GMHBA health fund

GMHBA Health Insurance

Compare health insurance policies from GMHBA and find cover that's right for you.

GMHBA Health Insurance was founded in 1934 in Geelong by a group of workers from the Australian Cement Company. Today, this not-for-profit, member-based organisation offers a choice of health insurance policy options to suit the cover needs of a wide range of Australians.

Currently, the engine can only compare GMHBA policies for residents of Victoria. We apologise for any inconvenience. If you are not a resident of Victoria you can compare your options from 30+ funds on the health insurance homepage, or compare policies from a specific participating fund via the navigation sidebar to the left.

What policies are available from GMHBA

Hospital and extras

Depending on your personal situation and budget, GMHBA allows you to combine elements of both Hospital and Extras cover to achieve the balance you want. For example, if you are looking for low cost cover or you are earning over $90,000 as a single and are looking to minimise tax, you can choose Bronze Hospital and Bronze Extras for basic combined cover. If you are planning a family, Gold Hospital and Silver Extras (with pregnancy and IVF) would be a good choice. While for full comprehensive cover, Gold Hospital (no pregnancy) and Gold Extras would provide total peace of mind.

GMHBA also offers FIT Hospital and Extras packages for those wishing to maintain their active lifestyles. These include FIT Entry, FIT Standard, FIT Top and FIT Ultra.

  • FIT Entry. Provides basic cover in a public hospital as a private patient and includes knee, shoulder and ankle reconstructions plus surgery to repair a fractured collarbone, wrist, hand or finger. It also includes a great range of extras including, optical, dental, physio, chiro, osteo, dietetics, naturopathy and ambulance.
  • FIT Standard. Cost-effective cover that includes everything in FIT Entry, but with higher benefit amounts and with the addition of a preventative health assessment.
  • FIT Top. Top cover in a shared / single room in a private hospital, with same day treatment, higher benefit amounts for injuries more likely to occur playing sport, plus all the extras offered in FIT Standard.
  • FIT Ultra. Comprehensive cover for the everyday athlete, this includes everything in the FIT Top package, but with higher benefit amounts.

Hospital only

GMHBA is a not-for-profit fund offering a range of cover levels to its members. These include Bronze, Silver and Gold Hospital and Bronze, Silver and Gold Extras; all of which can be combined according to needs and budget. They also offer FIT Hospital and Extras packages for active sports enthusiasts.

  • Bronze Hospital. Entry level cover that covers treatment resulting from an accident in a public hospital as a private patient and includes knee and shoulder reconstructions.
  • Bronze Hospital Plus. Affordable hospital health insurance for those who don't want to be treated in a public hospital. It covers you for essential treatments in a GMHBA affiliated private hospital.
  • Silver Hospital. Moderate cover with some exclusions covering treatment resulting from an accident in a shared / single room in a private hospital and including knee and shoulder reconstructions.
  • Gold Hospital. High level hospital cover (with or without pregnancy and IVF services) covering treatment in a shared / single room in a private hospital and including knee and shoulder reconstructions.

Extras only

  • Bronze Extras. Covers the three most popular extras; optical, general and preventative dental and physio.
  • Silver Extras. Covers general, preventative and major dental, optical, physio plus chiro, osteo, naturopathy, ambulance, psychology, pharmacy, dietetics, audiology, eye and speech therapy, occupational therapy, podiatry, prostheses, hearings aids, orthotics and more.
  • Gold Extras. Top level extras cover with higher benefit amounts and including everything in Silver Extras plus additional extras such as exercise physiology, antenatal and postnatal classes and weight loss programs.

GMHBA Family Cover

GMHBA’s family health insurance packages are specifically designed to meet the needs of Australian families. None of the policies charge a hospital excess for children under the age of 21, while all three levels of cover also include an ambulance subscription and 100% back on preventative dental. There are three family packages available:

  • Starter Family Package. This entry-level package covers public hospital treatment as a private patient following an accident, and offers 100% back on the cost of optical and preventative dental. It also covers 55% of the cost of a range of basic extras.
  • Everyday Family Package. GMHBA’s Everyday Family Package offers a high level of health cover and treatment in a single or shared room in a private hospital. Pregnancy and birth-related services are included in cover, along with 65% back on a range of extras.
  • Premium Family Package. This is the most comprehensive family package and it includes a pregnancy option, a single-room guarantee, and cover for 75% of the cost of a huge range of extras services.

Does GMHBA offer Overseas Visitor Health Cover (OVHC)?

If you’re a temporary Australian resident and do not have full Medicare eligibility, phone GMHBA or visit a branch to discuss your health insurance needs. You can also consider Frank Overseas Visitor Health Cover, which is a brand offered by GMHBA Limited.

