signage outside hospital with blue sky

Bupa patients worried Ramsay Health Care hospital dispute will leave them out-of-pocket

A funding dispute between one of Australia’s largest private hospital operators and a major insurer could result in millions of people being out of pocket if they need treatment.

A contract between insurance giant Bupa and Ramsay Health Care, which operates 72 hospitals and day surgeries across Australia, expired on Tuesday after months of negotiations failed to secure an agreement.

The Private Health Insurance Ombudsman has offered to mediate between the parties.

It has left Bupa customers, including Sue Burrin from the NSW far north coast, angry and confused.

“It has really thrown me,” she said.

“You would think in this day and age you could come up with an agreement and it obviously hasn’t happened.”

The Banora Point resident recently had surgery for breast cancer and was receiving follow up radiation treatment across the Queensland border at Ramsay Health Care’s John Flynn Hospital on the Gold Coast.

“If I need a follow up with my doctor or at John Flynn, I’m in a quandary as I can’t use that hospital,” Ms Burrin said.

“I have to go public at Tweed Hospital and that’s booked up to the never ever.”

There will be a transition period before Bupa patients are charged more at John Flynn Private Hospital.(ABC Gold Coast: Steve Keen)

Ms Burrin said she was working out whether or not she could transfer to another health insurance fund.

She said it was an added complication to being part-way through treatment of a major disease.

“I have to go through the process of saying to them ‘I have actually got breast cancer’,” she said.

She was concerned about paying more money and having to go through another waiting period.

“It’s not a good situation to be in,” she said.

Hospital boss says costs rising

John Flynn Private Hospital chief executive Adam Stevenson said there would be a two month transition period before Bupa patients were charged more.

He said Bupa members would begin charged out of pocket at Ramsay hospitals if no agreement was reached before the end of 60 days.”There will be no impact for 60 days on patients, but after that if there is no agreement, after that patients will begin to be charged out of pocket if they are Bupa members and needing care at our hospitals.”

Pindara Private Hospital chief executive Mark Page, whose facility is also owned by Ramsay, said the costs of masks, protective equipment and nurses’ wages were increasing.

“Costs have gone up significantly for hospitals over the last two-and-a-half years and now everyone is feeling and seeing the inflation impacts on all of us,” he said.

signage of hospital outside entry with person walking in background
Mark Page says the cost of providing health care has risen significantly.(ABC Gold Coast: Steve Keen)

Mr Page said Ramsay Health Care had about 130,000 people admitted across its six hospitals from Southport to Ballina in the year to June 30.

He said 40,000 of them went to emergency departments at Pindara and John Flynn hospitals.

He said he hoped to see a resolution with Bupa quickly.

“All this is doing by not being able to reach an agreement … it just creates worry and distress for patients,” he said.

Patients ‘worried about their future’

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