Are you a member of RBHS? If so, find out if Reserve Bank Health Society is the health provider for you
Reserve Bank Health Society (RBHS) is a not-for-profit health fund that is wholly owned by its members. A restricted access health fund, Reserve Bank Health Society offers superior health benefits and top-quality, personalised service to its members. You can take out standalone hospital or extras cover with the fund, or opt for one of its combined policies to enjoy comprehensive cover.
Reserve Bank Health Society Health Insurance overview
- Who can join? Membership of Reserve Bank Health Society is restricted to current and former employees of the Reserve Bank of Australia or Note Printing Australia. The spouse/partner and dependent children of members are also eligible for cover, as are their former spouses and adult children.
- What are the benefits of not-for-profit funds? As a not-for-profit fund, RBHS aims to give its members access to several benefits but by paying the lowest possible premiums. Eligible employees can receive generous contributions from their salary towards their premium payments, while national coverage is provided through an Australia-wide network of 460 hospitals and 21,000 doctors. Dependent children can even be covered at no extra cost.
- Can I get combined hospital an extra? Reserve Bank Health Society offers Gold Hospital Cover for comprehensive protection and a high level of extras cover, each of which can be taken out on its own or combined to form a package policy.
- How do I join? If you’re eligible and you’d like to join RBHS, all you have to do is download an application form from the Reserve Bank Health Society website, fill it out and then email it back to the fund. If you need any help filling out the form you can phone Reserve Bank Health Society to be talked through every step of the application process.
What are the different levels of cover available?
Gold Hospital Cover
- The one and only hospital-only cover option available from RBHS offers a broad range of benefits to members. With no excess required any co-payments only required for nursing home type patients, this policy covers public and private hospital accommodation in a shared or single room. It allows you to choose your doctor, covers your doctors’ bills in hospital and includes Medical Gap Cover. The policy will pay for procedures and treatments including intensive care, theatre fees, drugs and dressings, obstetrics, recovery room, special nursing in hospital, surgically implanted prostheses and more.
- This is the extras-only cover option available from Reserve Bank Health Society and covers a wide range of dental, optical and other general treatment expenses, in many cases up to 90% of the relevant cost. There is no annual limit on general dental and ambulance cover, while major dental, endodontic, orthodontic, optical, laser eye surgery, orthoptic treatment, non-PBS pharmaceuticals, physio, chiro, osteopathy, podiatry, psychology, acupuncture, remedial massage, naturopathy and hearing aids are all covered.
Gold Hospital and Extras Cover
- If you want comprehensive protection, this Reserve Bank Health Society is designed with you in mind. It combines the hospital and extras cover provided under the above two policies into one package, offering a significant saving on the cost of taking out each separate policy on its own.
Are there any additional benefits?
- Optical and dental benefits. Unless otherwise indicated in your policy, Reserve Bank Health Society covers up to 90% of the service charge for optical and dental treatments.
- Don't get hit with the LHC. Avoid Lifetime Health Cover premium loadings by signing up for cover before your 31st birthday.
- Tax advantages. Take advantage of the Australian Government’s Private Health Insurance Rebate to save money on your premiums.
- My Health Online. This online wellness portal provides a range of tools and resources to help you manage your wellbeing.
- My Hospital @ Home. This program allows you to get out of hospital earlier and receive the care you need in the comfort and privacy of your home.
- Strive for Health. This program helps members with chronic conditions manage their health.
- Rehab in the Home. This program offers short-term therapy in your own home following procedures such as joint replacements.
Are there any general exclusions and waiting periods?
Reserve Bank Health Society will not pay your private health cover claim if:
- It is for services received outside Australia
- It is for a service for which Medicare does not offer a benefit, for example cosmetic surgery that is not medically necessary
- It is for treatment received while you are serving a waiting period
- It is for a service or treatment received more than two years prior to the date you lodge your claim
- It is for a treatment or service that is specifically included from your health cover policy.
In addition, it’s also important that you are aware of the waiting periods that apply to private health insurance before you become a member.
- Hospitalisation following an accident is covered immediately, but the vast majority of hospital and extras benefits will require you to serve a two-month waiting period before they can be accessed.
- Some other benefits, such as major dental, obstetrics and treatment for pre-existing conditions, are not available until you have been a fund member for at least 12 months.
- Finally, keep in mind that annual or five-yearly per person limits apply to many benefits under Reserve Bank Health Society Extras Cover. For example, a maximum of $6,500 cover is available for major dental surgery every five years, while $920 cover for glasses and contact lenses is provided in any two years.
