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 insurer

HCF 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.

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 insurers. The following is a selection of statistics about this health insurer - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some insurers in some states, as there are insufficient numbers reported to APRA for states in which the insurer does not have a large membership.

Ombudsman complaints compared to market share
All complaints 24.5% 11.9% market share
Investigated complaints 17.8%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 88% 86%
Benefits as % of contributions 89.6% 85.4%
Management expenses % of contribution income 9.9% 9.5%
Management expenses per average policy $387 $358
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 84.2% 91.0% 91.7% 90.0% 93.4% 89.5% 92.6% 88.9% 90.8%
Industry Result 83.1% 89.7% 91.9% 90.3% 93.9% 93.0% 93.4% 90.0% 91.0%
Medical Services with No Gaps 77.5% 90.0% 87.9% 88.0% 87.7% 84.2% 92.1% 90.1% 88.8%
Industry Result 78.1% 89.8% 88.8% 89.7% 90.7% 87.6% 91.6% 88.5% 89.3%
Medical Services with No or Known Gaps 98.8% 99.2% 99.8% 99.1% 99.9% 98.0% 99.8% 99.0% 99.2%
Industry Result 92.7% 96.5% 97.6% 96.8% 99.1% 97.0% 98.2% 96.2% 97.1%
General Treatment (extras) Covered 50.3% 49.3% 56.1% 56.9% 61.6% 60.7% 53.4% 54.6% 52.6%
Industry Result 47.7% 50.1% 51.7% 53.4% 56.7% 56.6% 54.1% 58.8% 52.6%
Private Hospital Agreements 5 88 66 49 19 18 5 1 -
Industry Maximum 6 99 84 61 27 28 9 2 -
Day Hospital Agreements 7 88 52 37 20 16 6 1 -
Industry Maximum 11 108 94 64 35 39 9 2 -
Address:
403 George St
Sydney
NSW 2000
Phone: