Small chance of health funds paying up

According to the Department of Health and Aged Care, private health fund members have only a 4 per cent chance of having all of their hospital and medical bills covered after treatment in a private hospital. Despite the growing move towards gap cover, health fund members, in particular those having a baby, cardiac or orthopaedic surgery or those using an anaesthetist, are unlikely to get all of their hospital expenses covered by their insurance. Meanwhile, figures released by the Private Health Insurance Administration Council show that NSW doctors are more reluctant to participate in gap cover schemes than doctors in other states.

‘Funds still leave some gaps', The Daily Telegraph, 05/01/01, p 16.