Private Health Insurance Code of Conduct

For Consumers:

The Private Health Insurance Code of Conduct is designed to help you by providing clear information and transparency in your relationships with health funds.

Private Health Insurance Code of Conduct

The Code covers four main areas of conduct in private health insurance:

  1. Ensuring you receive the correct information on private health insurance from appropriately trained staff;
  2. Ensuring you are aware of the internal and external dispute resolution procedures available in the event that you have a dispute with a private health insurance fund;
  3. Ensuring policy documentation contains all the information you require to make a fully informed decision about your purchase and that all communications between you and your fund are conducted in a way that the appropriate information flows between the parties. This includes staff, agents and brokers who from time to time may interact with you; and
  4. Ensuring that all information between you and your fund is protected in accordance with national and state privacy principles.