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Increased<br />
benefits<br />
for Eyewear<br />
and Dental<br />
Eyewear<br />
Hall of Frame sale<br />
for June ‘09<br />
Hardship Benefit<br />
(see page 4)<br />
Article - Dr Geoff Dreher<br />
Bowel Cancer Screening<br />
Program<br />
Article - Jane Gardner, Beyond Blue<br />
Anxiety: more common than<br />
you think!<br />
Kevin and his wife Beverly McGrath have been <strong>Westfund</strong><br />
members for 11 years, upgrading from Classic Gold to Classic<br />
Platinum cover in 2008. Both Kevin and Beverly enjoy farming<br />
life on their property at Eumungerie NSW.
Recommendafriend!<br />
In a recent survey of new members . . .<br />
It is interesting to note that up to 80% of new members say they were referred by<br />
a family member or a friend who is an existing <strong>Westfund</strong> member.<br />
Good word of mouth is a key to success in any business endeavour.<br />
By having a broad, comprehensive range of covers offering ‘better value at a<br />
competitive price’, and servicing our members appropriately, they will speak<br />
well of us to their friends and associates.<br />
Referrals by members are always very welcome and we appreciate<br />
that loyal support. If you have been referred by a friend and become a<br />
new <strong>Westfund</strong> Hospital or Extras member, on behalf of that friend,<br />
we will send you a small gift as a thank you.<br />
�<br />
Testimonial<br />
To the Staff at <strong>Westfund</strong>,<br />
My friend Barbara Maloney, has been instrumental in my changing from<br />
NIB health fund to <strong>Westfund</strong>, and has assisted me in filling in the forms.<br />
Barbara has been extremely happy with the services provided by<br />
<strong>Westfund</strong>. I enjoy good health and hope my good fortune continues.<br />
Thank you to the girls who I have spoken with on the phone, who have<br />
been very helpful.<br />
Many Thanks, Dorothy Lawrence<br />
Leonay NSW<br />
WELCOME<br />
Grahame Danaher M.D.<br />
Introduction and greeting . . . . . . . . . . . . . . . .Pages 1 - 2<br />
MEDIA SPOTLIGHT<br />
Press Releases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Page 3<br />
YOUR FUND<br />
Our ‘Hardship Provision’<br />
Is looking after members . . . . . . . . . . . . . . . . . . . . .Page 4<br />
EYEWEAR<br />
June Sale - 2009 . . . . . . . . . . . . . . . . . . . . . . . . . . . .Page 5<br />
YOUNG STARTER COVER<br />
Cover for young singles . . . . . . . . . . . . . . . . . . . . . .Page 6<br />
HOSPITAL & MEDICAL GAP<br />
Case studies . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pages 7- 8<br />
AMBULANCE<br />
Case studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Page 9<br />
DENTAL<br />
Recruitment of Dentists<br />
Increased value in Dental benefits . . . . . . .Pages 10 - 12<br />
Contents Note: This promotion will be in effect until the 31st August 2009.<br />
EYEWEAR<br />
Increased value in optical benefits . . . . . . . . . . .Page 13<br />
LOYALTY BENEFITS<br />
Introduction of <strong>Westfund</strong>’s Loyalty Benefits . . .Page 14<br />
YOUR PRIVACY<br />
Your privacy is important to us . . . . . . . . . . . . . . .Page 15<br />
SERVICE<br />
We are here to help! . . . . . . . . . . . . . . . . . . . . . . . .Page 16<br />
COMMUNITY<br />
UPGRADE winner 2008<br />
Christmas appeal - Thank you! . . . . . . . . . . . . . . .Page 17<br />
ARTICLE<br />
Bowel cancer screening program . . . . . . . .Pages 18 - 19<br />
ARTICLE<br />
Beyond Blue - Anxiety disorder . . . . . . . . . .Pages 20 - 24
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 1<br />
www.westfund.com.au<br />
GRAHAME DANAHER<br />
<strong>Westfund</strong> Managing Director<br />
Welcome to our Autumn/Winter edition of<br />
the <strong>Westfund</strong> Member Magazine<br />
The purpose of the members magazine is to allow<br />
members to obtain value from their Health cover.<br />
The magazine outlines the additional benefits provided for<br />
Dental, Eyewear and other extras benefits and also<br />
reinforces some benefits that might be useful to members<br />
such as our forced retrenchment benefit.<br />
<strong>Westfund</strong> has continued to increase benefits to cover fee<br />
increases by hospitals and doctors through our contracts<br />
and agreements. These increases in benefits need to be<br />
paid for by premium increases in part which largely come<br />
through doctors and hospital increases in charges.<br />
Our premium rises over time have remained on average<br />
well below the industry rise, though this year we were<br />
a little higher mainly due to the increased and<br />
additional benefits.<br />
We are pleased to be able to increase our Eyewear Centre<br />
services to Emerald, which opened a few months ago and<br />
has proven very popular.<br />
Premium Rise Comparison Table
We have recruited additional dentists from overseas to our Dental Centre in NSW<br />
and the facility is now operating at full capacity with just a six week waiting time on<br />
appointments. Our <strong>dental</strong> service offers a high quality of care and very affordable<br />
fees so enquire now on (02) 6352 4255.<br />
While the majority of your premiums go in benefit payments we need to<br />
administer the fund and supply the service members require, which we do for<br />
about $2 a week per person covered, which is below the industry average.<br />
Our members magazine is produced by <strong>Westfund</strong> staff and is mailed to members<br />
for about $1.20 per copy. We are providing a new survey to encourage you to<br />
comment on the magazine to allow us to further improve the value to you.<br />
Members Magazine Survey<br />
Thank you to all those who completed<br />
the Member Magazine Survey, sent<br />
out with the magazine’s<br />
Christmas edition.<br />
From the 30,000 surveys sent out we<br />
received 366 responses. Many of the<br />
replies were positive and encouraging,<br />
with strong support for our<br />
‘Not for Profit’ structure.<br />
As the graph (right) indicates, more than<br />
3/4 of respondents feel the magazine helps<br />
them get more value from their health cover.<br />
Members do say that reading the magazine<br />
helps them keep informed about changes and<br />
improvements to our products and services,<br />
particularly in relation to Eyewear and Dental.<br />
It also provides informative, helpful articles<br />
