Best Health Insurance

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To see the best health insurance plans, start by providing a few details about yourself:

The state or territory that the people covered by this policy will be living in most of the time. New South Wales includes Norfolk Island.
Adults include all people over 18 years who live in the same household. Age limit may vary for some insurers - see dependants below.
Some insurers will cover older dependants aged 18-24 if, for example, they are full-time students. Some may also allow a young adult dependant (18-24) to be covered on the same policy as adults in exchange for a higher premium - check with the insurer for details.

The decision to take up private health insurance can be a very involved process, and the factors that go into your decision will be unique to you.

Your first dip into the policy selection process can be pretty overwhelming, so we've laid everything out for you as plainly as possible to get you on your way. Continue Reading...

41 listings
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Frank Health Insurance
4.2 from 555 reviews
  • Transparency
    3.9 (80)
  • Customer Service
    4.2 (95)
  • Value for Money
    3.9 (97)
  • Claim ApprovedYes (46) · No (6)

Best Health Insurance

AIA Health Insurance
  • Award Winner 2022
4.7 from 439 reviews

AIA Health Insurance is an insurance provider that shines when it comes to having transparent policies with lots of benefits that are reasonably priced. The staff are reported to be patient and kind, too.

Affordable premiums
Knowledgeable staff
Easy to deal with
  • Transparency
    4.7 (302)
  • Customer Service
    4.8 (321)
  • Value for Money
    4.5 (293)
  • Claim ApprovedYes (10) · No (4)
2nd Best Health Insurance
Queensland Country Health Fund
4.8 from 165 reviews

This member-focussed private health insurer is the only health insurer based in regional Queensland. It works alongside the Queensland Country Bank to meet insurance and financial needs of residents living in the state’s regional areas.

Great value for money
Smooths claims process
Attentive and well-informed staff
  • Transparency
    4.8 (112)
  • Customer Service
    4.9 (125)
  • Value for Money
    4.7 (121)
  • Claim ApprovedYes (52) · No (3)
3rd Best Health Insurance
Phoenix Health Fund
  • Award Winner 2021
4.8 from 164 reviews

If you’re concerned about how your health fund uses its profits, Phoenix Heath Fund is a not-for-profit health insurance company that’s been around for 65 years, and enjoys high overall satisfaction with its happy members.

Generously pays claim amounts
Outstanding customer service
Profits go back into the business
Monthly premiums can increase periodically
  • Transparency
    4.8 (110)
  • Customer Service
    4.9 (117)
  • Value for Money
    4.7 (110)
  • Claim ApprovedYes (20) · No (0)
CUA Health
4.6 from 678 reviews

CUA Health is owned by HBF, a mutual organisation designed to reward members instead of shareholders. There is a wide range of policy options to choose from.

Westfund Health Insurance
  • Award Winner 2021
4.6 from 323 reviews

This not-for-profit health fund pays benefits back to members, including 89 cents in every dollar of premiums.

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Frank Health Insurance
4.2 from 555 reviews

Latest review: Easy set up I've been with Frank since 2014. Usually extras for dental or glasses are with purchase. I'm happy with the value for money. Have got lots of

Allianz Care

Allianz Care

 · includes 2 listings
4.1 from 1,631 reviews

Latest review: OMG!!! I have been trying to get in touch with them on phone but they are impossible to reach!!! I have been on call over 2 hours ,everyday!!!!!! now and still no luck!! who can tell me what to do !!!

GMHBA Health Insurance
4.2 from 339 reviews

Latest review: We have used our hospital cover a number of times over a few years now. We have had no problems with the claims process. The premiums keep increasing but I hope it is necessary for the fund to

rt health
4.3 from 117 reviews

Latest review: Karen was very helpful in sorting out my claim as it was missed for one reason or another. Karen understood my problem and was very helpful in quickly resolving the issue. I would highly recommend RT

Peoplecare Health Insurance
3.7 from 68 reviews

Latest review: I've been with Peoplecare for a few years now. They are one of the best companies that I have ever dealt with. Their rates are exceptionally good, Aussie call centre with very helpful staff, payments

No Gaps Dental
3.5 from 61 reviews

Latest review: Dr Jeramy Ma and dental assistant Kaitlyn provided the most professional treatment I have ever experienced at the dentist. Dr Ma is extremely thorough, he takes his time to explain what he is doing

HCF Health Insurance
3.0 from 557 reviews

Latest review: We bought a health service policy. We set direct debit 5 days after policy start date. On the following month, we lodged a claim, then get declined. They said the claim is few days before direct

