Current Participating Health Funds
List of participating health funds with no gap agreements
A-E:
- ACA Health Benefits Fund
- Australian Unity Health Limited*
- AIA Health Insurance Pty Ltd
- Bupa HI Pty Limited
- CBHS Corporate Health Pty Ltd
- CBHS Health Fund Limited
- CUA Health Limited
- Defence Health
- Doctors’ Health Fund
- Emergency Services Health Pty Ltd
G-L:
- HBF Health Limited
- Health Care Insurance Limited
- health.com.au
- Health Insurance Fund of Australia Limited
- Health Partners
- Health Contributions Fund of Australia Ltd (HCF)
- Latrobe Health Services
M-Q:
- Navy Health Limited
- Nurses & Midwives Health Pty Limited (from 16/01/2017)
- Onemedifund
- Peoplecare Health Insurance
- Phoenix Health Fund Limited
- Police Health Limited
- Queensland Country Health Fund Ltd
R-Z:
- Reserve Bank Health Society Ltd
- rt health fund
- Teachers Health Fund
- Teachers Union Health (previously Queensland Teachers Union Health Society)
- Transport Health*
- Westfund
* – subject to policy coverage
Non participating (Gap) Health Funds
What does it mean if I am a member of these participating (no gap) health funds?
Inpatient procedures: If you have a procedure in a private hospital or accredited day surgery, your account will be sent directly to your fund for payment. You will not receive an account and will not be out of pocket.
Outpatient procedures: Private health insurance does not cover outpatient procedures. You will receive a TissuPath account for our services, part of which can be claimed through Medicare.
What if I am a member of a non participating (gap) health fund
Inpatient procedures: Non -participating funds will not enter into “no gap” billing arrangements with TissuPath and do not fully insure for inpatient pathology services. If you have a procedure in a private hospital or accredited day surgery, you will receive a TissuPath account for our services. Most of the account can been claimed through your health fund and Medicare, but you will be out of pocket for the remainder of the bill.
Outpatient procedures: Private health insurance does not cover outpatient procedures. You will receive a TissuPath account for our services, part of which can be claimed through Medicare.
For any questions or account queries, please contact one of our friendly staff on (03) 9543 6111