Readmission to hospital within 28 days might not be covered by your policy! 59



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What if your hospital cover wasn’t what you thought it was… What if you had an operation, then were unable to claim on a readmission within 28 days… would you be worried?

Yes that’s right folks, your health insurance policy might not be worth as much as you are paying for it in coming months if Medibank Private sets a precedent into place with its current negotiations with private hospital group, Calvary Health Care Group which runs hospitals in ACT, SA and Tasmania.

Calvary is renegotiating their contract with Medibank Private and word is Medibank Private are taking an aggressive approach, driven by their privatised shareholder-led position.  Medibank is apparently seeking to cut 165 events from its insurance cover, according to the AFR, with its target firmly aimed at “highly preventable events”, that they conclude are readmissions to hospital within 28 days of discharge…

Sorry!  What!!  If you have heart surgery and have to be readmitted to hospital within 28 days might you not be covered?  That seems to me like a blatant attack on the weak and ill.  Is this where we want the Australian health industry to go?

Medibank are fighting the accusations from Calgary with the statements that “the primary objective of our approach has not been to ‘save money’ – it is about preventing mistakes which are avoidable with the right focus and effort from everyone involved.” but it will undoubtedly set the peoples’ alarm bells ringing.

In Fairfax media, AMA president Professor Brian Owler said on Wednesday this issue “has nothing to do with quality”.

He warned in the AFR that if the issue was “not stopped by this government, by the Minister, [it] has the ability to threaten the balance between the public and private system right across the country.”

Surely if an instance of a health fund not having to pay for readmissions within 28 days is allowed, it will ripple through the health system, placing pressure on the public hospitals and leaving the door open… Do you feel uncomfortable about this?

Rebecca Wilson

Rebecca Wilson is the founder and publisher of Starts at Sixty. The daughter of two baby boomers, she has built the online community for over 60s by listening carefully to the issues and seeking out answers, insights and information for over 60s throughout Australia. Rebecca is an experienced marketer, a trained journalist and has a degree in politics. A mother of 3, she passionately facilitates and leads our over 60s community, bringing the community opinions, needs and interests to the fore and making Starts at Sixty a fun place to be.

  1. I anybody surprised?
    Another Liberal government sell out.
    “22 Nov 2014 … Finance Minister Mathias Cormann says the $5.679 billion raised from the sale of Medibank Private will be invested in infrastructure projects.”
    Yeah Right! Where are the infrastructure projects – I suppose that money is going to the destruction of the infrastructure of Syria. And, selling the benchmark flagship government health cover was just to bring us down to their much adored USA style of health cover. which Abbott follows to the letter. (see past employees of the IPA – Peta Credlin) The Liberal government got the money from the sale – and the state governments have to pay for all the people whose now aren’t covered by these low-life money oriented wealth care for the shareholders shams. Just hold on a second while I unclench my teeth.

  2. Medibank is now private not in public hands and who sold it off need I remind everyone LNP stands for privatisation you will pay so why are we not surprised that they change the rules they now have to answer to their shareholders and that’s not us thank you Tony and friends.

  3. My husband & I are currently with AHM .. Calvary Private/ Calvary Day/ Cancer Care all @ Wagga.. This is by far the worst news for Retirees.. We need access to each of these but will soon NOT be covered meaning we either go interstate or public health.. For 41 Years we have payed the highest premium & now such an injustice.. Treated with contempt whilst the now the once Privately owned health fund is now for the shareholders & the GM now receiving a pay from 1.2 million to 5million… Certainly unhappy what the hell is happening??

  4. After being with Medibank since it started, I changed last year because of the lack of financial support when claiming. I also saw it getting worse with privatization. I wish them nothing but bad luck. They don’t deserve loyalty. Absolute bastards.

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  5. This is very scary, so what happens if it goes over is the patient just meant to die. Where is Duty Of Care

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