Police Health
4.1 from 19 reviews

Latest review: Also have a problem with coverage for CPAP Health Appliance (See last Reviewer). Police Health is one of about 10% of Health Funds that do NOT cover CPAP machines under their EXTRAS cover despite

HIF (Health Insurance Fund)
2.9 from 128 reviews

Latest review: I have full insurance once admitted to hospital with a small excess. I recently arrived in an ambulance after an accident and I need urgent surgery on my leg and admission to a hospital. I was

Navy Health
3.8 from 19 reviews

Latest review: They have no idea what they are doing. Pick and choose what they cover and when you call to ask them, they can’t tell you. Beyond frustrating and unhelpful, I would find somewhere else. I ended up g

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Next
Defence Health Health Insurance

Latest review: Reducing dental benefits yet again and increasing premiums at the next opportunity. This organisation is the lowest of the low in looking after its paying ex-service people. It is just a typical

Health Partners
3.0 from 42 reviews

Latest review: After getting a sore throat in April and turning 40 this year, I figured private health insurance might be a good idea as I'm not getting any younger. Fast forward to late June I saw a physio

ahm Health Insurance
2.4 from 331 reviews

Latest review: Ive been paying for my AHM policy coming up close to 5 years. We opted for their basic essentials, hospital and extras cover. Recently I required surgery for a broken finger and needed a K wire to

NIB Health Insurance
2.3 from 618 reviews

Latest review: Such lovely staff who are so accommodating and bubbly , and amazing dentist MR Abasseri who made me feel so comfortable and did a great job at cleaning xraying and also being my new dentist. Totally

Health Care Insurance
3.8 from 12 reviews

Latest review: Have been with this company for coming up 12 months now and will not be back when this premium expires. Three times now have gone to claim for services rendered only to find that my card was not

Ad
Frank Health Insurance
4.2 from 555 reviews
  • Transparency
    3.9 (80)
  • Customer Service
    4.2 (95)
  • Value for Money
    3.9 (97)
  • Claim ApprovedYes (46) · No (6)
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Woman and man happily jogging outdoors together

Introduction to Private Health Insurance

When you first take out private health insurance, you will need to decide if you require one or a combination of the following options:

If you don’t want any of them, you’re still covered for public hospital visits and basic checkups under the public system, Medicare.

Getting private health insurance does not mean you give up your Medicare coverage, you can have both at the same time. Under Medicare, you can visit a public hospital as a public patient, but may be placed on a waitlist and cannot select your own doctor.

Medicare also covers your visit to a GP and most of the Medicare Benefits Schedule (MBS) fee for visiting a specialist, so if all you need is basic checkups you may be fine just relying on Medicare alone.

If you do decide to take up private health insurance, remember that you’re entitled to the same cover at the same price as anyone else, regardless of your risk profile.

Hospital Cover

Private hospital cover is designed to take the strain off the public health system. To encourage people to join and spread the load across both systems, the government has several financial incentives for people to join a private health insurance fund.

If you’re interested in the financial benefits of private health insurance, or what rebates are available, you can read our article on the tax benefits of private health insurance.

Do I need Hospital Cover?

With hospital cover, you'll have peace of mind should any medical emergency or illness arise. You could otherwise be out of pocket for thousands of dollars or be put on a long waitlist for surgery. Here are a few other reasons to take up private hospital cover:

  • You get to choose your own doctor in either a private or public hospital.
  • If you decide to go to a private hospital, you can choose from any that your provider has an agreement with.
  • You may have reduced waiting times for some hospital procedures, such as elective surgery
  • Additional MBS fees and other costs may be covered as part of your policy

If you have no problems admitting as a public patient to a public hospital should the need arise, then you may decide you don’t need private hospital cover. If the costs you incur during an unexpected hospital visit are less than the amount you would have spent on hospital cover up until that point, then you could finish out ahead without hospital insurance.

Unfortunately, there’s no way to tell if this will be the case, so many people take out hospital cover just for ‘peace of mind’, especially as they get older and the chances of needing it become more likely.

Tiers of Hospital Cover

The tier system applies only to Hospital Cover and began rolling out in April 2019, becoming mandatory on April 1st 2020. It was designed to make comparison between providers more straightforward by dividing levels of cover into four tiers:

  • Basic
  • Bronze
  • Silver
  • Gold

Each of these tiers has its own minimum requirements that must be met in order for a policy to be classified as being part of that tier. These minimum requirements are cumulative, meaning that each increasing tier includes all the minimums of the tiers below it.

