ahm Health Insurance (AHM)

ahm Health Insurance is one of the country’s leading health insurance brands caring for the health of over 370,000 people across Australia. Since our origins as a small club in 1971 started by our founder Roy Johnson, we have been dedicated to caring for the health and wellbeing of our members and have earned a reputation as an industry leader in providing a full range of health insurance products and exceptional service.
We take pride in offering quality health cover that suits different budgets and lifestyles and represents real value. We have a wide range of hospital and extras covers offering a range of popular treatments.
Recognising that health insurance can be complex, we are committed to making health insurance easier to understand. Our expert staff know the Australian health care system and will provide you with the best advice and support to help you find what’s right for your needs.
We’ll also help you get what you are entitled to and even go so far as to contact members when they haven’t made a claim in a while. And when you do want to claim, we make it easier having been the first to offer telephone and online claiming.
As we listen to our members we understand the importance of helping them to lead a healthier life. ahm Health Insurance has been at the forefront of providing health improvement programs for over 15 years with our members benefiting from general health coaching, extra support for managing chronic and complex health needs as well as access to an experienced midwife for advice and information during pregnancy.
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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 81.9% 85.7%
Management expenses (% cont) 10.5% 9.3%
Management expenses (average policy) $313 $268
Surplus 7.6% 4.9%
Member retention (%) 83% 88.6%
Coverage NSW & ACT VIC QLD WA SA TAS NT
Hospital Related Charges Covered 88% 88.1% 88% 87.2% 92.2% 92% 84.6%
Industry Result 88.8% 93% 90.4% 92.7% 95.4% 93% 87.7%
Medical Services with No Gaps 89.2% 90.0% 89.2% 76.8% 93.1% 89.2% 79.0%
Industry Result 87.5% 91.2% 88.4% 79.4% 93.9% 89.6% 81.4%
Medical Services with No or Known Gaps 94.3% 96.7% 94.5% 84.7% 98.4% 97.6% 92.1%
Industry Result 89.6% 95.1% 91.2% 93.7% 96.3% 95.3% 87.6%
General Treatment (extras) Covered 48.0% 46.5% 47.4% 47.5% 49.8% 45.4% 46.3%
Industry Result 49.4% 49.5% 51% 51% 53.9% 49.3% 49.5%
Private Hospital Agreements 79 73 47 16 30 5 1
Industry Maximum 88 76 56 21 30 6 1
Day Hospital Agreements 74 52 34 11 21 3 1
Industry Maximum 88 72 49 22 24 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 3.7% 3%
Service Complaints 5.5%
All Complaints 4.7%
Investigations 6%
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

To view a list of ahm Health Insurance products, please complete the following:

Policies

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