Private Health Insurance Ombudsman

The Private Health Insurance Ombudsman[1] is an Australian Government agency but acts independently of the government in investigating complaints involving private health insurance and reporting.[2] The role and functions of the office are contained in Sections 230- 256 of the Private Health Insurance Act 2007.[3]

Role and functions

The office protects the interests of people who are covered by private health insurance[4][5] by investigating complaints and assisting in the resolution of complaints.[6] It also publishes independent information about private health insurance and the performance of health funds.[7] According to the Australian Government's website, the ombudsman "provides private health insurance members with an independent service for health insurance problems and enquiries."[8]

The office has stated that it expects to fulfill this role by handling complaints in a high quality manner; by providing information and advice to consumers; and by providing information, advice, and recommendations to the Government.[9]

History

Originally, the Private Health Insurance Ombudsman was established on 4 March 1996 as the Private Health Insurance Complaints Commission (PHICC).[10] The name was changed in 1998.[11]

On 1 July 2015, the Private Health Insurance Ombudsman merged with the Commonwealth Ombudsman, as part of the smaller government measures in the 2014 federal budget.[12]

Ombudsman officeholders

Samantha Gavel was appointed Ombudsman on 1 April 2008 for a three-year term.[13] Gavel held the position until she was appointed National Health Practitioner Ombudsman and Privacy Commissioner in January 2015.[14] David McGregor was appointed acting Private Health Insurance Ombudsman until 30 June 2015, when the Private Health Insurance Ombudsman was merged with the Commonwealth Ombudsman.[12]

See also

References

  1. ↑ Private Health Insurance Ombudsman (PHIO)
  2. ↑ Health Directory
  3. ↑ Private Health Insurance Act 2007
  4. ↑ Statement of Expectations from Australian Minister of Health Nicola Roxon, 25 May 2009
  5. ↑ Statement of Intent from Samantha Gavel, 9 July 2009, in response to Nicola Roxon's Statement of Expectations
  6. ↑ Private Health Insurance Administration Council website, retrieved 20 February 2012
  7. ↑ PHIO's Annual Reports Archived 2016-01-06 at the Wayback Machine.
  8. ↑ Australian Government site
  9. ↑ Statement of Intent, 9 July 2009
  10. ↑ Australian Senate: THE REVIEW OF THE HEALTH LEGISLATION (PRIVATE HEALTH INSURANCE REFORM) AMENDMENT ACT 1995
  11. ↑ 1999-2000 Budget Department of Health & Ageing Outcome 3
  12. 1 2 Appointment of Acting Private Health Insurance Ombudsman
  13. ↑ Media Release: Minister for Health & Ageing
  14. ↑ Samantha Gavel, current PHIO has been appointed National Health Practitioner Ombudsman and Privacy Commissioner
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