HCF (HCF)

As Australia’s largest not-for-profit health fund, HCF is uniquely positioned to offer great value health cover. Unlike some other funds, we give our members more, not shareholders. More benefits, more cover and more savings.

HCF was established in 1932 to provide the community with the means of insuring against the cost of hospital care. Since then, it has grown to become one of the country’s largest combined private health insurance and life insurance organisation.

HCF’s mission is to satisfy the needs of Australians for access to affordable, high quality health care when and where they need it, personal protection, and peace of mind.
This information is provided by the fund

HCF provide further information regarding Gap cover doctors, Agreement hospitals, Preferred providers, Ambulance cover information, Overseas visitors and Corporate products .

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 is a mutual organisation that operates on a not-for-profit basis.

HCF 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 91.6% 86.9%
Management expenses (% cont) 7.1% 8.8%
Management expenses (average policy) $224 $263
Surplus 1.3% 4.3%
Member retention (%) 87.8% 87.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 85.9% 92.4% 96.3% 94.8% 97.8% 92.8% 96.2% 90.9%
Industry Result 81.4% 89.1% 93.3% 90.4% 95.7% 92.9% 93.5% 88.3%
Medical Services with No Gaps 83.5% 92.9% 97.6% 96.2% 99.6% 93.5% 98.3% 95.4%
Industry Result 77.8% 88% 91.5% 88.2% 93.6% 81.6% 89.3% 81.5%
Medical Services with No or Known Gaps 83.5% 92.9% 97.6% 96.2% 99.6% 93.5% 98.3% 95.4%
Industry Result 82.2% 89.8% 92.2% 90.9% 96% 94.7% 95.4% 87.8%
General Treatment (extras) Covered 45.4% 50.3% 54.0% 55.1% 57.7% 49.3% 47.1% 46.2%
Industry Result 45.8% 50.6% 51.4% 52.6% 55% 52.7% 51% 52.1%
Private Hospital Agreements 4 81 67 50 27 11 5 1
Industry Maximum 5 90 76 54 30 21 6 1
Day Hospital Agreements 7 85 49 35 18 6 3 1
Industry Maximum 10 85 72 49 25 21 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 9.5% 10.8%
Service Complaints 9.3%
All Complaints 11.3%
Investigations 10.8%
Address
403 George St
Sydney
NSW  2000


Phone: 13 13 34
Email: service@hcf.com.au
Website: http://www.hcf.com.au
Branches: http://www.hcf.com.au/locations/branches/

To view a list of HCF products, please complete the following:

Policies

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