YoungSavers Cover

Young and Independent?

Consider the new Phoenix YoungSavers product - offering an affordable, great value Private Health Insurance product to meet the needs of Under 35's who are eligible to join Phoenix Health Fund.

You can read through all the information below, or use these links to jump to a particular section:

• What is YoungSavers Cover?
• Contribution Rates
• Hospital and Medical Cover
• Hospital Cover - Non-Restricted Services
• Excess
• Access Gap Cover
• Eligibility
• How To Join
• General Treatment (Ancillary) Cover
• Waiting Periods
• Cooling Off Period
• General Information
• Complaints and the Private Health Insurance Ombudsman
• Privacy Statement
• Bonus Benefits

What is YoungSavers Cover?

Phoenix YoungSavers is an affordable level of cover, designed specifically to meet the needs of the majority of young single people. The cover combines a combination of benefits for the common Hospital, Medical and General Treatment (Ancillary) items that young single people may need from time to time.

It is important to note this product does not offer cover (or provides minimal benefits) for a number of Hospital, Medical and General Treatment (Ancillary) services that the majority of young single people typically do not need (e.g. heart surgery, joint replacements, obstetrics, dental orthodonture treatment, etc).

IMPORTANT: It is very important that you read the following information closely as it contains important information about what is and is not covered under Phoenix YoungSavers. If you have any questions please do not hesitate to contact the fund on FREECALL: 1800 02 8817 during business hours or send us an e-mail.

Contribution Rates

The following premiums are applicable from 1^st January 2007 and will continue from 1st April 2008, after the Federal Government‘s 30% Rebate on private health insurance has been deducted and with no Lifetime Health Cover loading.

Pay Frequency	Single Person Membership
Weekly	13.80
Monthly	60.00

Please note:

• Membership Contribution Payments can only be made by Direct Debit from a nominated Bank, Building Society or Credit Union Account OR
• Payroll Deduction (check with Paymaster);
• Claim Benefit Payments must also be made to a nominated Bank, Building Society or Credit Union Account

Hospital and Medical Cover

Phoenix YoungSavers Hospital & Medical cover provides Private and Public hospital and medical coverage for the majority of services required by young single people.

IMPORTANT: MINIMAL Private Hospital coverage is provided for services described below as “Restricted Services”. If you select this level of cover and you are admitted to a Private Hospital requiring one of these “Restricted Services” you will have a large out of pocket expense.

All other services that are eligible for Medicare Benefits are defined as “Non-Restricted Services” and accordingly are eligible for Public and Private Hospital cover as defined in Phoenix YoungSavers Hospital Cover table.

Hospital Cover - Non-Restricted Services

Phoenix YoungSavers Hospital cover for Non-Restricted Services provides:

• 100% cover for Non-Restricted private and public hospital services nationwide (after the up front excess has been paid) with access to an extensive range of quality services and approved programs in contracted private hospitals.
• The fund has contracts with the vast majority of private hospitals in all States and Territories of Australia. Our hospital contracts total more than 450 Australia wide and you can search for an agreement hospital on our website, or contact our office.
• The services listed in the YoungSavers Hospital Cover table are applicable in all private hospitals that have entered into a contract with Phoenix Health Fund.
  There are a small number of private hospitals that do not have agreements with the fund. In these cases a personal payment may apply.
• Apart from the services clearly outlined above as "Restricted Services" we do not have any treatment exclusions on services eligible for Medicare benefits.

Excess

If you are admitted to a hospital you will pay an up front excess of hospital costs until you have reached your excess maximum of $500 within a calendar year (1st January through to 31st December).

The excess is applied as follows:

• The full $500 excess is payable on the first overnight admission to a Private Hospital, and
• A $250 up front excess is payable on any Day Surgery Admissions (Private or Public Hospital).

Access Gap Cover

• Phoenix Health Fund, as a member of the Australian Health Service Alliance, has “Access Gap” arrangements with over 15,000 Doctors Australia wide.
• These arrangements maximise the financial benefits for our member’s in-hospital medical bills.
• The ultimate aim is to minimise or eliminate member’s out of pocket expenses when our members are treated as admitted hospital patients.
• We understand that being admitted to hospital can be a very stressful and uncomfortable experience and we are working very hard to minimise or eliminate the financial impact of this experience.
• The advantage of these “Access Gap” arrangements is that YOU will have either no out-of-pocket expenses to pay or will know exactly how much you will have to pay before treatment begins, AND be unlikely to have to lodge a claim for benefits as your doctor can bill Phoenix Health Fund direct, making it even easier for you.
• Check our website or contact the fund for a specialist that has a No / Known Gap arrangement with Phoenix Health Fund.

Phoenix Health Fund is unable to provide details of all Doctors with whom we have “Access Gap” arrangements, as some doctors have requested not to be publicly listed.

If the doctor you are looking for is not listed he may still participate in “Access Gap Cover”.

You should always ask your doctor if he will participate in “Access Gap”. You can download an Access Gap Cover information brochure from our website, or contact our office.

Eligibility

Phoenix is able to welcome all employees and former employees of the OneSteel and BHP Groups of Companies to our fund. Immediate family members of current and former employees of OneSteel and Associated Companies are also eligible to join.