like Depression & Anxiety, Bowel Cancer and<br />
Trans Fats, what to do about it, and where<br />
to find help!<br />
We acknowledge and appreciate your comments<br />
both positive and negative and use them to<br />
improve the value to you, our members.<br />
Thank you for your support through 2008 and we<br />
look forward to satisfying your health insurance<br />
requirements for 2009. We remain a not for profit<br />
company and have been since 1929.<br />
We maintain all surplus in member reserves.<br />
15/5/09<br />
Regards<br />
Grahame Danaher<br />
<strong>Westfund</strong> Managing Director
Dental Shortage<br />
The Lithgow Mercury<br />
12/2/09<br />
Rural and Regional<br />
Australia suffers a chronic shortage of dentists which is getting worse as<br />
a lack of new dentists fail to replenish our ageing rural dentists.<br />
<strong>Westfund</strong> has been successful in recruiting a full contingent of dentists for our<br />
modern 7 chair <strong>dental</strong> facility in Lithgow where we treat our members from<br />
around the Central West and beyond.<br />
The centre is attractive as we have been able to reduce waiting times along with<br />
the ability to provide a quality service and very affordable fees for our members.<br />
The Dental Centre is managed by our Chief Dental Officer Dr Herdeza Verzosa.<br />
<strong>Westfund</strong>, in conjunction with Dr. Verzosa, have helped to address the extreme<br />
shortage of dentists available in regional areas by actively recruiting qualified<br />
dentists outside of Australia.<br />
The shortage has increased waiting times has forced up <strong>dental</strong> fees,<br />
so even if you have access to dentists the fees make it very tough for<br />
struggling families.<br />
<strong>Westfund</strong> remains willing to work with government to improve dentistry<br />
access and affordability in Rural and Regional Australia.<br />
Grahame Danaher<br />
(<strong>Westfund</strong> Managing Director)<br />
Academic health efficiencies cosmetic<br />
The Financial Review<br />
26/3/09<br />
There are two main components of private health insurance premiums – benefit<br />
payments and management costs of the organisation (“Efficiency leads to lower<br />
health premiums”, Letters, March 25).<br />
Management costs are about $250 a membership, about $5 a week, with little<br />
avenue for any efficiency savings from this area. The main costs that are<br />
increasing between 7 and 10 per cent a year are benefit costs, largely driven by<br />
the Doctors. The private health insurance legislation requires the health funds<br />
to pay the Doctor and hospital no matter what the outcome of the operation.<br />
Corrective surgery is reimbursed at the same benefit.<br />
Grahame Danaher<br />
(<strong>Westfund</strong> Managing Director)<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 3<br />
www.westfund.com.au<br />
M E D I A S P O T L I G H T
Y O U R F U N D<br />
<strong>Westfund</strong>’s ‘Hardship Provision’<br />
The deteriorating economic forecast both in Australia and abroad, has left many<br />
Members feeling somewhat insecure about the future risks to their jobs, lifestyles and<br />
their families’ well-being. We recognise the difficulties exposed when hardship strikes,<br />
whether through Drought or Forced Retrenchment.<br />
<strong>Westfund</strong>’s ‘Hardship Provision’, newly introduced as part of our Loyalty Bonus<br />
Program, means that <strong>Westfund</strong> may waive premiums for a period of 6 months should<br />
any of the above mentioned circumstances eventuate, provided you have been a<br />
member for 3 continuous years. (Terms and conditions apply.)<br />
You can call your local branch on 1300 552 132<br />
should you require more information.<br />
Testimonial<br />
Following my retrenchment from<br />
Perilya Broken Hill Mine, I was<br />
happy to find out about the<br />
Forced Retrenchment Benefit<br />
offered by my health fund.<br />
The benefit enables me to remain<br />
with my health fund for a period<br />
of up to six months unless I find<br />
full-time employment within<br />
that time.<br />
Bonus<br />
“It is great to have support of<br />
<strong>Westfund</strong> Health Insurance during this hard time”.<br />
Don Austen<br />
Broken Hill NSW
UPGRADE<br />
SALE<br />
June ‘09<br />
Hall of Frame sale<br />
up to 50% off<br />
“At <strong>Westfund</strong> Eyewear Centres . . . Our focus is your satisfaction”<br />
Limited stock of 2008 frames until sold<br />
at <strong>Westfund</strong> Eyewear Centres<br />
UPGRADE<br />
to Transition lenses<br />
Transition Lenses will automatically darken<br />
and lighten for you, depending on lighting conditions.<br />
Big Savings<br />
*<br />
*Discount is on the lens treatment<br />
Offer is not available to <strong>Westfund</strong> Ambulance members.<br />
Sale ends June 30th 2009
Y O U N G S TA R T E R C O V E R<br />
If you are a young single person over 25 years of age, coming off<br />
your parents membership or looking to get started with a health<br />
insurance policy of your own, <strong>Westfund</strong>’s ‘Young Starter’ cover<br />
could be the right choice for you.<br />
I’m young and healthy. Why do I need<br />
Private Health Insurance?<br />
Enjoy the security of knowing you are assured of a hospital room in a private<br />
hospital (subject to availability). You can also choose your own hospital and<br />
Doctor. Public hospital beds can become scarce quite quickly, leading to<br />
longer waiting times in often uncomfortable circumstances. For a young fit<br />
and healthy person, the basic hospital cover would usually be sufficient,<br />
excluding procedures you are less likely to need.<br />
By weighing up the risks and choosing a cover with excesses and co-payments<br />
you can reduce your up front premium. The ancillary component of your health<br />
cover is more likely to include things you might use such as:<br />
Dental and Eyewear, so you can look after your health care needs.<br />
Enquire today -<br />
About <strong>Westfund</strong>’s<br />
‘Young Starter’ Cover.<br />
Priced from $11.30 per week<br />
(with the 30% Govt. rebate),<br />
you can access a range<br />
of Optical and Dental benefits<br />
as well as the security of<br />
knowing you are covered<br />
for basic hospital cover.<br />
Exclusions, excesses &<br />
co-payments apply.<br />
Also: Refer to The Federal<br />
Government Private Health<br />
Insurance initiatives on page 24.