Minimal Coverage Requirements for Each Tier

Minimal coverage requirements for each product tier updated

'Plus' policies

There is some wiggle room allowing providers to include additional coverage on top of the minimum requirements for a tier - these are referred to as ‘Plus’ policies. Only the first three tiers can have better ‘Plus’ versions (i.e. Basic Plus, Bronze Plus or Silver Plus). Because a Gold policy covers everything, there’s nothing additional that can be added to it in order to make a ‘Plus’ version.

For example, surgery to remove wisdom teeth is covered under Dental Surgery, which is mandatory for Silver cover, but not Bronze. However, a provider may choose to include it on top of their normal Bronze policy to create a Bronze Plus policy.

This means you can claim this benefit without the full price increase that would come with an upgrade to Silver. This allows you to avoid paying for other mandatory benefits covered under Silver that you might never use, such as podiatric surgery.

It’s important to note that not all ‘Plus’ versions of the same tier are directly comparable, since each provider may choose to include different clinical categories as optional inclusions. For example, Provider A may offer a Bronze Plus package that includes bloodwork, while Provider B offers a Bronze Plus package that includes reconstructive surgery instead - they are both still Bronze Plus policies.

Extras Cover

Man looking relaxed as a chiropractor releases tension in his head and neck

Extras insurance will help cover the cost of ancillary health needs, like dental care, clinical therapies and prescription glasses or contact lenses. If you don't use these services, you may prefer not to purchase Extras Cover as there is no tax benefit to having it.

If you're after just the basics and don't require more expensive treatments like orthodontics, you'll be able to extract the most value out of an entry-level policy. However, don't expect to get 100% back on your bills; most funds offer a 50-60% rebate.

Do I need Extras Cover?

There’s more value to be had from Extras Cover when you're using your extras regularly, so assessing your present and potential future needs is the best place to start.

Many providers won’t include extras cover for pre-existing conditions, so if you have a family history of something like osteoporosis or diabetes, you may need to be covered before these issues arise so that they’re not counted as a pre-existing condition.

Providers approach Extras Cover in different ways. Some will give you a lot of flexibility over which services you want to include, while others have strict packages you must choose from.

If you start by writing down a list of your personal must-haves (e.g. complex dental, physiotherapy, and hearing aids) you can then whittle down the list of possible policies to only those that include exactly what you’re looking for.

Dental cover

One of the most popular reasons to take out Extras is dental cover. Dental is typically split into different levels of cover from routine or general up to major and complex procedures, with orthodontics usually being a separate option as well.

Additionally, depending on what procedures you have done and where, not everything may be covered under your Extras policy. For example, if you elect to have wisdom teeth taken out in a hospital, some of the hospital and doctor fees may not be covered under your Extras policy and you’ll have to pay these out-of-pocket.

Ambulance Cover

Unless you live in Queensland or Tasmania, ambulance call-out fees are not covered under Medicare and will have to be paid for out-of-pocket. You can find out more about ambulance fees for your state in our Ambulance Cover article.

Decision Time

One thing to remember that will help you avoid confusion when browsing policies is that Hospital Cover is sorted into Basic / Bronze / Silver / Gold tiers, while Extras will be called whatever marketing name the provider has come up with for themselves (e.g. 'Lifestyle Extras,' 'Black Extras 60,' 'Essential Extras,' or 'Top Extras.')

It may be possible to mix-and-match your hospital and extras cover in many ways, such as combining the most expensive Hospital Cover with the most basic Extras Cover or vice-versa. Your provider may also offer some pre-selected Hospital & Extras combinations.

ProductReview.com.au is a great tool for seeing feedback about Health Insurance providers from real customers. You can browse our list of health insurance providers and easily see a summary of how other Australians rate their health fund for customer service, value for money, and transparency.

If you click through to an individual fund, you can use the Filter Reviews button to narrow down the reviews to see just those that are similar to you, or that you might be interested in reading.

For example you can see reviews by couples who took out Extras Only cover, or you can filter for reviews specifically from those who rated Transparency poorly to see what their issues were.


Disclaimer: The information on this website is for general information only. It should not be taken as constituting professional advice from the website owner - ProductReview.com.au. ProductReview.com.au is not a financial adviser. You should consider seeking independent legal, financial, taxation or other advice to check how the website information relates to your unique circumstances. ProductReview.com.au is not liable for any loss caused, whether due to negligence or otherwise arising from the use of, or reliance on, the information provided directly or indirectly, by use of this website.