Health Insurance Fund of Australia Limited (HIF)
HIF is the Health Insurance Fund of Australia, and we’ve been providing great value health
cover since 1954. As a not-for profit, here-for-you health fund, our priority is to help our Members and their dependents lead healthy and happy lives. Simple as that. We do this by providing a choice of insurance covers for hospital, medical and extras services as well as great value pet and travel options.
Health Insurance Fund of Australia Limited provide further information regarding:
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.
Health Insurance Fund of Australia 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 insurers. The following is a selection of statistics about this health insurer - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some insurers in some states, as there are insufficient numbers reported to APRA for states in which the insurer does not have a large membership.
| Ombudsman complaints compared to market share | ||
|---|---|---|
| All complaints | 1.3% | 0.7% market share |
| Investigated complaints | 5.7% | |
| Health Insurer Retention and Finances | Industry result | |
|---|---|---|
| Member retention (hospital cover) | 77% | 88.6% |
| Benefits as % of contributions | 80.8% | 83.1% |
| Management expenses % of contribution income | 13.6% | 9.9% |
| Management expenses per average policy | $471 | $375 |
| Coverage | ACT | NSW | VIC | QLD | SA | WA | TAS | NT | Australia |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Related Charges Covered | 74.6% | 86.5% | 89.1% | 89.2% | 90.5% | 91.2% | 90.5% | 78.9% | 90.3% |
| Industry Result | 82.9% | 89.4% | 91.5% | 89.7% | 93.4% | 92.7% | 92.9% | 89.3% | 90.6% |
| Medical Services with No Gaps | 70.9% | 88.3% | 88.3% | 90.5% | 85.9% | 89.5% | 92.4% | 78.6% | 89.2% |
| Industry Result | 76.9% | 89.7% | 88.0% | 88.8% | 89.7% | 88.5% | 91.4% | 87.5% | 88.8% |
| Medical Services with No or Known Gaps | 91.2% | 96.0% | 98.2% | 98.3% | 99.3% | 97.8% | 97.8% | 90.8% | 97.8% |
| Industry Result | 92.3% | 96.7% | 97.9% | 97.2% | 99.3% | 97.5% | 98.8% | 96.5% | 97.4% |
| General Treatment (extras) Covered | 41.6% | 45.6% | 46.5% | 46.0% | 49.9% | 47.6% | 45.0% | 42.6% | 47.1% |
| Industry Result | 47.0% | 49.1% | 50.8% | 52.5% | 56.4% | 56.6% | 52.6% | 58.4% | 52.0% |
| Private Hospital Agreements | 5 | 92 | 73 | 49 | 19 | 21 | 8 | 2 | - |
| Industry Maximum | 6 | 98 | 76 | 60 | 23 | 24 | 9 | 2 | - |
| Day Hospital Agreements | 8 | 84 | 68 | 48 | 24 | 20 | 4 | 1 | - |
| Industry Maximum | 8 | 103 | 79 | 57 | 30 | 24 | 8 | 2 | - |
Perth
WA 6000