How To Join

To take the Phoenix YoungSavers cover you can either:

1. Join Online
To join Phoenix YoungSavers online go to Online Member Services

or

2. Join via Fax or Mail
To Join by Fax or Mail download an application form from our website YoungSavers Application Form or request an application form on freecall 1800-028817

In particular you must complete the following sections and forms:

• DIRECT PAYMENTof BENEFITS details on application form (debit accounts only).
• Phoenix YoungSavers Hospital Restrictions Acknowledgement (tick each) on application form
• Federal Government 30% Rebate form.
    NB: Contribution rates quoted are after 30% Rebate
• Transferring from another fund form - if applicable
• DIRECT DEBIT REQUEST form (debit accounts only)
      or
• PAYROLL DEDUCTION Authority (for OneSteel & Associated companies offering payroll deductions)

Send all forms to us by fax on 02 49682229 or mail to Phoenix Health Fund, PO Box 156 NEWCASTLE NSW 2300

General Treatment (Ancillary) Cover

Phoenix YoungSavers provides General Treatment (Ancillary) cover for a range of services that young single people may need from time to time.

Please refer to table below for BENEFITS AND LIMITS:

Please note:
Calendar Year is 1 January to 31 December and waiting periods may apply.
No benefits are payable by the fund when:

• A member is given treatment without charge.
• The services received are not recognised by the fund and are not provided by providers registered with the fund.
• The services are provided outside the Commonwealth of Australia.
• An entitlement exists or may exist under any compensation, third party or sports club insurance.
• A claim for a service is submitted more than 24 months after the date of service.
• A claim is submitted for optical appliances not requiring sight correction.
• Services are provided by family members or relatives.
• The claim is for goods and services that are deemed to be primarily for the purposes of sport, recreation or entertainment.

Waiting Periods

Please note:
If a person is transferring to Phoenix YoungSavers from another fund with an identical level of cover, is financial and waiting periods from the previous fund have been served, waiting periods will be waived, but:

• In the first calendar year of membership, members transferring from another fund who have used all or part of their annual limits with this other fund will only receive the difference between the Phoenix YoungSavers limit and the amount already claimed from the other fund, and
• Members transferring from another fund that have lower limits or benefit exclusions compared to Phoenix YoungSavers must serve the waiting periods listed above before they can claim more than the former fund’s limit or benefit.

Cooling Off Period

We will allow any member who has not yet made a claim, to cancel their policy and receive a full refund of any premiums paid within a period of 30 days from the commencement date of their policy.

General Information

Medicare Levy Surcharge
The Medicare Levy Surcharge applies to Single people who have a taxable income over $50,000 and families with a combined taxable income greater than $100,000
The Medicare Levy Surcharge is an additional 1% of taxable income in addition to the 1.5% Medicare Levy.
People who purchase the Phoenix YoungSavers Product, or any other Phoenix Hospital Product are able to avoid the Medicare Levy Surcharge.

Lifetime Health Cover
The Federal Government’s Lifetime Health Cover loading may apply if you are over the age of 30 and either:

• Taking out hospital cover for the first time since July 2000
• Have not had continuous hospital cover since July 2000

The Lifetime Health Cover loading (If applicable) is calculated at an additional 2% for every year over the age of 30 on the hospital component of your cover.
NB: The rates specified in this brochure are for people not affected by Lifetime Health Cover. Contact our office for further details, or to determine the contribution rate if applicable.

Alternative Therapies
Payment of benefits is limited to Approved Therapies and Accredited Associations. The respective lists are available on the Fund website, or by contacting the office of the Fund.

Pre-existing Conditions
Benefits may not be payable for pre-existing ailments or conditions, the signs or symptoms of which were in evidence (whether or not diagnosed by a doctor) at any time during the six months prior to the time of joining Phoenix Health Fund. This rule applies for the first twelve months continuous membership from the date of joining.

Nursing Home Type Patients
Unless a doctor certifies otherwise, patients in hospital in excess of 35 days continuously are regarded as Nursing Home Type Patients, and are required by legislation to pay part of the daily accommodation charge as approved by the Federal Minister of Health.

Complaints and the Private Health Insurance Ombudsman

The Ombudsman has been set up to deal with inquiries and complaints about any aspect of Private Health Insurance.
If the fund is unable to resolve your complaint, then you should contact the Private Health Insurance Ombudsman. A brochure explaining the processes is available on request from Phoenix Health Fund on Freecall 1800028817 or the Ombudsman on Freecall 1800640695.
The Ombudsman is independent of Private Health Funds, Private and Public Hospitals and Government.

Privacy Statement

Phoenix Health appreciates and highly values the relationship we have with you. As an important part of this relationship, we are committed to protecting the personal information that you provide to us. Phoenix Health Fund‘s policy is to comply with all relevant legislation and with Australia’s “National Privacy Principles”. Among other things, this means that:

• We will only collect information that is necessary for what we do;
• We will be fair in the way we collect information about you;
• We will only use or disclose information about you in ways that are consistent with your expectations or are required in the public interest, or required by Legislation;
• We will retain your personal information for the sole use of Phoenix Health Fund Limited and its related entities and not sell it or release it to any third party without your consent;
• We will be open with you about what kinds of personal information we hold and what we do with it;
• Wherever possible we will let you see the information we hold about you and correct it if it is wrong;
• If you so desire, and if possible, we will deal with you anonymously.

Bonus Benefits

• Online member services - see website
• Electronic "EFTPOS style" claiming at more than 20,000 dentists, physiotherapists, optical dispensers, chiropractors, osteopaths and podiatrists Australia wide.
• Discounted Travel Insurance - see website