What additional benefits are available from GMHBA?

GMHBA members can also access the following benefits:

  • Bowel Cancer Risk Identification Program
  • GMHBA Farmer Health Clinics
  • Chronic Disease Management Program
  • Strong Knees Program
  • Best Doctors Network
  • New Family Program
  • Midwifery Group Practice Program

What can't you claim on your GMHBA policy?

Your GMHBA Health Insurance claim will not be paid if:

  • You are claiming treatment provided to you by a family member or business partner
  • It is for services or treatment received overseas
  • It is for services that would generally be classed as sport, recreation or entertainment
  • It is for services not rendered face to face, for example if they were rendered over the phone
  • It is for a medical service rendered by a medical practitioner employed full-time in the public health sector
  • You do not provide itemised and original receipts
  • It is for food supplements
  • It is for pharmacy items that can be purchased over the counter with or without a prescription
  • It is for a dental procedure where you have exceeded a limit on the number you can have
  • It is for services or treatment rendered more than two years prior to you lodging a claim
  • It is for services or treatment rendered while your membership is suspended.

What affects the cost of a policy from GMHBA?

The following factors will affect your GMHBA Health Insurance premium:

  • The level of cover you choose. A high-level policy will obviously cost more to take out than one that simply offers the most basic level of cover.
  • Whether you combine cover. Choosing standalone hospital or extras cover can be more affordable than a policy that offers combined cover for more comprehensive protection.
  • Number of people on the policy. Whether you take out a single, couples or family policy.
  • Your age when you take out cover. A premium loading may apply under the Lifetime Health Cover scheme.
  • Your income. Your annual income influences your eligibility for private health insurance rebates.
  • The excess you choose. A higher excess means lower premiums.

How to save on your GMHBA policy

  • Choose a higher excess. Your premium will be reduced as a result.
  • Choose a lower level of cover. Bronze Cover has a lower cost than Silver Cover, which in turn is more affordable than Gold Cover. As with most other things in life, you get what you pay for.
  • Choose standalone hospital or extras cover. This will be more affordable than a combined policy.
  • Avoid premium loadings. Signing up for private health insurance cover before you turn 30 will save you money under the Lifetime Health Cover scheme.
  • Use rewards points. Members can use reward points they earn as part of the Connect Rewards Plus member loyalty program to reduce out-of-pocket expenses for things like dental and optical, while they can also claim the inpatient medical gap and reduce their hospital excess.

How do you lodge a claim with GMHBA?

If you have extras cover you can use your GMHBA membership card to take advantage of electronic claiming. Simply swipe your card when you visit your provider and any benefit you receive will be automatically deducted from your bill.

If electronic claiming is not available, you can claim online via the GHMBA Online Member Service area after paying the provider’s bill. Alternatively, you can download and complete a claim form which you can then post to GHMBA along with your receipt. 

Still have questions about GMHBA?

You can use the services of any extras provider as long as they are registered with the appropriate board for their field and operate a private practice.

GMHBA allows you to pay your premiums online (credit card or BPAY), over the phone (credit card) or by mail (cheque, money order or credit card). Direct payroll deductions are also available.

While it’s not compulsory to take out private health insurance cover, a 2% premium loading will apply to the cost of your cover for each year you are past the age of 31.

This can be found in the policy documents that apply to your health insurance plan.

You are classified as an inpatient if you are admitted to hospital and stay there overnight. 


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6 Responses

  1. Default Gravatar
    BasilAugust 4, 2017

    Can hearing aids be claimed on our private health cover

    • Staff
      ArnoldAugust 5, 2017Staff

      Hi Basil,

      Thanks for your inquiry.

      Some private health care plans cover the costs of audiological tests, a hearing aid evaluation, and even partial or full coverage of a hearing aid. Be sure to check with your health insurance company or your employer’s benefits manager to find out.

      Hope this information helped.

      Cheers,
      Arnold

  2. Default Gravatar
    SanFebruary 18, 2017

    What are the major eye surgeries that are covered under the
    GMHBA Gold Hospital Level 2 cover?

  3. Default Gravatar
    AnnieNovember 23, 2016

    Do you cover cosmetic surgery

    • Staff
      RichardNovember 23, 2016Staff

      Hi Annie,

      Thanks for getting in touch. Depending the level of benefits provided by your policy, you may be covered for cosmetic surgery if it’s deemed to be medically necessary. You should contact GMHBA directly about the specifics of your cover. You may also find our article about cosmetic surgery and health insurance helpful.

      All the best,
      Richard

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