H O S P I TA L A N D M E D I C A L G A P<br />
Case Study three<br />
Emergency Caeserean<br />
Leona, a 35 year old female pregnant with her third child was admitted to<br />
hospital for an emergency caeserean. Leona has been a member for 8 years<br />
on Classic Gold cover. Both mother and baby spent 7 days in hospital.<br />
Both are doing fine.<br />
NSW<br />
Charge: . . . . . . . . . . . . . . . . . . . . . . . . .$8,833.55<br />
Benefit paid: . . . . . . . . . . . . . . . . . . .$8,833.55<br />
Total Benefit . . . . . . . . . . . . . . . . . . . . . . . .$8,833.55<br />
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
Case Study four<br />
Car Accident<br />
Andrew is a 17 year old male who has been on his parents’ Classic Silver<br />
membership since 2000. Six months ago Andrew was in a car accident and<br />
received serious injuries. He has been in and out of hospital all of this time<br />
receiving treatment. Andrew is now on the road to recovery.<br />
QLD<br />
Charge: . . . . . . . . . . . . . . . . . . . . . . . .$31,666.60<br />
Benefit paid: . . . . . . . . . . . . . . . . . .$31,666.60<br />
Total Benefit . . . . . . . . . . . . . . . . . . . . . .$31,666.60<br />
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
Case Study five<br />
Premature Baby<br />
Baby Alex was born 2 months premature. Alex spent the first 52 days of her<br />
life in the hospital’s neo natal unit. Alex’s parents have been with <strong>Westfund</strong><br />
since 2001 on Classic Gold and Platinum covers. Alex is now a happy,<br />
healthy one year old.<br />
QLD<br />
Charge: . . . . . . . . . . . . . . . . . . . . . . . .$36,517.90<br />
Benefit paid: . . . . . . . . . . . . . . . . . .$36,517.90<br />
Total Benefit . . . . . . . . . . . . . . . . . . . . . . .$36517.90<br />
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0
� <strong>Westfund</strong>’s<br />
� I<br />
� I<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 9<br />
www.westfund.com.au<br />
A M B U L A N C E<br />
<strong>Westfund</strong>’s Ambulance Cover is a valuable component of your <strong>Westfund</strong><br />
Health Insurance policy. For our Ambulance only members this represents<br />
excellent value for money giving Australia wide coverage for only<br />
$51.20 family cover and $25.45 for singles.<br />
Examples of emergency Ambulance Transportation costs.<br />
Names Changed for privacy reasons<br />
Name Journey km’s travelled cost Benefit<br />
Colleen Home to Orange 3 kilometres $297.86 $297.86<br />
Kasey hospital<br />
Name Journey km’s travelled cost benefit<br />
James Home to 6 kilometres $305.72 $305.72<br />
Watson Nepean<br />
Hospital<br />
<strong>Westfund</strong>’s Advanced Surgery Benefit, giving you security<br />
and peace of mind when you need it most.<br />
Testimonials<br />
Advanced Surgery Benefit<br />
In Regard to the above mentioned benefit, I found it to be really helpful when some<br />
of the gap payments from anesthetists etc, started coming in from my recent<br />
surgery. The Advanced Surgery Benefit covered these accounts and so thanks to<br />
<strong>Westfund</strong>, I went through the whole heart bypass episode at absolute minimum cost.<br />
Yours Sincerely,<br />
Mr Raymond Hamment - Lithgow NSW<br />
find the advanced Surgery Benefit very helpful as a means of paying for, or at least<br />
assist paying for, fees charged over and above the schedule fee by specialists for<br />
operations. Thank you very much, it has been very helpful.<br />
Yours Sincerely,<br />
Mr Rodney Chelman - Glen Innes NSW<br />
have found the staff at <strong>Westfund</strong> to be efficient and very caring. During our recent<br />
traumatic time with our son’s accident. Cathy from the Dubbo office has been so lovely,<br />
and while you have staff like Cathy and Midge from Lithgow office, we will never change<br />
from <strong>Westfund</strong> and tell everyone we know how great it was to deal with a great place,<br />
under very emotional circumstances. Thank you for all your help!<br />
Yours Sincerely,<br />
Mrs Trudy Whitaker - Cookamidgera NSW
� <strong>Westfund</strong>’s<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 7<br />
www.westfund.com.au<br />
H O S P I TA L A N D M E D I C A L G A P<br />
We often find that members do not see the benefit of private<br />
hospital cover until unfortunately, they need to use it. Following<br />
are some recent examples of the costs relating to surgery.<br />
(Names have been changed for privacy reasons.)<br />
Case Study One<br />
Tracheostomy<br />
Jo, a 60 year old male was admitted to hospital needing a tracheostomy. Jo<br />
stayed in hospital for 7 days. Jo has been with <strong>Westfund</strong> for 8 years on Classic<br />
Platinum cover.<br />
QLD<br />
Charge: . . . . . . . . . . . . . . . . . . . . . . . .$25,585.43<br />
Benefit paid: . . . . . . . . . . . . . . . . . .$25,585.43<br />
Total Benefit . . . . . . . . . . . . . . . . . . . . . .$25,585.43<br />
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
Case Study Two<br />
Knee Replacement<br />
Fay, a 58 year old female has been with <strong>Westfund</strong> for 5 years on Classic Gold<br />
cover. After many years of chronic knee pain she was admitted for a knee<br />
replacement and spent 12 days in hospital.<br />
NSW<br />
Charge: . . . . . . . . . . . . . . . . . . . . . . . .$21,054.45<br />
Benefit paid: . . . . . . . . . . . . . . . . . .$21,054.45<br />
Total Benefit . . . . . . . . . . . . . . . . . . . . . .$21,054.45<br />
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0<br />
Testimonial<br />
Advanced Surgery Benefit<br />
It came as a very pleasant surprise to me, to be paid for my recent stay in<br />
hospital.<br />
Thanks so much for the cheque: I recommend to everyone I meet, the benefits<br />
of belonging to <strong>Westfund</strong>. I’ll keep singing your praises.<br />
Thanks so very much.<br />
Yours Sincerely,<br />
Mr and Mrs Fletcher - Dubbo NSW
D E N TA L<br />
More Dentists and shorter waiting periods<br />
Following our recent recruitment of Dentists from New Zealand, we can<br />
now boast that our Dental Centre has a full contingent of (7) full-time<br />
Dentists supported by our trained, friendly staff.<br />
It became apparent last year with a growing waiting list that we would<br />
need to intensify our efforts in recruiting more Dentists. This was<br />
