health.com.au (HEA)

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We’re the first new health fund in Australia for quite a long time. We looked at the health insurance industry and thought ‘there’s a better, simpler way to do this’. We offer innovative policies in an honest, uncomplicated way. And we do it through a world-class website. Standing in queues is definitely not in our nature.

Though in one way we are just like all the big insurers. We’re fully registered and regulated by the Australian Government. We also have the same high capital standards — as high as the largest funds with international parents or government support. We can proudly say we’re Australian owned.
This information is provided by the fund


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.

Business Structure

This insurer operates on a for-profit basis.

health.com.au 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 113.7% 85.7%
Management expenses (% cont) 80.3% 9.3%
Management expenses (average policy) $307 $268
Surplus -93.9% 4.9%
Member retention (%) 0% 88.6%
Coverage NSW & ACT VIC QLD WA SA TAS NT
Hospital Related Charges Covered 0% 0% 0% 0% 0% 0% 0%
Industry Result 88.8% 93% 90.4% 92.7% 95.4% 93% 87.7%
Medical Services with No Gaps 90.0% 93.6% 88.9% 76.6% 95.6% 89.4% 86.6%
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% 97.4% 94.2% 85.5% 98.3% 97.1% 92.6%
Industry Result 89.6% 95.1% 91.2% 93.7% 96.3% 95.3% 87.6%
General Treatment (extras) Covered 60.2% 66.6% 66.6% 70.5% 68% - 54.4%
Industry Result 49.4% 49.5% 51% 51% 53.9% 49.3% 49.5%
Private Hospital Agreements 83 72 45 17 30 5 1
Industry Maximum 88 76 56 21 30 6 1
Day Hospital Agreements 82 64 41 20 23 3 1
Industry Maximum 88 72 49 22 24 4 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints - <0.5%
Service Complaints -
All Complaints 0%
Investigations 0%
Address
Locked Bag 423
Abbotsford
VIC  3067

Phone: 1300 199 802
Email: info@health.com.au
Website: http://www.health.com.au

To view a list of health.com.au products, please complete the following:

Policies

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