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What does the introduction of ‘standard clinical definitions’ mean?
By April 2020, all health funds will be required to define the clinical categories of hospital services in the same way, which will help customers to understand and compare health insurance policies. For example, the hospital services which form part of the category 'heart and vascular system’ will be exactly the same across all funds.
All hospital treatments and services will be divided into 38 separate clinical categories, with specified Medicare Benefit Schedule (MBS) items (medical services subsidised by the Government) within each category. The standardisation of clinical categories and MBS items means that there may be a change to the individual MBS items currently included under your policy.
How will health insurance be categorised as part of the changes, and what does 'Gold', 'Silver', 'Bronze' and 'Basic' health insurance mean?
A new classification system was introduced on 1 April 2019 to make it easier to understand and compare health insurance products. By April 2020, all hospital products will be classified and named as ‘Basic’, ‘Bronze’, ‘Silver’ or ‘Gold' health insurance. Each product classification must include a minimum number of hospital treatments as set out by the Government. For example, a ‘Gold’ health insurance product must include all 38 clinical categories of treatments. Health funds can also choose to include more than the minimum number of clinical categories in each product. In this case, the product would become a ‘plus’ classification—for example, ‘Bronze Plus’.
We’ll be in touch soon to let you know if your product name is changing, and if we will be adding or removing treatments and services from your existing product to fit into the new Basic, Bronze, Silver and Gold health insurance classifications.
Frequently asked questions
You will only need to serve waiting periods for services not previously included under your cover or for any increased benefits or limits.
Not necessarily, a priority membership 'gold card' indicates your priority status as a loyal Medibank member not the category of cover you hold. Visit our Priority Member hub to learn more about how we are rewarding our longest-serving members.
Learn more about the private health insurance reforms
Gold, Silver, Bronze or Basic health insurance: What’s right for you?
We’re rolling out all the Government’s health insurance reforms to make it easier to compare and choose health insurance that’s right for you.
What changes to health insurance mean for women’s health
From breast cancer to fertility treatments, here’s what the changes to health insurance mean for women’s health.
Is a $750 excess right for you?
Medibank is rolling out all of the health insurance reforms to make it easier to compare hospital products and choose cover that best suits your needs, including the option to increase your excess to help lower your premium.
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