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.

This information is provided by the insurer

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 -
Address:
100 Stirling Street
Perth
WA 6000
Phone: