Phoenix Health Fund Limited (PWA)
At Phoenix Health, we’ve been looking after the health and wellbeing of members for over 65 years; and while some say we’re the best kept secret in private health insurance, we think this gives us the edge in providing you with the most personal health insurance experience possible.
Health insurance shouldn't have to be hard and with covers that offer value for money and are actually affordable, we've made it so easy for you to see how our cover stacks up - check out our DIY cover comparison tool on our website at phoenixhealthfund.com.au, or get in touch if you'd prefer to chat - finding cover that's your perfect fit is what we love to do! We're super proud of our history, but are really excited about our future and to be able to help so many more people all around Australia.
We look forward to helping you discover how you're better off with Phoenix Health.
Phoenix Health Fund 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.
Phoenix Health Fund Limited 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 | 0.1% | 0.2% market share |
| Investigated complaints | 0% | |
| Health Insurer Retention and Finances | Industry result | |
|---|---|---|
| Member retention (hospital cover) | 85.0% | 86.5% |
| Benefits as % of contributions | 77.7% | 81.1% |
| Management expenses % of contribution income | 10.0% | 10.8% |
| Management expenses per average policy | $484 | $413 |
| Coverage | ACT | NSW | VIC | QLD | SA | WA | TAS | NT | Australia |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Related Charges Covered | 79.2% | 90.6% | 89.1% | 89.8% | 94.7% | 92.7% | 87.8% | 93.5% | 90.5% |
| 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 | 71.5% | 92.9% | 88.5% | 91.8% | 91.5% | 88.7% | 86.6% | 100% | 91.4% |
| 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 | 91.6% | 98.2% | 98.2% | 98.2% | 99.7% | 98.8% | 97.8% | 100% | 98.3% |
| Industry Result | 91.2% | 96.4% | 97.8% | 96.8% | 99.3% | 98.0% | 98.8% | 95.9% | 97.2% |
| General Treatment (extras) Covered | 60.4% | 53.7% | 55.1% | 53.8% | 53.1% | 54.5% | 51.0% | 50.8% | 54.1% |
| Industry Result | 46.4% | 48.4% | 50.5% | 51.4% | 55.2% | 55.9% | 51.8% | 57.7% | 51.1% |
| Private Hospital Agreements | 8 | 93 | 69 | 48 | 24 | 20 | 6 | 2 | - |
| Industry Maximum | 8 | 98 | 72 | 58 | 24 | 24 | 8 | 2 | - |
| Day Hospital Agreements | 5 | 93 | 69 | 50 | 18 | 21 | 7 | 1 | - |
| Industry Maximum | 9 | 104 | 79 | 54 | 30 | 29 | 9 | 2 | - |
NEWCASTLE
NSW 2300