More than 96% of private hospital beds across Australia have an agreement with Bupa. If you are being treated in a private hospital without agreement with Bupa, we will continue to cover some of your medical expenses. However, depending on your doctor`s calculation, you may have an additional fee. The Bupa Medical Gap Scheme is available to doctors in all public and private hospitals with whom we have an agreement throughout Australia. The amount your fund paid for hospital services depends not only on the type of coverage you buy, but also on whether your fund has an agreement with the hospital where you are being treated. “Managed Care cannot and will not perform in Australia. It`s total misinformation. The only change that applies to a very small number of sites means that doctors must advise a patient whether or not he or she goes to a contract hospital and then advise on the medical costs of the service. “This is an American-style take-in against which our profession will defend itself at all levels. We cannot decide what care patients can and cannot receive. Bupa already has dental clinics, and to have full control, they would own hospitals and employ doctors. Four private hospital contracts of up to 6 Bupa attracted the ire of leading Australian medicine after informing doctors that insured patients would only be eligible for coverage if they were treated at a Bupa-approved hospital or medical centre. From August 1, 2018, the Bupa Medical Gap Scheme will only be available to physicians who can use them for your admission to private hospitals with an agreement with Bupa.
From August 1, 2018, your doctors will be able to use the Bupa Health Insurance Scheme for your admission as a private patient to a public hospital or private hospital with which Bupa has an agreement. This applies to any doctor involved in your treatment. The Bupa Health Insurance System aims to eliminate or significantly reduce medical costs associated with hospital medical care by providing physicians with significantly higher benefits than under Medicare. Insured patients can currently choose the hospital where they are being treated, including at any public hospital where their surgeon is authorized to work. We advise you to talk to all doctors (from surgeons to anaesthetists) who participate in your health care to make sure you understand the costs you may have to pay. If it is convenient, it is best to receive this cost information in writing before your treatment. You can check which doctors are using the Bupa Medical Gap Scheme in bupa.com.au/find-a-provider. However, doctors may choose whether or not to use the Bupa Medical Gap Scheme in your particular case. For more information on the Bupa Medical Gap Scheme, see: www.bupa.com.au/medicalgapscheme The health system was most effective when doctors and hospitals operated as independently as possible from insurers, Gannon said.