ACHA and HCF* have been unable to reach an agreement on a new contact, impacting HCF insured-members accessing an ACHA facility. The current agreement will end on January 31, 2023.
*The HCF group includes HCF, rt health and Transport Health, any references to HCF or HCF members includes rt health and Transport Health members.
How are HCF-insured patients impacted if accessing an ACHA facility?
- ACHA will absorb the gap between its increased costs of delivering care and the benefits paid by HCF for a short time.
- Unless benefits paid by HCF increase to cover ACHA's increased costs of delivering care, additional out-of-pocket costs will apply according to the dates below:
|Treatment Type (irrespective of when booked)||No additional out of pockets for patients until:|
|Emergency (note inclusions/exclusions outlined in FAQ)||May 1, 2023|
|Rehabilitation and mental health that started on or before January 31, 2023||August 1, 2023|
|Treatment commenced on or before January 31, 2023||Covered until discharge|
|Oncology and renal that started on or before January 31, 2023||August 1, 2023||Other Treatments (including elective surgery)||No additional out of pockets for patients until:|
|Pre-booked on or before January 31, 2023||Pregnancy and birth – November 1, 2023||Pre-booked on or before January 31, 2023||Other procedures/services – August 1, 2023|