Phoenix Health Fund Limited (PWA)

Phoenix Health Fund is a Mutual not for profit Private Health Insurer, meaning we don’t pay shareholders and earnings go back into member benefits. This means an all round better deal, service and benefits for our members. By operating as a not-for-profit, our primary focus is, and always will be the satisfaction of our members.

Phoenix Health Fund was established in 1953, and operated originally for the exclusive needs of the Australian Steel Industry. Now the fund is open for all to enjoy membership benefits.

Phoenix Health Fund is proud to be a part of Members Owned Health Fund, which stands for reducing member expenses and maximising member benefit.
This information is provided by the fund

Phoenix Health Fund Limited provide further information regarding Gap cover doctors, Agreement hospitals and Ambulance cover information .

Agreement Hospitals

This fund has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs. You can view Agreement Hospitals for this fund in your region and further details are available from the fund.

Business Structure

This insurer is a mutual organisation that operates on a not-for-profit basis.

Phoenix Health Fund Limited operates in all states and territories.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health funds. The following is a selection of statistics about this health fund - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some funds in some states, as there are insufficient numbers reported to APRA for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 91.9% 87.1%
Management expenses (% cont) 9.5% 8.5%
Management expenses (average policy) $394 $276
Surplus -1.4% 4.4%
Member retention (%) 90.4% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 85.5% 96.1% 96.0% 95.3% 98.0% 95.0% 99.4% 96.9%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 78.5% 91.7% 95.0% 91.8% 94.0% 87.6% 92.4% 86.2%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 91.1% 95.2% 98.5% 95.8% 99.3% 93.6% 98.0% 94.4%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 49.1% 55.7% 55.6% 56.5% 56.8% 54.8% 56.9% 43.3%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 5 92 77 49 28 18 5 2
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 8 91 71 41 25 21 3 1
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints - <0.5%
Service Complaints -
All Complaints 0.1%
Investigations 0%
Address
Phoenix Health Fund Limited
PO Box 156
NEWCASTLE
NSW  2300


Phone: 1800 028 817
Email: enquiries@phoenixhealthfund.com.au
Website: http://www.phoenixhealthfund.com.au

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