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Our member-owned health fund is for current and former CBA Group staff, their families and contractors – find out now if you’re eligible to join the CBHS family!
CBHS Health Fund
As a not for profit insurer committed to the security and privacy of our members, CBHS takes fraud very seriously
Health insurance fraud and inappropriate claiming occurs when someone obtains a benefit payment using false information.
Insurance fraud is a serious criminal offence, and CBHS has a no-tolerance policy for inappropriate claiming. We invite members to contact us if you have noticed any suspicious activity on your membership.
Insurance fraud has a detrimental impact for both the fund and members. Every case of fraudulent claiming contributes to costs for the health fund, which usually results in higher premiums for members. We are committed to giving our members lower than industry-average premiums, and we want to continue providing simple and fast claiming processes for members.
Insurance fraud can originate in a provider’s office, from the people covered by a membership package or from the health fund.
Examples of insurance fraud include:
There are steps that our CBHS members can take to reduce the risk of fraud and inappropriate claims.
You should also review periodically your claims history on the Member Centre section of the CBHS website. This is an option that demonstrates the benefits paid to you and directly to providers on your behalf when using your CBHS Membership card, admissions to hospital and medical treatment. (Please check the ‘Include provider remittances’ option to include payments to providers in the results).
If you suspect someone is making fraudulent claims or have any queries about inappropriate claiming, contact our fraud watch section immediately. You should also let us know if there are errors on your claim history report that can be reviewed on the CBHS website.
Our no-tolerance policy for inappropriate claiming extends to members who knowingly attempt to defraud the Fund through submitting false claims or colluding with providers to submit false claims. For the benefit of other members in our family our Fund Rules allow us to terminate the membership of any member who behaves in this way.
CBHS’s claims support service is just one of the areas in which we deliver exceptional member care. If you have any questions about online claiming or submitting claims, contact us directly on 1300 654 123 or email email@example.com