And in a separate announcement yesterday the ACCC is suing Medibank for allegedly telling customers they could not make claims for certain types of surgery even though their policies covered those procedures.
The Australian Competition and Consumer Commission launched the court action yesterday claiming Medibank’s subsidiary brand AHM Health Insurance told members making claims or inquiries they were not covered for joint investigations or reconstruction surgery.
“We will allege that Medibank incorrectly rejected claims or eligibility enquiries from over 800 members for benefits that they were entitled to and were paying for,” ACCC Chair Rod Sims said.
“We estimate about 60 members needlessly upgraded their policies so they could access the joint investigation and reconstruction procedures they were already entitled to under their existing, cheaper insurance policies.”
Medibank private shares fell 2.2% to $3.54.