necessary to reduce the waiting list from 6 months. Our new Dentists<br />
are very capable. They will be managing a wide range of patients<br />
including children and those with complex medical conditions.<br />
Overall, they will be performing general <strong>dental</strong> procedures such as:<br />
fillings, crown and bridge, dentures and minor surgical procedures.<br />
We have also taken the opportunity to review our clinical procedures<br />
and infection control policies ensuring optimum satisfaction to our<br />
members. At <strong>Westfund</strong> Dental Centre, we always strive to provide our<br />
members with an affordable <strong>dental</strong> service whilst providing<br />
uncompromising quality and care.<br />
Regards<br />
Herdeza Verzosa<br />
Chief Dental Officer
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 11<br />
www.westfund.com.au<br />
D E N TA L<br />
“The Dental Centre is managed by our Chief Dental Officer Dr Herdeza Verzosa,<br />
who is responsible for the dentists who have been recruited outside Australia<br />
due to the extreme shortage of Dentists available to work in regional Australia”<br />
Our <strong>dental</strong> team!<br />
The Lithgow Mercury (March 2009)
D E N TA L<br />
Increased value in <strong>dental</strong> benefits<br />
Dental benefits were increased from April 1st. There is no longer a lifetime<br />
limit on crowns and bridges. Benefits for cleanings, fillings and crowns were<br />
increased by the amounts shown in the table below. The orthodontic benefit<br />
was increased for Platinum members.<br />
Service Description Old Rebate New Rebate Difference<br />
Removal of plaque & stain $20.00 $25.00 $5.00<br />
Removal of calcius - first visit $50.00 $55.00$5.00<br />
Metallic Restoration - one surface $40.00 $48.00$8.00<br />
Metallic Restoration - two surfaces $50.00 $59.00$9.00<br />
Metallic Restoration - three surfaces $60.00 $70.50$10.50<br />
Metallic Restoration - four surfaces $65.00 $80.50$15.50<br />
Metallic Restoration - five surfaces $70.00 $91.50$21.50<br />
Adhesive restoration 1 surface anterior $40.00 $53.50$13.50<br />
Adhesive restoration 2 surfaces anterior $50.00 $64.50$14.50<br />
Adhesive restoration 3 surfaces anterior $60.00 $76.50$16.50<br />
Adhesive restoration 4 surfaces anterior $70.00 $88.50$18.50<br />
Adhesive restoration 5 surfaces anterior $80.00 $104.00$24.00<br />
Adhesive restoration 1 surface posterior $50.00 $57.00$7.00<br />
Adhesive restoration 2 surfaces posterior $60.00 $71.50$11.50<br />
Adhesive restoration 3 surfaces posterior $75.00 $86.00$11.00<br />
Full crown - non metallic indirect $550.00 $650.00$100.00<br />
Full crown - veneered indirect $550.00 $650.00$100.00<br />
Full crown - metallic indirect $550.00 $650.00$100.00<br />
Complete maxillary denture $300.00 $441.00$141.00<br />
Complete mandibular denture $300.00 $441.00$141.00<br />
Complete maxillary & mandibular denture $600.00 $781.50 $181.50
Increased value in optical benefits<br />
<strong>Westfund</strong><br />
Classic<br />
Eyewear<br />
Sunglass<br />
Rebate<br />
<strong>Westfund</strong> Classic<br />
Eyewear only<br />
Other<br />
Optical<br />
Providers<br />
<strong>Westfund</strong><br />
Classic<br />
Eyewear<br />
Sunglass<br />
Rebate<br />
<strong>Westfund</strong> Classic<br />
Eyewear only<br />
Other<br />
Optical<br />
Providers<br />
Platinum<br />
Extended<br />
E Y E W E A R<br />
$600 $600 $450 $450 $350<br />
Includes a $200 Top Up<br />
Platinum Gold<br />
Extended<br />
Gold Silver<br />
$75 $75 $50 $50 $50<br />
$400 $400 $275 $275 $275<br />
Value<br />
First<br />
Value<br />
Saver Plus<br />
Value<br />
Saver<br />
Classic<br />
Extras<br />
Ambulance<br />
Cover<br />
$250 $250 $Nil $450 $Nil<br />
Includes a $125 Top Up Includes a $125 Top Up<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 13<br />
www.westfund.com.au<br />
We are always looking to control the pricing fluctuations associated<br />
with multiple optical suppliers across a network of branches.<br />
It is through stabilising our prices and increased control within our own<br />
eyewear branches, that we are able to increase the benefits, their<br />
flexibility and ultimately the value to our members.<br />
As the table below indicates, the benefits are certainly higher when<br />
using <strong>Westfund</strong> Classic Eyewear as opposed to other external optical<br />
providers as we do not have the same level of management and control<br />
over operations within other external optical providers.<br />
From the 1st of April 2009, <strong>Westfund</strong> have increased the Optical Benefits<br />
for our members. As illustrated below, <strong>Westfund</strong> Members are entitled<br />
to a higher rebate when you purchase your new spectacles at <strong>Westfund</strong><br />
Classic Eyewear.<br />
Please ask the friendly staff at <strong>Westfund</strong> for more information.<br />
Includes a $200 Top Up Includes a $175 Top Up Includes a $175 Top Up<br />
Includes a $175 Top Up<br />
Includes a $75 Top Up<br />
$50 $50 $Nil $50 $Nil<br />
$125 $125 $Nil $275 $Nil
E N H A N C E D B E N E F I T S<br />
<strong>Westfund</strong>’s ‘Loyalty Bonus’ means that now, you can<br />
unlock the extra benefits that longer term<br />
membership provides.<br />
Additional benefits have now been added for longer term members of<br />
Classic Platinum and Classic Gold covers. These extra benefits were not<br />
previously covered and will further enhance the value of these premium<br />
Hospital and Extras covers.<br />
Bonus<br />
If you are a Platinum or Gold member, then <strong>Westfund</strong> credits your policy with a<br />
pool of money (called your Loyalty Reward) which is available to you to contribute<br />
to the cost of treatments or medical aids which are not otherwise covered by your<br />
policy. For example, if you have minor surgery on your foot done by a podiatrist,<br />
this is not covered as a regular benefit, but you can use whatever balance is<br />
available in your policy’s Loyalty Reward pool towards paying for this surgery.<br />
Benefits currently available under the Loyalty Bonus programme.<br />
✔ Hardship Provision<br />
<strong>Westfund</strong> may waive premiums in the unfortunate event of Forced<br />
Retrenchment and Drought, for a period of up to 6 months,<br />
