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CBHS Health logo
  • Health insurance
    • Types of cover
      • Hospital & Extras
      • Hospital cover
      • Extras cover
      • Packaged cover 
      • Ambulance cover
      • Dependant cover
    • Lifestage cover
      • Singles & couples
      • Families & sole parents
      • Mature families
      • Retirees
    • Why CBHS
      • Why join CBHS
      • Testimonials & stories
      • Member-owned fund
      • Why do I need private health insurance?
    • Health insurance explained
      • Check your eligibility
      • Switching health insurance providers
      • Waiting periods
      • Restricted services
      • Government initiatives
  • Member health
    • Health & wellbeing
      • About health & wellbeing
      • Healthy living
      • Events & resources
      • CommBank Health Hubs
    • Get care
      • About getting care
      • Before your hospital stay
      • Hospital in the home
      • Rehabilitate & recover
    • Managing your health
      • About managing your health
      • Services at home
      • Artificial aids & healthcare aids 
    • Health services
      • Health services A-Z
      • Common procedures
      • Find a service or hospital
  • Tools & support
    • Handy tools
      • Tax statement
      • Member discounts
      • Forms & downloads
      • CBHS mobile app
      • Going to hospital
    • How to
      • Pay my bill 
      • Refer a friend or family
      • How to claim
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  • Home
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  • Private Health Insurance Reforms

At CBHS we help you manage your health challenges. We believe in offering you the services, support and tools you need to live your best life.
Health and Wellness Programs are available to support eligible members towards a healthier lifestyle. Each Health and Wellness Program is subject to its own eligibility criteria.
Contact us for more information and to confirm your eligibility for a program.

Private Health Insurance Reforms

The Australian Government introduced Reforms to private health insurance in April 2019, to make it easier for people to compare policies.   

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Proudly not-for-profit since 1951.

Over 70 years of providing great value health insurance will teach you a thing or two about health and loyalty. We are proud to say that after more than 70 years, we still exist to bring you value every day. Simply put; our loyalty is to you and your health is our priority.

All private health funds must now classify their Hospital covers into one of four tiers: Gold, Silver, Bronze or Basic.

You can find out more information on the Reforms on the Department of Health website. If you have questions about your cover, please call us on 1300 654 123.

Four product tiers

Basic

The Basic tier must cover a minimum of three categories:

  • Rehabilitation
  • Psychiatric care
  • Palliative care

Bronze

The Bronze tier must also include the above, plus the following categories:

  • Joint reconstruction
  • Ear, nose, and throat
  • Gynaecology
  • Male reproductive system

You can find all the mandatory Bronze tier categories at the Department of Health.

Silver

The Silver tier must also include the above, plus the following categories:

  • Heart and vascular
  • Back, neck and spine

You can find all the mandatory Silver tier categories at the Department of Health.

Gold

The Gold tier must also include the above, plus following categories:

  • Cataracts
  • Joint replacement
  • Pregnancy and birth

You can find all the mandatory Gold tier categories at the Department of Health.

What are Plus products?

Health funds have the discretion to provide cover for additional services on Silver, Bronze and Basic products.  These are known as ‘Plus’ products.  For example – Bronze Plus covers all minimum services for the Bronze tier, plus additional services selected by the fund.

Why isn’t there a Gold Plus tier? Gold products are the highest level of cover available.  Gold products must offer all services on an unrestricted basis.

Clinical categories

As part of the Reforms, the Government created a new list of clinical categories. Health funds must all use the same clinical definitions when they refer to these categories, to make it easier for you to understand what you’re covered for.

The list of standard clinical categories is consumer-friendly and easy to understand.

Your cover

Each CBHS product is now categorised as Gold, Silver, Bronze or Basic. Most CBHS products moved seamlessly into the new tiers and they cover more services than the Government’s minimum standards. In some cases, there were products that required some changes to the services covered. We notified any impacted members about this.

Your not-for-profit fund

CBHS is still a not-for-profit health fund. Your health and happiness, and the health and wellbeing of your families, are at the heart of everything we do.

If you have any questions about your cover, please call our Member Care team on 1300 654 123.

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The CBHS Group acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Custodians of the lands on which we gather, live and work. We pay our respect to First Nations peoples and their Elders, past and present.

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