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.
HCF provide further information regarding:
- Gap cover doctors
- Agreement hospitals
- Preferred providers
- Ambulance cover information
- Overseas visitors
- Corporate products
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.
This insurer is a mutual organisation that operates on a not-for-profit basis.
HCF operates in all states and territories.
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.
|Benefits as a % of contributions||89.7%||86%|
|Management expenses (% cont)||9.7%||9.1%|
|Management expenses (average policy)||$371||$350|
|Member retention (%)||86%||82%|
|Hospital Related Charges Covered||87.7%||93.2%||93.4%||92.3%||94.6%||89.3%||93.6%||90.8%|
|Medical Services with No Gaps||81.3%||91.1%||89.1%||91.2%||87.9%||86.9%||90.5%||84.7%|
|Medical Services with No or Known Gaps||96%||98.7%||99.5%||99.2%||99.8%||98.3%||99.6%||98.5%|
|General Treatment (extras) Covered||50.5%||50.8%||56.8%||58%||61.8%||60.5%||51.6%||52.8%|
|Private Hospital Agreements||5||85||66||48||23||18||5||1|
|Day Hospital Agreements||7||87||49||37||20||14||5||1|
|Share of PHIO complaints||Compared to insurer's market share|