Insurance claim will not be paid if:

  • It is for hospital services within the policy waiting period
  • It is for nursing home fees or respite care
  • It is for take home/discharge drugs
  • It relates to aids not covered in the hospital agreement
  • You are claiming for services obtained more than 24 months ago
  • It is for services provided outside Australia
  • It is for prostheses that are used for cosmetic reasons and where no Medicare benefit is payable
  • It is for ambulance transfers between hospitals

In addition, if you are admitted into a non-agreement private hospital, you will only receive benefits at the minimum rate specified by law.

How much does CBHS Health Insurance cost?

The cost of your CBHS Health Insurance cover will be affected by the following factors:

  • The level of cover you choose. The higher the level of cover, the more you have to pay.
  • Have you got extras? Whether you choose extras cover or not.
  • Your income. This will determine whether you are eligible to receive a private health insurance rebate.
  • Who you cover. Policies are available for singles, couples and families.

How can you make a claim

There are four ways you can lodge an extras claim with CBHS:

  • On the spot. If your health care service provider supports HICAPS or iSOFT facilities, simply swipe your CBHS Health Fund membership card on the spot to have the benefit amount deducted from your total fee.
  • Online. You can lodge your claim online by logging on to the CBHS Member Centre and uploading your receipt. Benefits for online claims are typically paid within 1-2 business days.
  • Through an app. You can lodge a claim by uploading a photo of your receipt using the CBHS Health Fund mobile app, which is available from the App Store and Google Play.
  • By filling out a claim form. You can download a claim form from the CBHS Health Fund website, complete it and return it to the fund along with your receipt or account. CBHS aims to pay benefits within five days of receiving your claim.

If you need to make a medical claim, a doctor who participates in an Access Gap Cover arrangement with the fund will bill CBHS directly. If your doctor doesn’t participated in an Access Gap Cover agreement, you’ll need to submit the claim to Medicare first before it is passed on to CBHS Health Fund.

CBHS FAQs

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6 Responses

  1. Default Gravatar
    SUSIESeptember 10, 2017

    I’m want to compare top cover for psychiatric health in hospital

    • Default Gravatar
      GruSeptember 11, 2017

      Hello Susie,

      You may find this page helpful.

      On that page, you will be able to read on the following:
      > Which Australian health funds offer cover?
      > How much of the cost does health insurance cover?
      > What should I be aware of when comparing policies?
      > Does Medicare cover hospital psychiatric care?
      > Compare health insurance for hospital psychiatric care

      Hope this helped.
      Feel free to reach out to us again if you need further assistance.

      Cheers,
      Gru

  2. Default Gravatar
    geoffJanuary 15, 2017

    My m-in-law will be visiting from China for three months.(79 yrs) What is the cost of a basic hospital cover for this period?

    • Staff
      RichardJanuary 16, 2017Staff

      Hi Geoff,

      Thanks for getting in touch. CBHS is a restricted fund, one that is only available to Commonwealth Bank employees. Your mother in law may need to overseas visitors health cover (OVHC). To compare the policies from the funds in our panel, please head to our OVHC page.

      All the best,
      Richard

  3. Default Gravatar
    alfredAugust 3, 2016

    my wife has recently died and was a commonwealth bank employee I (husband) have been determined as a sole survivor and have been awarded a 67% pension by the group SuperFund
    I received a letter stating that my wife’s funeral costs would be reimbursed to me
    No mention has been made of this and I was wondering if its the responsibility of the CBHS
    alfred

    • Staff
      RichardAugust 4, 2016Staff

      Hi Alfred,

      Thanks for getting in touch and I’m sorry for your loss. finder.com.au is a comparison service and has no affiliation with CBHS. You will need to contact CBHS directly about this, which you can do by calling 1300 654 123.

      All the best,
      Richard

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