after you have been a member for 3 years.<br />
✔ Dental (Major Dental and Orthodontia)<br />
<strong>Westfund</strong> provides an accumulation of benefit for:<br />
Major Dental - (Crowns, Bridges, Implants and Veneers.)<br />
Orthodontia - Up to a lifetime limit.<br />
✔ Additional Benefits<br />
<strong>Westfund</strong> provides Additional Benefits on the basis of years of<br />
membership with the fund.<br />
Unlock the extra benefits that longer term membership provides.<br />
Your Additional Benefits can be used toward paying any of the following:<br />
First Aid, Alexander Technique for chronic back pain.<br />
CPAP Masks, Braces for knee, neck or back. Bone density test,<br />
Audiology tests, Clinical Psychology, minor Podiatric surgery.<br />
Platinum Family: Accumulates at $150 per year to a maximum of $450.<br />
Platinum Single: Accumulates at $75 per year to a maximum of $225.<br />
Gold Family: Accumulates at $100 per year to a maximum of $300.<br />
Gold Single: Accumulates at $50 per year to a maximum of $150.
From left to right: Jennifer Ballard: Records Support<br />
Kristin Davis: <strong>Westfund</strong> Privacy Officer Vicki Ellwood: Records Support<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 15<br />
www.westfund.com.au<br />
Y O U R P R I V A C Y<br />
At <strong>Westfund</strong> we seek to<br />
develop and promote a<br />
culture in which personal<br />
information is protected<br />
and respected.<br />
Regular training programs are<br />
conducted to help staff comply with<br />
the Privacy Act 1988 and to inform<br />
staff about Privacy.<br />
Topics covered include:<br />
• Key concepts and definitions<br />
• Understanding the National Privacy Principles (NPPs)<br />
• Applying the National Privacy Principles (NPPs)<br />
• Interface with the official Privacy Act<br />
• The Complaints process<br />
• Sound work practices<br />
<strong>Westfund</strong> Privacy Statement outlines how we manage your personal<br />
information – and describes in general terms the type of personal information<br />
collected and how it is held, used and disclosed.<br />
<strong>Westfund</strong> Privacy initiatives include:<br />
• Screens constructed in our branches which provide our members with<br />
a confidential area to conduct their business, maintaining privacy to our<br />
clients at all times.<br />
• Secure Records management systems.<br />
• Signatory to the Private Health Insurance Code of Conduct.<br />
• Embrace the National Privacy Principles under the Privacy Act 1988.<br />
“Privacy Awareness Week” 3 – 9 May 2009<br />
(Office of Privacy Commissioner Initiative) <strong>Westfund</strong> actively participated<br />
in “Privacy Awareness Week” by involving all staff in an education program<br />
covering awareness of Privacy matters with initiatives focusing on -<br />
That the Privacy of our members continues to be Valued and Respected.<br />
Useful links:<br />
www.westfund.com.au www.privacy.gov.au<br />
Kristin Davis<br />
<strong>Westfund</strong> Privacy Officer
S E R V I C E<br />
Kerry brings 25 years of<br />
experience with <strong>Westfund</strong><br />
to our Member Services<br />
Team. Kerry has seen<br />
many changes through<br />
that time. Her vast industry<br />
knowledge, and vibrant<br />
personality is a real asset<br />
when it comes to helping<br />
our members with their<br />
enquiries.<br />
� As<br />
Testimonial<br />
<strong>Westfund</strong> Member Services<br />
We’re here to help!<br />
Call and speak to one of our friendly<br />
trained staff, (not an automated<br />
voice machine).<br />
On average our <strong>Westfund</strong> Member Services<br />
Consultants assist 500 members<br />
per week. A high level of service is the key to our<br />
success and we monitor the level of service<br />
through member and mystery shopping surveys.<br />
We realise the importance of handling your<br />
enquiries quickly and efficiently and our<br />
consultants are renowned for their personal<br />
and professional service.<br />
Should you have an<br />
enquiry regarding . . .<br />
• What benefits you are entitled too.<br />
• What payment options are available.<br />
• Waiting periods.<br />
• Or for any general enquiries,<br />
please call our Member Services<br />
team or your local branch on:<br />
Tel: 1300 552 132<br />
a Member for a number of years it gives me much pleasure in thanking<br />
<strong>Westfund</strong> for their prompt and loyal service, both locally and head office.<br />
With competitive fees for a great cover and benefits including Advanced<br />
Surgery Benefits I am very grateful for the security and peace of mind to<br />
have <strong>Westfund</strong> as my health cover.<br />
Yours Sincerely, Vincent Dunn<br />
Dubbo NSW
Val Want<br />
(<strong>Westfund</strong> Member)<br />
Upgrade competition winner<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 17<br />
www.westfund.com.au<br />
C O M M U N I T Y<br />
Upgrade<br />
Upgrade -$500 promotion winner<br />
Congratulations to Val Want. Val is the winner<br />
of <strong>Westfund</strong>’s $500 Harvey Norman Upgrade<br />
promotion, drawn 19th November 2008.<br />
Val is from Wellington NSW, a retired Nursing Sister<br />
and long term member of <strong>Westfund</strong> since 1996.<br />
As well as the waiver of the two month waiting period,<br />
Val particularly liked the idea of the increased eyewear<br />
benefits, and the extra $500 (Dental Top-Up) for<br />
general <strong>dental</strong> services.<br />
“We look forward to seeing Val in the Dubbo Branch.”<br />
<strong>Westfund</strong> Christmas Appeal<br />
Thank you to all our <strong>Westfund</strong> members and people in the community who donated<br />
gifts to the annual <strong>Westfund</strong> Christmas appeal. From our office in Main Street Lithgow<br />
the Salvation Army managed to distribute approximately $7000 worth of toys, food,<br />
jewellery and clothes to children and families who may otherwise have gone without<br />
at Christmas time.<br />
Mr McDonald along with his wife from Lidsdale, spend many months each year<br />
leading up to Christmas, making wooden toys such as rocking horses and doll<br />
cradels etc, for the children. A special thank you for all your efforts!<br />
Picture: Mr McDonald in the Lithgow branch with many of their works under the Christmas tree.
