HCF (HCF)
As Australia’s largest not-for-profit health fund, HCF is uniquely positioned to offer great value health cover. Unlike some other funds, we give our members more, not shareholders. More benefits, more cover and more savings.
HCF was established in 1932 to provide the community with the means of insuring against the cost of hospital care. Since then, it has grown to become one of the country’s largest combined private health insurance and life insurance organisation.
HCF’s mission is to satisfy the needs of Australians for access to affordable, high quality health care when and where they need it, personal protection, and peace of mind.
HCF provide further information regarding:
- Gap cover doctors
- Agreement hospitals
- Preferred providers
- Branches
- Ambulance cover information
- Overseas visitors
- Corporate products
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 see Agreement Hospitals for this insurer and further details are available from the insurer.
Business Structure
This insurer is a mutual organisation that operates on a not-for-profit basis.
HCF operates in all states and territories.
Performance
This table compares this health insurer's performance on a range of factors. Some of this information has previously been published in the Private Health Insurance Ombudsman's State of the Health Funds report, available from the Ombudsman's website (www.ombudsman.gov.au). Please note information is not provided for some insurers in some states, as there are insufficient numbers reported for states in which the insurer does not have a large membership.
| Ombudsman complaints compared to market share | ||
|---|---|---|
| All complaints | 13.5% | 12.5% market share |
| Investigated complaints | 10.4% | |
| Health Insurer Retention and Finances | Industry result | |
|---|---|---|
| Member retention (hospital cover) | 88.2% | 86.5% |
| Benefits as % of contributions | 87.7% | 81.1% |
| Management expenses % of contribution income | 11.5% | 10.8% |
| Management expenses per average policy | $472 | $413 |
| Coverage | ACT | NSW | VIC | QLD | SA | WA | TAS | NT | Australia |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Related Charges Covered | 81.8% | 89.3% | 89.8% | 88.3% | 91.5% | 88.2% | 90.6% | 83.3% | 89.1% |
| Industry Result | 81.8% | 88.7% | 90.5% | 88.9% | 92.6% | 92.4% | 92.4% | 88.6% | 89.9% |
| Medical Services with No Gaps | 71.8% | 88.2% | 86.0% | 85.0% | 85.8% | 83.0% | 91.6% | 87.2% | 86.7% |
| Industry Result | 75.6% | 89.3% | 87.3% | 87.8% | 89.0% | 88.9% | 91.2% | 86.7% | 88.3% |
| Medical Services with No or Known Gaps | 93.1% | 96.8% | 98.5% | 97.0% | 99.6% | 96.5% | 99.3% | 94.7% | 97.2% |
| Industry Result | 91.2% | 96.4% | 97.8% | 96.8% | 99.3% | 98.0% | 98.8% | 95.9% | 97.2% |
| General Treatment (extras) Covered | 47.9% | 46.8% | 53.5% | 53.4% | 60.0% | 58.6% | 51.2% | 53.7% | 50.3% |
| Industry Result | 46.4% | 48.4% | 50.5% | 51.4% | 55.2% | 55.9% | 51.8% | 57.7% | 51.1% |
| Private Hospital Agreements | 5 | 92 | 67 | 48 | 18 | 19 | 8 | 1 | - |
| Industry Maximum | 8 | 98 | 72 | 58 | 24 | 24 | 8 | 2 | - |
| Day Hospital Agreements | 7 | 89 | 54 | 40 | 19 | 16 | 9 | 1 | - |
| Industry Maximum | 9 | 104 | 79 | 54 | 30 | 29 | 9 | 2 | - |
Sydney
NSW 2000