dental - Westfund

H O S P I TA L A N D M E D I C A L G A P
Case Study three
Emergency Caeserean
Leona, a 35 year old female pregnant with her third child was admitted to
hospital for an emergency caeserean. Leona has been a member for 8 years
on Classic Gold cover. Both mother and baby spent 7 days in hospital.
Both are doing fine.
NSW
Charge: . . . . . . . . . . . . . . . . . . . . . . . . .$8,833.55
Benefit paid: . . . . . . . . . . . . . . . . . . .$8,833.55
Total Benefit . . . . . . . . . . . . . . . . . . . . . . . .$8,833.55
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0
Case Study four
Car Accident
Andrew is a 17 year old male who has been on his parents’ Classic Silver
membership since 2000. Six months ago Andrew was in a car accident and
received serious injuries. He has been in and out of hospital all of this time
receiving treatment. Andrew is now on the road to recovery.
QLD
Charge: . . . . . . . . . . . . . . . . . . . . . . . .$31,666.60
Benefit paid: . . . . . . . . . . . . . . . . . .$31,666.60
Total Benefit . . . . . . . . . . . . . . . . . . . . . .$31,666.60
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0
Case Study five
Premature Baby
Baby Alex was born 2 months premature. Alex spent the first 52 days of her
life in the hospital’s neo natal unit. Alex’s parents have been with Westfund
since 2001 on Classic Gold and Platinum covers. Alex is now a happy,
healthy one year old.
QLD
Charge: . . . . . . . . . . . . . . . . . . . . . . . .$36,517.90
Benefit paid: . . . . . . . . . . . . . . . . . .$36,517.90
Total Benefit . . . . . . . . . . . . . . . . . . . . . . .$36517.90
Out of pocket: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$0