BOWEL CANCER<br />
The National Bowel Cancer Screening Program<br />
Article by Dr Geoff Dreher<br />
Bowel Cancer (also called Colon Cancer<br />
or Colorectal Cancer):-<br />
• Affects 1:18 males and 1:26 females in Australia by the age of 75 years.<br />
• Mainly affects people over the age of 50 years.<br />
(It rarely occurs in younger people).<br />
• Occurs more frequently in people who have a High Fat, Low Fibre Diet;<br />
High Alcohol intake; Smoke tobacco; and do not Exercise.<br />
• Has an overall death rate in Australia of 40%<br />
after five years from diagnosis, but -<br />
If the Cancer is found to be only in the Bowel wall –<br />
Survival is 88% after 5 years.<br />
If the Cancer has spread only to the nodes outside Bowel wall –<br />
Survival is 43% after 5 years.<br />
If the Cancer is found to have spread to other organs beyond the Bowel –<br />
Survival is only 7% after 5 years.<br />
Hence, it is important to reduce our risk of developing Bowel Cancer by both<br />
Prevention and Early detection.<br />
i) Prevention:<br />
A low fat and high fibre diet; Low or no alcohol intake; No smoking; and<br />
Exercise reduces the risk of developing Bowel Cancer.<br />
ii) Early Detection<br />
Bowel Screening for blood. The symptoms of Bowel Cancer such as Bleeding<br />
from the Bowel; Anaemia; Change in Bowel habit; Abdominal pain are often<br />
not present or noticed until the Cancer has spread to an extent that it is<br />
difficult to treat effectively.<br />
Testing bowel motion (faeces) for the presence of blood can reveal early Bowel<br />
cancer that is treatable. Such detection improves the overall 5 year survival<br />
rate for the disease by 33%.
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 19<br />
www.westfund.com.au<br />
A National Bowel Cancer Screening Program has<br />
been developed by the Australian Government which<br />
it is testing over three years. The program consists of<br />
sending a free Faecal Occult Blood Test Screening Kit<br />
to all persons who turn 50, 55 or 65 between the years<br />
of 2007 to 2010.<br />
Persons receiving this kit are asked to collect faeces<br />
(details are provided in the Kit on how to do this)<br />
and send them for examination to a Pathologist who<br />
then informs you, and/or your General Practitioner<br />
of the result. If Blood is found, it will probably be<br />
recommended that a Colonoscopy is performed<br />
(Examination of the Bowel via a flexible tube) to see<br />
if a Cancer is present.<br />
The Program is limited to the ages concerned<br />
during this trial with the expectation that in<br />
due course the Test Kit will be offered<br />
more extensively.<br />
However, it is possible to seek a test for yourself<br />
if you do not fit into one of the age groups listed<br />
above, and hence are not entitled to one of the free test kits provided by the<br />
National Bowel Screening Program.<br />
You can obtain your own Test Kit in a number of ways:<br />
• Call the Cancer Council in your state or territory on 131120.<br />
They will be able to give you information about accessing FOBT.<br />
The Cancer Councils of South Australia and Victoria provide FOBT’s for sale.<br />
Test Kits are provided by the Council at a price of $28,<br />
or $20 for Pensioners/Health Card Holders.<br />
• Contact your local Rotary Club to see if that<br />
organisation is providing Test Kits in your area.<br />
The price of the Kits obtained through Rotary is often<br />
significantly subsidised by Rotary.<br />
• See your local Pharmacist or General Practitioner<br />
who has access to ‘InSure’ Bowel Screening Test Kits<br />
provided by Enterix. These Kits cost $35.95.<br />
You can obtain ‘Insure’ Kits directly yourself<br />
via the ‘Insure’ website www.enterix.com.au<br />
or by phone at 1800 55 65 75.
