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Medibank misleading AHM members

Policyholders denied benefits.

medibank logo on front of melbourne building
Last updated: 05 September 2019

Need to know

  • The ACCC is taking Medibank to the Federal Court for breaching the Australian Consumer Law
  • AHM members were told they weren't covered for joint investigations and reconstructive surgery, even though these procedures were covered under their policies
  • If you think you've been affected, contact AHM, details below

Medibank is being sued by the ACCC for breaching the Australian Consumer Law by denying benefits to more than 800 policyholders who were entitled to them.

AHM – part of Medibank – Boost and Lite policy members were told they weren't covered for joint investigations and reconstructive surgery even though these procedures were covered under their policies. 

This happened between February 2013 and July 2018.

The ACCC is taking Medibank to the Federal Court alleging that more than 60 people needlessly upgraded their policies. 

Policyholders, who were in fact covered and should have been able to schedule their surgery, sometimes had to serve waiting periods, delay surgery and manage their pain.

Medibank reported itself to the ACCC and has started to compensate affected AHM members. 

If you think you've been affected, call AHM on 134 246 or use the compensation form at ahm.com.au.

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