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    Policy Certificate 1726620240719000001

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    gorgeon.lenny
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    © All Rights Reserved
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    Policy Certificate 1726620240719000001

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    gorgeon.lenny
    31 views2 pages
    Vove check

    Original Title

    POLICY_CERTIFICATE_1726620240719000001

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    31 views2 pages

    Policy Certificate 1726620240719000001

    Uploaded by

    gorgeon.lenny
    Vove check

    Copyright:

    © All Rights Reserved
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    Policy Certificate

    Member number: 49419092


    19 July 2024
    570 Wellington St, Perth WA 6000

                  GPO Box C101, Perth WA 6839


    52 T 133 423 W hbf.com.au

    Mr L Gorgeon
    U 31 80 King George St
    VICTORIA PARK WA 6100

    Dear Lenny
    This certificate contains important information about your cover. Please take a few moments to check that the details we have on
    record for you as at 19/07/2024 are correct.

    About your cover


    People covered Lenny Gorgeon - 30/09/1996
    Membership type Single
    Bronze Hospital Plus $750 excess
    Level of cover
    Top 70
    Cover start date 19/07/2024

    Hospital cover summary

    For more information on this cover, please review the Private Health Information Statement that can be found at
    privatehealth.gov.au, otherwise contact us.

    Extras cover summary

    For more information on this cover, please review the Private Health Information Statement that can be found at
    privatehealth.gov.au, otherwise contact us.

    Payment details
    You have chosen to pay your premium via direct debit from the following Commonwealth Bank
    account:
    Payment method Account name: Lenny Gorgeon
    BSB number: 063097
    Account number: xxxxxx958
    Your fortnightly deduction $107.30 every 2nd Thursday
    Your next deduction will be $214.60 on 26/07/2024 which will bring you in line with your regular
    payment cycle.
    Your next deduction
    Should you need to use your cover before your adjusted payment date, chat to us online at
    hbf.com.au or call us on 133 423.
    You have selected to be reimbursed by direct credit to the following Commonwealth Bank
    account:
    Your HBF benefit Account name: Lenny Gorgeon
    BSB number: 063097
    Account number: xxxxxx958

    ˜Dm-tq$g?^IjnQpC
    Page 1 of 2
    ˜i^:Kb*h@qjHfƒeJn
    HBF Health Limited ABN 11 126 884 786
    ‘!!‘Aq1aAqqQQ‘A
    Rebate details
    You’re not currently registered for the Australian Government Rebate on private health
    Your rebate insurance, so your premium might be higher than it needs to be. Register your details in myHBF,
    and if you’re eligible, a rebate will be directly applied to your health cover payments.
    If you’re happy that everything is correct, there’s nothing else you need to do. However, if any of the details are incorrect, please
    call us on 133 423 or log in to hbf.com.au/myHBF to update.
    Lastly, we wanted to remind you to give us a call before undergoing any significant treatment or being admitted to hospital. To
    ensure there are no surprises along the way, we’ll check if there’s any waiting periods, restrictions or out-of-pocket costs that apply
    to you.

    Best regards
    Your HBF team

    Direct debit service agreement


    1. HBF Health Limited User ID No. 702 (Debit User) will initiate direct debit payments in the manner referred to in the member agreement and shown on the
    Policy Certificate.
    2. Debit payments will be made when due. HBF will not issue individual confirmation of payments made.
    3. The first deduction may be for more or less than the regular payment amount to ensure membership is financial. The date and amount of the initial deduction
    will be agreed on by HBF and the member at the time the direct debit arrangements are set up. HBF will send written confirmation of the first deduction
    amount within 14 days of direct debit payments being set up.
    4. If the member is uncertain as to when the debit will be processed to the member’s account, he/she/they should contact HBF or their financial institution.
    5. HBF will give the member at least 14 days written notice if HBF proposes to vary details of this arrangement, including the amount and frequency of payments.
    6. If the member wishes to defer any payment or alter any of their account details, the member must contact HBF at least 48 hours prior to the payment being
    debited on 133 423 or write to HBF at GPO Box S1440, Perth WA 6845.
    7. Any queries concerning disputed debit payments must be directed to HBF in the first instance. Members may obtain details of the direct debit process by
    contacting HBF on 133 423 or in writing to GPO Box S1440, Perth WA 6845. Claims in respect of any dispute may also be directed to the member’s own
    financial institution.
    8. Direct debiting is not available on the full range of accounts at all financial institutions. If the member has any doubts about signing up to this agreement,
    he/she/they should contact their financial institution.
    9. The member should ensure that the account details provided are correct by checking them against a recent statement from the financial institution at which
    the account is held.
    10. By requesting direct debit payments, the member warrants and represents that he/she/they is/are authorised to request the debiting of payments from the
    specified account.
    11. It is the responsibility of the member to have sufficient cleared funds available in the account to be debited to enable debit payments to be made in
    accordance with their direct debit request.
    12. If a debit payment is due on any non-business day, the payment will be made on the next business day. Your financial institution may withdraw the amount
    earlier.
    13. If a debit payment is returned unpaid, HBF will automatically attempt to debit the member’s account again. The member may be charged a fee for each
    unpaid item by their financial institution. Any fees or charges incurred as a result of insufficient funds will be the responsibility of the member.
    14. Members wishing to cancel their Direct Debit Authority or to stop individual debit payments must contact HBF by calling us on 133 423 or by writing to HBF at
    GPO Box S1440, Perth WA 6845 at least 48 hours before the payment is due to be debited.
    15. Except to the extent that disclosure is necessary in order to process debit payments, investigate and resolve disputed transactions or is otherwise required by
    law, HBF will keep details of the member’s account and debit payments confidential.

    Your privacy
    HBF Health Limited (HBF) complies with the Privacy Act 1988 (Cth) to ensure that your personal (including sensitive) information (Information) is protected. HBF will use
    the Information collected to process payment of your health insurance premium. We may not be able to perform this function or only perform it to a limited extent if
    you do not provide us with your Information. We may disclose your personal information to financial institutions or your employer.HBF collects, uses and discloses your
    Information in accordance with our Privacy Policy which is available at hbf.com.au or on request by calling HBF on 133 423. Our Privacy Policy contains further
    information about how HBF handles your Information. This includes information on how you can access and/or seek the correction of your Information that we hold
    about you as required by law and make a complaint about the way your Information is being handled by HBF and how HBF will deal with your complaint. If you have
    any questions about how HBF handles your Information, please contact our privacy officer by writing to GPO Box S1440, Perth WA 6845 or by telephone on 1300 883
    530.
    HBF Health Limited ABN 11 126 884 786

    Page 2 of 2

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