y Jane Gardner,<br />
Communications Officer at beyondblue:<br />
the national depression initiative<br />
Depression is a potentially serious illness which is experienced<br />
by around two million people in Australia at any given time.<br />
In general, awareness of the signs and symptoms of depression,<br />
willingness to discuss it and seek help is growing. However,<br />
many people still don’t realise that anxiety disorders are more<br />
common than depression and can be just as debilitating.<br />
Anxiety: more common than you think!<br />
Anxiety:<br />
We all feel anxious from time to time: whether it’s just before giving a public<br />
speech or participating in a competition, flying, getting married, attending a<br />
job interview or being in a risky or dangerous situation.<br />
Anxiety is a normal reaction to a high-pressure situation, but if you experience<br />
similar symptoms persistently or intensely without justification, it could be a<br />
sign of an anxiety disorder.<br />
Recent figures from the Australian Bureau of Statistics National Survey of<br />
Mental Health show two million Australians currently live with anxiety, which<br />
makes it twice as common as depression.<br />
One in 10 men and one in six women will experience some<br />
type of anxiety disorder during their lifetime.<br />
Anxiety can be debilitating, it can cause a great deal of anguish for those<br />
experiencing it and prevent them from functioning well and living a normal life.<br />
Men in particular are more likely to try to make themselves feel better with<br />
alcohol and drugs rather than addressing the problem.<br />
Every anxiety disorder is different, but most generally involve unrelenting<br />
feelings of tension, distress or nervousness. A person may avoid, or grudgingly<br />
endure, situations which cause these types of feelings.
www.beyondblue.org.au<br />
Anxiety:<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 21<br />
www.westfund.com.au<br />
more common than you think!<br />
Not only can an anxiety disorder affect the person experiencing the illness, but<br />
it can also start to affect relationships with family members and friends.<br />
Untreated anxiety disorders can lead to marriage and family problems,<br />
financial difficulties, job loss, drug and alcohol abuse and in extreme cases,<br />
self-harm.<br />
Anxiety disorders are manageable with the right treatment. Psychological<br />
treatments have been proven to be very effective and medication is also used<br />
to treat some anxiety disorders<br />
Types of anxiety disorders<br />
According to the Australian Bureau of Statistics, the most widespread anxiety<br />
disorder is Post Traumatic Stress Disorder (PTSD), which is commonly<br />
associated with veterans who have experienced or witnessed the horrors of<br />
war. However, PTSD can be triggered by any trauma – for example, sexual<br />
abuse, an accident, natural disaster, kidnapping or witnessing a crime.<br />
People who work in emergency services are particularly vulnerable to PTSD.<br />
Phobias are the next most common anxiety disorders, affecting 5 per cent of<br />
people. People with social phobias may dread leaving the house, going to<br />
parties or meeting new people. Common phobias include a fear of flying,<br />
germs, snakes, animals or confined spaces. It’s not unusual for someone to<br />
have several phobias. Agoraphobia is a fear of leaving an environment<br />
considered safe, usually the person’s house. This disorder can be so severe,<br />
agoraphobic people may remain housebound for weeks, months or even years.<br />
Generalised Anxiety Disorder - People who have GAD can feel anxious on<br />
most days for at least six months. Generally, they worry about real issues such<br />
as finances, illness or family problems - to the point where it can affect their<br />
functioning every day.
Panic disorder<br />
People with panic disorder experience intense, almost uncontrollable,<br />
feelings of anxiety. They may have frequent panic attacks, which include short<br />
bursts of feeling anxious, feelings of dread, shortness of breath, nausea,<br />
dizziness, tingles or chills, shaking and chest pain. These chest pains can<br />
often be mistaken for a heart attack.<br />
The least prevalent anxiety disorder, Obsessive Compulsive Disorder,<br />
or OCD, is one of the most well-known. People with OCD are compelled to<br />
repeat a certain action to achieve satisfaction, for example, constantly<br />
cleaning or checking to confirm that appliances are turned off or doors<br />
locked. People with OCD may also experience intrusive thoughts about<br />
becoming sick, having an accident or dying.<br />
Anxiety<br />
more common than you think!<br />
“I couldn't get out of bed, I couldn't concentrate and I’d go to work in<br />
a fog. Your brain just seizes. I had to sit down all the time.<br />
The anxiety would paralyse me with fear. For me, it was terrifying.”<br />
Australian actor and beyondblue Board Director<br />
Garry McDonald on the anxiety attacks<br />
he experienced in his 20s and 30s.<br />
Anxiety in rural Australia<br />
RHealth’s Community Support Officer, Christine Knight, is employed under<br />
the Mental Health Support for Drought Affected Communities Initiative.<br />
She says there is no doubt anxiety is a major mental health problem in rural<br />
and remote Australia.<br />
Ms Knight’s Division covers an area the size of Victoria from Beaudesert to<br />
Thargominda in southern Queensland and includes Charleville, Roma and<br />
Kingaroy.<br />
Since 2004, 35 per cent of people in the RHealth division who have seen a<br />
psychologist under the Better Outcomes in Mental Health program have been<br />
diagnosed with an anxiety disorder. This is compared to 45 per cent with<br />
depression.<br />
“As far as anxiety goes, it’s very difficult to pinpoint, even<br />
more so than depression,” Chris said.
Help for anxiety<br />
WESTFUND MEMBERS MAGAZINE JUNE 2009 - 23<br />
www.westfund.com.au<br />
“Rural people tend to be stoic and like to think they can<br />
handle anything but I think the prevalence of anxiety is quite<br />
high. This is probably due to their need to function through<br />
a drought which has made everything else hard as well.<br />
“Even in the really tough times, there has always been this underlying attitude of<br />
‘it’s fine, we’ve been doing this for a long time’, but now the whole world is saying<br />
that climate change is never going to go away, which has eliminated hope and<br />
changed the philosophy of being quietly confident that it will rain again.<br />
“In the towns, people are just hoping it turns around and they’re worried<br />
about paying their bills. The wives are another ball game - they’re trying to<br />
hold it together, deal with the banks, field the phone calls and some are really<br />
anxious about their kids’ education.”<br />
Chris says one of the problems in her area is lack of awareness about anxiety<br />
and depression. Often people don’t understand that what they’re<br />
experiencing is a diagnosable mental health problem that can be treated and<br />
from which most people recover.<br />
“I think the men in particular tend to self-medicate with alcohol or drugs in<br />
order to feel better and they can get very angry,” she said. “I think the women<br />
throw themselves into work and children and everything else so much that<br />
they burn out. Our bottom line will always be – go to the doctor. Start there,<br />
because with anxiety, it can look like a physical illness. Your heart might be<br />
racing, you may have headaches or a sore back or you mightn’t be sleeping<br />
well. You may not realise that it is anxiety until someone tells you it is.”