Reserve Bank Health Society Health Insurance Excess
Under some health funds, when you’re admitted to hospital you need to pay an excess to help cover the cost of your hospital stay. However, as RBHS has agreements in place with most hospitals around Australia, in most cases you will not need to pay an excess or contribute a co-payment when you are admitted to hospital.
What do I do if I need to make a claim?
There are several options to choose from when you need to make a claim on your RBHS policy.
- How do I make an extras claim? If you need to make an extras clam, many health care providers will allow you to swipe your membership card and claim your benefits electronically whenever you receive treatment. However, many extras benefits can also be claimed online through the Reserve Bank Health Society website, or by completing a claim form and then emailing, faxing or posting it back to the fund along with any receipts. There’s even a mobile claiming app for smartphones and tablets that’s designed to make it even easier to lodge a health insurance claim.
- What do I need for making a hospital claim? When it comes to medical and hospital claims, in most cases your doctor or hospital should send the bill straight to Reserve Bank Health Society. However, where required you can submit a claim form to RBHS via mail, email or fax.
Get the Reserve Bank Health Society claims app
Reserve Bank Health Society
Frequently asked questions about RBHS
Q. Does RBHS offer any entry-level cover options?
- A. No, the three cover options offered by Reserve Bank Health Society all offer quite a high level of cover. There are no policies available for those looking for cheap, basic cover.
Q. What excess will I need to pay?
- A. In the vast majority of cases you will not have to pay a excess if you are admitted to hospital under your Reserve Bank Health Society cover.
Q. How do I pay my premiums?
- A. There are multiple options for paying your RBHS health cover premiums, including payroll deduction, direct debit, credit card and cheque.
Q. Does a cooling-off period apply after I join?
- A. Yes, a new Reserve Bank Health Society member can cancel their policy within 30 days of joining and as long as they have not made a claim, they will receive a full refund of any premiums they have paid.
Q. What happens to waiting periods when I transfer from another health fund to RBHS?
- A. Reserve Bank Health Society will recognise any waiting periods you have already served as long as you held an equivalent or higher level of cover.
Q. What waiting period applies to major dental treatment?
- A. If you hold Extras Cover with Reserve Bank Health Society and you need major dental treatment, you will first need to serve a 12-month waiting period.
Q. What waiting period applies to physio benefits?
- A. You will need to serve a two-month waiting period before you can receive benefits for physiotherapy treatments.
Q. Will the Lifetime Health Cover scheme affect my premium?
- A. Under this Australian Government scheme, you will be hit with a 2% premium loading for every year following your 31st birthday until you take out private health cover. In a nutshell, this means that you can save money if you take out cover earlier rather than later.
Will my benefit amount change depending on what I claim for?
Yes, the benefit Reserve Bank Health Society will pay you will vary for each type of eligible medical procedure. This is standard practice amongst all Australian health providers, with amounts increasing in proportion to the severity of the condition and the services required to treat it.
You can use the chart below to view 22 commonly claimed for medical treatments and the corresponding benefit amount that will be paid by the Reserve Bank Health Society as well as Medicare (MBS). As a member of the Australian Health Service Alliance (AHSA), Reserve Bank Health Society is represented under that organisations title below:
|Basal Cell Carcinoma or Squamous Cell Carcinoma removal from nose, eyelid, lip, ear, digit or genetalia||$221.35||$366.10|
|Breast, benign lesion surgical biopsy of excision||$260.05||$356.40|
|Carpal Tunnel Release||$276.80||$440.20|
|Complicated Delivery (of baby)||$1,629.35||$1,855.90|
|Coronary Artery Bypass||$2,200.00||$3,783.30|
|Femoral on Inguinal Hernia||$464.50||$909.70|
|Overnight investigation for sleep apnoea||$588.00||$682.20|
|Tonsils or Tonsils and Adenoid||$295.70||$513.90|
|Uncomplicated Delivery (of baby)||$693.95||$1,484.50|
I recognise most of these funds except for the AHSA, what is that?
The funds represented by the ASHA are:
- ACA Health Benefits Fund
- Australian Unity Health Limited
- CBHS Health Fund Limited
- CUA Health Limited
- Defence Health
- GMF Health
- Budget Direct Health Insurance
- Frank Health Insurance
- GU Health
- HBF Health Ltd
- Health Care Insurance Limited
- Health Insurance Fund of Australia Limited
- Health Partners
- Navy Health
- Peoplecare Health Insurance
- Phoenix Health Fund
- Police Health Limited
- Queensland Country Health Fund Limited
- Reserve Bank Health Society Ltd
- rt health fund
- Teachers Health Fund > UniHealth Insurance
- Teachers Union Health
- The Doctors' Health Fund Pty Ltd
- Transport Health