GMHBA, which was originally an abbreviation for Geelong Medical and Hospital Benefits Association, is an Australian-owned not-for-profit health insurance company that’s been running for over 85 years. It also owns two other health insurers, Frank and health.com.au
Based in Geelong Victoria, the fund has an extensive network of regional branches, providing private health insurance to hundreds of thousands of members across Australia.
GMHBA offers an extensive range of hospital and extras policies, and offers a number of additional allied health services such as dental and optical to regional Victoria.
Nobody chooses to go to hospital. But when you do, appropriate hospital cover will help you get the treatment you need, where and when you want it. It also helps to pay the bills, as fees for hospital rooms and specialists can add up.
Think about what services you’re likely to need, in line with your budget. If you earn over $90,000 individually or $180,000 as a couple, you could avoid paying the Medicare Levy Surcharge.
With 10 plans to choose from, GMHBA has a wide range of hospital covers, from basic to comprehensive. Some policies come with access to the AIA Vitality rewards program.
A low entry-level plan aimed at younger, healthy Australians on a tight budget who want to avoid the Medicare Levy Surcharge.
GMHBA’s second cheapest policy with a wider range of hospital services than Basic, plus access to member rewards and private hospitals for some services.
A more expensive but more comprehensive policy that covers a range of common procedures in private hospitals. It offers everything in the Bronze Essential policy, plus dental surgery.
Private hospital cover for a wide range of services, with some exclusions to keep costs down. Choose between $500 and $750 excess.
GMHBA offers two versions of Silver Plus: a more expensive version that does not include pregnancy items and a cheaper version with a $500 excess. Covers everything in the Silver Core policy, plus a few extras.
A high level of cover with minimal exclusions. There are two Silver Plus Premium packages, with one that specifically excludes pregnancy. The $500 excess version does not include weight loss.
Gives you everything in the Silver Plus Premium policy, plus access to the AIA Vitality rewards program. Doesn’t include obstetrics, making it an option for older Australians.
High level cover with no exclusions, so could be suitable for people looking to start or grow their family. No excess, but does not come with access to the AIA Vitality rewards program.
A top-level combined hospital and extras package aimed at families. No restrictions on hospital cover and includes limits of up to $1,000 per person on common extras, as well as generous rebates.
Offers everything the Gold Premium policy does, plus access to the AIA Vitality program.
All GMHBA extras, hospital and combined policies have emergency ambulance cover included (excluding air ambulance).
From dental, to optical, to chiro and more, extras insurance helps cover the bills for routine treatments with rebates of up to 100%.
While we’ve summarised the key points of each plan below, it’s always worth digging a little deeper into any gap fees, how much you can claim back, and whether your preferred healthcare provider, such as your local dentist, has an agreement with the health fund.
Take the time to work out what you need and what you’re prepared to pay. If this feels a bit overwhelming, you can speak to one of our experts who can talk you through what’s included in each extras policy.
GMHBA offers a variety of extras, with each level offered as either a set benefits policy or with a designated percentage back on eligible services.
Low annual limits make this more suitable for budget-conscious singles and couples. Cover includes varying rebates on basics like preventative dental and physio, but does allow up to 80% back on frames and lenses.
Claim up to 55% on popular services like physio, optical and dental, plus travel vaccinations and occupational therapy. Limits of up to $300 on some extras.
More comprehensive extras package with set rebates across all extras. Includes remedial massage, osteo and chiro.
Claim 65% back on an extensive range of services like general and major dental, optical and remedial massage. Comes with larger annual limits than the Basic Extras 55%.
Fully comprehensive set of extras, including hearing aids, acupuncture and podiatry. Higher annual limits than the Basic and Mid extras, and higher set rebates.
GMHBA’s most expensive extras cover, giving you 75% back on hearing aids, sleep apnoea monitors, orthopaedic appliances, and much more.
To stop people signing up, claiming, then cancelling their health insurance, all insurers apply waiting periods. Generally, the more expensive the treatment, the longer you’ll wait. But keep an eye out for special deals with waiting periods reduced or waived.
Selected policies come with access to a rewards program called AIA Vitality, giving members access to rewards and discounts such as:
Claim online or by swiping your GMHBA membership card when you visit a participating HICAPS provider. You can also lodge a claim at your nearest GMHBA branch or through the post.
GMHBA has agreements with many private hospitals and day clinics across Australia. When comparing policies, it’s worth checking if your local hospitals and clinics are covered. Our specialists at Health Insurance Comparison can do this for you.
ACT – 13
NSW – 187
NT – 3
QLD – 102
SA – 52
TAS – 9
VIC – 147
WA – 43
GMHBA received 3.5% of complaints in 2019 vs 2.3% market share, indicating customer service may be a little below average.
GMHBA hospital covers are designed for people who have full Medicare eligibility. Some people may be responsible for large out of pocket expenses if they’re not a permanent resident, or don’t have full Medicare eligibility. Unless otherwise approved by GMHBA, any person under the age of 18 is not eligible to be a policyholder.
Our experts can provide you with free personal advice. Let us call you.