About Me

My photo
Travelalot, Vic, Qld, Cali, Australia
Like making old things new again. Enjoy working on a far away big tree/cow farm vs inner city digital stuff and with the NBN that's changing, creative lifestyles and digital content businesses. I have 4 degrees in psychology, media, literature, librarianship, management and business including a business PhD that explored how tech created opportunities in the music sector (as a lead indicator to other content sectors). Am fascinated by how people use digital stuff and emerging uses. Slow living, reject unreal or fast lifestyles, I like to know all about what I eat. Maintaining a professional hatred and boycott of Farcebook. Confused about whether to write in 1st or 3rd person on this site. Love animals and have always had them around - cows, horses, chooks, cats, dogs, sheep, goats, camels, budgies. Met lots of snakes too. Enjoy aesthetic immersion and favourite era is 1940-1959. Music obsessive not impartial to late nights watching bands. blah blah blah

Tuesday, December 22, 2009

MBF Health Insurance Hate

I've been a member of MBF health insurance for over 15 years (since the government made it pseudo compulsory for earners).  Today I saw my dental specialist again to pick up a plate similar to braces that I need to wear (when noone's watching).  It's not a cosmetic nice to have, it's something I need and I've been acting as advised by my doctor and 2 dental specialists.  It cost $1900 and they assured me it's covered on health insurance.  So in the Specialists surgery when the receptionist put it into Hicaps (online claim system) to see what amount my health insurer, MBF, will reimburse me I felt that moment of anticipation at a lottery, because one never knows how much MBF will cover.  Last time it was 20% of a $500 bill, which isn't much seeing I pay them over $100 per month and very rarely make claims.  This time she put in the amount of $1900, and it returned .....  $0.  Yep.  We were stunned.   There goes my Christmas.....

So I rang MBF and they told me that what I've had fitted by a dental specialist, made by acrylic molded for my teeth is not a dental item at all, it's a 'health management machinery' item.  I explained the inappropriateness of this and then cancelled my account.

I've since spoken with my medical sister-in-law about it and she's advised NIB are much better, so at lunchtime today I'm registering with them.  Just spoke with mum who said i've been rash as I now won't be able to have the surgery until a 'wait period' is over (usually twelve months).  But I'm so disgusted at the fine print machiavellations of MBF that I'll risk twelve months before I have it.  Meanwhile my health will suffer.

According to MBF this acrylic plate to be worn over my teeth is 'health management machinery' not a dental item.  Merry Christmas ho ho ho:





UPDATE: I am now with NIB, who cover orthodontics.....

1 comment:

Lola Lopez said...

You shouldn't have to wait as you have been a member of a health fund for over 12 months (in your case, 15 years).. I too have just been stung with a $2000 'gap'payment from my surgery so I feel your pain. I was meant to be sorting out my dental this year but that will be on the back burner as I pay for my hysterectomy. So much for health insurance- they only paid $375.00!

Followers