ahm Health Insurance (AHM)

More than 500,000 Australians have trusted ahm with their health insurance over the past 40 years, at the same time supporting a local success story and a 100% Australian-owned business.

We've been around long enough to know that lots of Australians want no-nonsense health insurance. So we make it easier to make the most of your cover. We take a fresh approach to health insurance and cut out the complexity. Everything we do is about making things simpler, so you can make the most of what matters to you. Now it's easier than ever to use and manage your cover, with affordable and flexible health insurance packages, a completely redesigned online experience and top-notch, digital-first service.

And we're part of Medibank - one of Australia's largest health insurers.
This information is provided by the fund

ahm Health Insurance provide further information regarding Gap cover doctors, Agreement hospitals, Preferred providers, Ambulance cover information and Overseas students .

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 operates on a for-profit basis and is owned by Medibank.

ahm Health Insurance 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 PHIAC for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 87.2% 86.9%
Management expenses (% cont) 9.2% 8.8%
Management expenses (average policy) $270 $263
Surplus 3.6% 4.3%
Member retention (%) 83.6% 87.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 82.1% 88.9% 94.0% 91.0% 94.3% 91.4% 93.4% 88.7%
Industry Result 81.4% 89.1% 93.3% 90.4% 95.7% 92.9% 93.5% 88.3%
Medical Services with No Gaps 80.6% 89.4% 93.8% 91.1% 94.7% 81.6% 88.1% 84.2%
Industry Result 77.8% 88% 91.5% 88.2% 93.6% 81.6% 89.3% 81.5%
Medical Services with No or Known Gaps 88.0% 92.9% 97.8% 95.1% 98.7% 87.9% 98.4% 94.0%
Industry Result 82.2% 89.8% 92.2% 90.9% 96% 94.7% 95.4% 87.8%
General Treatment (extras) Covered 44.5% 51.9% 51.5% 53.0% 56.4% 53.4% 51.2% 53.8%
Industry Result 45.8% 50.6% 51.4% 52.6% 55% 52.7% 51% 52.1%
Private Hospital Agreements 3 78 70 48 30 19 5 1
Industry Maximum 5 90 76 54 30 21 6 1
Day Hospital Agreements 5 69 50 36 19 13 2 1
Industry Maximum 10 85 72 49 25 21 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 36% 29.4%
Service Complaints 29.9%
All Complaints 33%
Investigations 31.9%
Address
Locked Bag 1006
Matraville
NSW  2036


Phone: 134 246
Email: info@ahm.com.au
Website: http://www.ahm.com.au
Branches: http://www.ahm.com.au/contact-us

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