▲ ▲ ▲<br />
The beyondblue website has a comprehensive section on anxiety disorders,<br />
including anxiety checklists to fill out.<br />
Or, you can order free information by calling the beyondblue information<br />
line on 1300 22 4636 (local call cost from a landline).<br />
beyondblue also distribute a free self-help book called Taking Care of Yourself<br />
after Retrenchment or Financial Loss which can be ordered by phoning the<br />
number above.<br />
Talking to a General Practitioner is also a good starting point.<br />
Under the Federal Government’s Better Access to Mental Health Care<br />
Scheme, if referred by a GP, psychiatrist or paediatrician, you may qualify<br />
for Medicare rebates for up to 12 consultations with a<br />
psychologist, occupational therapist or social worker<br />
in mental health.<br />
Talk to your GP or call the beyondblue info line<br />
for more information.<br />
Health Insurance adds financial benefits<br />
The Federal Government has implemented a number of initiatives to encourage<br />
people to have private health insurance. These initiatives include:<br />
Take advantage of the 30%, 35% & 40% Government Rebate<br />
If you take out <strong>Westfund</strong> Health Insurance and you are eligible for Medicare, the federal government<br />
will give you 30%, 35% or 40% back on your premium. You may elect to reduce the premium as<br />
you go, claim it with your yearly tax return, or claim a cash refund from Medicare.<br />
Avoid the Medicare Levy Surcharge!<br />
If you are a family or couple with a taxable income after reportable fringe benefits of more than<br />
$140,000 (increasing by $1,500 for each eligible child after the first) a year or a single with a<br />
taxable income after reportable fringe benefits of more than $70,000 a year, your Medicare Levy<br />
can increase by 1% of your taxable income. However, you can easily avoid the additional<br />
surcharge by joining <strong>Westfund</strong>’s Classic Platinum Cover.<br />
Are you almost 31 . . . or older? Then you need to know about<br />
the Federal Government Lifetime Health Cover Scheme.<br />
This scheme became effective on 1st July 2000. New members to private health insurance<br />
hospital cover pay a loading of 2% on the base rate premium for the hospital cover they select<br />
for each year their age exceeds 30.<br />
Federal Government
A more cost effective,<br />
environmentally<br />
friendly solution!<br />
Following our last survey,<br />
A number of Members felt that the<br />
magazine was too flash or glossy.<br />
To address these concerns, whilst still acknowledging the value to<br />
members (as outlined on page two of the Managing Directors<br />
introduction), we have now gone to a two colour format throughout<br />
with full colour cover and a more environmentally friendly paper stock.<br />
It is important to note that a purely 100%<br />
recycled paper stock would nearly double<br />
the paper costs, increasing the<br />
production price overall.<br />
?<br />
<strong>Westfund</strong><br />
goes green...<br />
We don t just look<br />
after members,<br />
we care for the<br />
environment.<br />
<strong>Westfund</strong> Members Magazine<br />
FAQ<br />
Frequently Asked Questions<br />
Many of you, particularly new members, may have questions regarding<br />
commonly used terms, policies and procedures relating to health<br />
insurance such as:<br />
• What is a Pre-Existing Ailment?<br />
• How do I make a claim?<br />
• What is a P. B.S?<br />
In the coming months, you will be able to log on to our <strong>Westfund</strong> website<br />
at www.westfund.com.au, click on the F.A.Q tab in the menu bar on the<br />
home page, and there you can view a glossary of questions and answers<br />
to help you with your membership queries. (Currently under construction.)<br />
Alternatively, for more information . . .<br />
feel free to call your nearest branch on 1300 552 132.
Our Branch Network<br />
New South Wales Branches<br />
1 Lithgow 120 Main Street NSW 2790<br />
2 Bathurst Shop 4A Stockland Mall<br />
William Street 2795<br />
3 Dubbo Shop 4 Riverdale Shopping Centre<br />
49-65 Macquarie Street 2830<br />
4 Mudgee Shop 2 102 Church Street 2850<br />
5 Orange 179 Summer Street 2800<br />
6 Tamworth Shop T18 City Plaza<br />
436 Peel Street 2340<br />
7 Wollongong 101 Crown Street 2500<br />
8 Broken Hill Crn Blende & Sulphide Sts<br />
Broken Hill NSW 2880<br />
Queensland Branches<br />
1 Townsville Shop 6, Building G Domain Central<br />
2 Rockhampton 127 East Street 4700<br />
3 Mackay Shop 2200B Caneland Central<br />
Mangrove Road<br />
4 Moranbah Shop 8 Moranbah Shopping Centre<br />
St Francis Drive 4744<br />
5 Emerald Shop 9 Emerald Village<br />
shopping centre 4720<br />
(Eyewear now open at Emerald Branch)<br />
Agencies<br />
Agencies NSW<br />
1 Katoomba<br />
2 Wellington<br />
3 Rylstone<br />
4 Parkes<br />
Agencies QLD<br />
1 Dysart<br />
2 Blackwater<br />
3 Biloela<br />
4 Gladstone<br />
Agencies WA<br />
1 Kalgoorlie<br />
WESTFUND HOME OFFICE<br />
5 Railway Parade Lithgow NSW 2790<br />
Phone: 1300 552 132 Fax: (02) 6352 3080<br />
Email: enquiries@westfund.com.au<br />
Web: www.westfund.com.au<br />
<strong>Westfund</strong> Ltd ABN 55 002 080 864. A registered Private Health Insurer, Incorporated in NSW.<br />
Trading under <strong>Westfund</strong> and <strong>Westfund</strong> Health Assurance.<br />
<strong>Westfund</strong> Holdings Pty Ltd ACN 099 738 600 as trustee for the <strong>Westfund</strong> Unit Trust<br />
ABN 43 653 200 942. Trading as Classic Eyewear. Not a registered Health Fund.<br />
JUNE 2009 EDITION<br />
J524