Message from the Manager

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Phoenix Health Fund Website

www.phoenixhealthfund.com.au

Medical Gap Explained

Will I have to pay for a gap for my choice of doctor and/or anaesthetist in hospital?

If you have any level of hospital cover with Phoenix Health Fund — Public Hospital, Top Hospital or YoungSavers, you can use Access Gap Cover. Your doctor agrees to set the fee for their service in advance, so that you will either have no out-of-pocket expenses, or at least know the exact cost prior to your treatment.

Individual doctors can decide whether or not to use Access Gap Cover, so this is something you need to ask each doctor who will treat you, when discussing treatment options. There is an interactive list of Access Gap Cover doctors who choose to be listed on our website.

Our staff can help you with more information about Access Gap Cover, so please contact us when considering a hospital procedure.

Medicare has set a schedule of fees that apply to every service performed by a doctor; it is called the Medicare Benefits Schedule, or MBS. Medicare pays 75 per cent of the schedule fee for every service and health funds are only able to legally pay the remaining 25 per cent, unless there are arrangements such as Access Gap Cover in place. Out-of-pocket (gap) payments arise because many doctors charge more than the schedule fee for services.

YoungSavers and Ex-Dependants

With Student Dependents finishing studies, and others leaving their parents’ memberships, now is the time to consider continued cover with our YoungSavers Cover. YoungSavers is especially developed for young singles.

YoungSavers has proven popular over the last few years, providing excellent value for money at a competitive price.

Phoenix YoungSavers provides a combination of Private & Public Hospital and Medical cover, as well as Ancillary cover, for the majority of services required by young, single people with minimum benefits for services unlikely to be needed.

See the Website for more information or call our friendly service team on 1800 028 817.