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WHAT DO HEALTH FUNDS PROMISE UNDER THE CODE?

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What do Health Funds promise under the Code?

Funds who are signatories to the Code will:

  • work towards improving the standards of practice and service in the private health insurance industry;

  • provide information to you in plain language;

  • promote better informed decisions about their private health insurance products and services by:
    • ensuring that policy documentation is full and complete
    • providing clear explanations of the contents of the policy documentation when asked by you
    • ensuring that persons providing information on health insurance are appropriately trained

  • ensure information exchanged between you and the fund is protected in accordance with privacy principles;

  • provide information to you on your rights and obligations under your relationship with your health fund, including information on this PHI Code of Conduct;

  • provide you with easy access to their internal dispute resolution procedures, which will be undertaken in a fair and reasonable manner and advise you of your rights to take an issue to an external body such as the Private Health Insurance Ombudsman ("PHIO").