Cessation of HBF Medical Gap Arrangements for services provided in public hospitals
The AMA (WA) has been advised of a change to HBF’s Medical Gap Arrangements as they relate to medical providers treating HBF members as private patients in public hospitals.
HBF has advised that the use of HBF’s Medical Gap Arrangements for services in public hospitals brings no additional benefit to HBF members or providers, and simply incurs additional costs for the same service. HBF reflects these additional costs in increased member premiums.
As a result, HBF has changed its Medical Gap Arrangements, no longer covering the provision of services in a public hospital. After 1 July this year, HBF benefits for all services provided to HBF members in a public hospital are being paid in accordance with MBS rates. Benefits for treatment at public hospitals of Overseas Visitors with no Medicare entitlement are still being paid at the rate declared from time to time by the Department of Health WA.
The AMA (WA) would like to hear from members in private practice who have been affected by this change to ascertain whether you have identified any problems that have arisen from the change. Any issues highlighted by members will be referred to HBF for discussion.
For more information please contact Chris Kane via email or on 9273 3060.