Protecting your contributions
HCF is for the benefit of its members- and that includes ensuring your contributions
are protected from fraudulent claims. In Australia, fraud accounts for nearly 20%
of reported crime and costs Australians over $5.8 billion each year.
What is health insurance fraud?
It is sad to reflect that fraud exists in Medicare and in health insurance. Fraud
can be perpetrated by members or providers by billing for services that never took
place or for more costly treatment than was actually given. Health insurance fraud
costs us all through increased premiums for our private health insurance.
What is HCF doing to detect and prevent fraud?
There is good news. We are looking out for you. We investigate claims abuse, detect
where fraud has occurred and stop it happening again. HCF has successfully prosecuted
How you can help the fight against fraud
There are a number of ways that you can help us in the fight against fraud.
- Never leave your membership card with a provider
- Always check the details on the receipt
- Regularly check your claims history by logging onto ‘Members Online’
- Report suspicious behaviour or irregularities
How to report fraud
HCF has a dedicated and confidential team to deal with these matters. We will always
support and protect the identity of anyone who provides information, including respecting
your anonymity if you wish.
To report any suspicious behaviour:
Use our online form
HCF Fraud Hotline
1800 727 721
Members can also contact the Private Health Insurance Ombudsman on 1800 640 695,
an independent body formed to help resolve complaints.
+ Reporting Fraud Overview