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CBHS Health Fund Review
Our verdict: CBHS Health Fund comes with good member perks but to apply, you'll need to be a Commonwealth Bank Group staffer or family member – past or present.
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Pros
A good private health option to consider if you're under 30 and are a current or former employee of the Commonwealth Bank Group.
There's a range of attractive member perks and benefits to take advantage of.
Basic Plus. Covers the basics and is designed to give you the choice of your own doctor when receiving treatment as a private patient in a shared room of a public hospital.
Limited (Bronze Plus). A mid-level policy covering essential services. Designed to cover most eventualities with some restricted benefits on services and treatments for things you are less likely to need.
Active (Silver Plus). A high-level of cover with exclusions for a small number of procedures to match your life stage.
Comprehensive (Gold). A high-level of cover with exclusions for a small number of procedures to match your life stage.
Extras coverage
Essential. Basic extras cover for those who lead a healthy lifestyle and are looking for just the essentials at a friendly price.
Intermediate. Mid-level extras cover providing benefits for popular services and treatments for everyday health management.
Top. Designed for those who are seeking security for a wide range of services, with attractive overall limits.
Combined coverage
FlexiSaver (Basic Plus). This entry-level hospital and extras policy offers cost-effective health insurance by excluding treatments most young and healthy people won't need. It covers preventative and surgical dental, joint reconstructions, accident cover, physiotherapy and optical.
KickStart (Basic Plus). Designed as an affordable, basic package for the young and healthy, this policy covers the same essentials as the FlexiSaver option, but with restricted benefits for services you're less likely to need. It also has a $70 daily co-payment option in hospital to keep premiums low.
StepUp (Bronze Plus). CBHS's mid-level cover option combines the benefits of Limited (Bronze Plus) Hospital and Intermediate Extras cover.
Prestige (Gold). This offers the highest level of cover available from CBHS and offers generous extras benefits including wellness benefits, access to chronic disease management programs and more.
Ambulance coverage
CBHS members who hold any level of Hospital cover are automatically covered for emergency ambulance transport. CBHS Ambulance Cover will reimburse you for the costs of emergency ambulance transportation including medical emergency treatment at the scene. You are only covered if the transport or treatment is provided by a State Government ambulance service or a private ambulance service recognised by CBHS. This means you won't need to purchase an additional ambulance-only health insurance policy.
Cover is for emergency transportation and treatment only, such as a heart attack or stroke, not for routine and ongoing medical conditions. Residents of Western Australia holding a Hospital or Package product can also claim a benefit for non-emergency ambulance transport services up to a maximum of $5,000 per person per year.
CBHS Health Fund complaints
We looked at the 2022 Ombudsman health insurance complaints to see how good CBHS health fund's customer service is. Here's how CBHS stacked up:
It had a better complaints ratio than a handful of insurers including Australian Unity and HIF.
It had a higher complaints ratio than its market share.
This chart shows the weighted volume of complaints received by each health fund, according to the Commonwealth Ombudsman. The lower the number, the better. Only non-restricted funds with a national market share of at least 0.1% are included here. CBHS is thirty-first overall in this ranking. The weighting ensures that funds are compared fairly; larger funds serve more customers so can potentially get more complaints.
Why you can trust Finder's health insurance experts
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Unlike other comparison sites, we're not owned by an insurer. That means our opinions are our own and you can compare nearly every health fund in Australia on the site (and find a better deal).
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CBHS frequently asked questions
Yes, CBHS is a not-for-profit health fund.
No, not everyone can join CBHS, as it is a restricted fund. Membership is only open to current and former employees of the Commonwealth Bank Group.
As a CBHS member, you can get access to 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.
There are 4 ways you can lodge a 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 5 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 participate 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.
As Finder's insurance group publisher, Alex Holderness aims to make confusing topics easy to understand. She's been published in Money Mag, Yahoo Finance, Hospital Health, and is a contributing author for Google's Startup Grind. She has a keen passion for running and is currently studying for her General Insurance certification.
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