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Gold Coast locals warned they risk additional out-of-pocket hospital costs in the future if insured with Bupa

July 29, 2022

Bupa members on the Gold Coast are being urged to review their health cover if they want to avoid additional out-of-pocket costs at a selection of leading local private hospitals in the near future.

Ramsay Health Care, which operates numerous facilities on the Gold Coast and Northern New South Wales – including six hospitals and day surgeries and two psychology practices, is due to go out of contract with Bupa on 2 August 2022.  

Pindara Private Hospital CEO, Mark Page, said this would potentially impact tens of thousands of Gold Coast locals. 

Hospitals have faced enormous challenges through Covid protecting our patients and staff, providing appropriate PPE, increasing our cleaning, and ensuring additional infection prevention training for our staff and doctors,” Mr Page said. 

“This increase in vigilance and ensuring patient safety comes at a significant cost. In negotiations around rate increases, health funds must acknowledge the increasing wage and supply costs required to ensure ongoing quality patient care in our hospitals.

“Unfortunately, terms that acknowledge those costs increases have not been reached with Bupa in our negotiations to date.

We are concerned that reaching an agreement with Bupa is unlikely before next weeks deadline, meaning Bupa patients accessing Ramsay sites, including Pindara Private Hospital, John Flynn Private Hospital and The Southport Private Hospital, in the future may be required to pay the shortfall between Bupa’s benefits and the treatment costs, as an additional out-of-pocket expense

“We want local Bupa members to be informed about the situation now, so they have time to review their health cover and work out what is best for them.”

Bupa patients wanting to access Ramsay Health Care facilities may like to consider changing their private health insurance to avoid any additional out-of-pocket costs. Ramsay Health Care has agreements with all other private health insurers in Australia.

By law, consumers changing funds won’t have to re-serve the waiting periods for hospital benefits again if retaining the same level of hospital cover. More information is available in the Ombudsman’s Right to Change brochure: bit.ly/RightToChange2022

Ramsay Health Care’s goal has been to reach a fair and sustainable agreement with Bupa that removes the need for additional out-of-pocket costs to be passed on to patients. 

More information is available at www.protectyourcover.com.au.

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