FAQs
We understand that navigating the world of risk mitigation can be both confusing and raise a lot of questions. To help, we’ve answered some of the most commonly asked ones here.
Does this insurance cover the Medicare gap? In other words, the difference between the cost of medical treatment and the Medicare rebate for physicians, surgeons and anaesthetists?
Unfortunately no, as government legislation does not allow it. By law, this policy can’t cover medical expenses that are covered by Medicare, including the gap between the expense and the Medicare rebate. However, if an injured ANDRA member is covered by private health insurance, the Personal Accident policy will pay the balance above the private health insurance refund on expenses not claimable.
This is subject to the percentage reimbursement, the limit per injury and the excess applicable.
Should active ANDRA members also consider taking out additional personal coverage?
This program is not “comprehensive” and as such we encourage all participants to take out Private Health, Life and Income Protection Insurance according to their own individual needs and circumstances. It is an individual’s responsibility to ensure that they have adequate insurance cover for their own needs.