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11 Apr 2019

As many members are aware, Bupa has been appointed by the Government to coordinate the provision of Garrison Health Services to Australian Defence Force (ADF) personnel on and from July 1, 2019.

In February, Bupa issued its proposed terms and conditions to doctors for the provision of off base medical services for ADF members. The AMA had significant concerns with these, particularly due to their potential impact on clinical decision making as well as the extra red tape involved.

Since then, the AMA has met with Bupa and the ADFs Joint Health Command (JHC), seeking significant changes to the proposed terms and conditions on behalf of members. During these negotiations, both Bupa and JHC agreed to work collaboratively with the AMA to address the concerns we had raised.

Bupa has now released a new set of terms and conditions for healthcare providers, responding positively to many of the comments provided to them by the AMA. This is available at:

https://www.bupa.com.au/-/media/Campaigns/Files/Health-Insurance/Project...

While Bupa has not addressed all of the issues raised by the AMA, in a welcome move, it has accepted the majority of the amendments sought by the AMA.  These include: 

  • a commitment to review fees annually
  • an express statement that the standard care is measured by doctors’ peers (rather than Bupa)
  • an express statement about how the doctor’s overriding obligation to the patient interacts with Bupa’s preferred provider network, including in emergency situations
  • removing provisions that related to services that were not being funded by the ADF
  • aligning the standards for medical records to practitioners’ professional obligations and removing a new clause which had sought to give Bupa ownership of records and reports
  • better aligning the terms and conditions with practitioners’ obligations under the Privacy Act
  • reducing the administrative burden on doctors, including by clarifying the incidents and issues that need to be reported to Bupa

Bupa has also committed in writing to the AMA that, with respect to annual fee indexation, due consideration will be given to the CPI.

While any member considering signing Bupa’s proposed terms and conditions should consider obtaining independent legal advice, it is clear that Bupa has made substantial changes to its terms and conditions that represent a significant improvement on its original documents.

For more information on the concerns that the AMA raised with Bupa and JHC, along with the details of how Bupa responded, please visit:

<https://ama.com.au/sites/default/files/documents/Detailed%20comments%20-...


Published: 11 Apr 2019