Health Care Insurance Limited (HCI)
Health Care insurance has been providing great value for money health cover to the community since 1938. As a not-for-profit private health insurer, we are proud of the high level of personal service provided to members and the comprehensive range of health insurance options offered at very competitive rates.
HCI is a company limited by guarantee and is governed by a board of directors elected by the members. The fund is entirely owned by the members, and exists solely for the benefit of members.
HCI cover provides access to the very best in hospital care and other health care services including dental, optical, physiotherapy, chiropractic and many more.
Health Care Insurance Limited provide further information regarding:
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.
Health Care Insurance Limited 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.
|Ombudsman complaints compared to market share|
|All complaints||0.1%||<0.1% market share|
|Health Insurer Retention and Finances||Industry result|
|Member retention (hospital cover)||87%||86%|
|Benefits as % of contributions||81.3%||85.4%|
|Management expenses % of contribution income||12.1%||9.5%|
|Management expenses per average policy||$537||$358|
|Hospital Related Charges Covered||94.9%||90.0%||94.0%||91.0%||92.4%||97.5%||94.5%||68.5%||93.6%|
|Medical Services with No Gaps||92.9%||88.8%||91.2%||92.0%||87.8%||95.1%||92.4%||0%||91.7%|
|Medical Services with No or Known Gaps||99.5%||96.6%||98.9%||98.0%||99.1%||98.2%||98.5%||0%||98.5%|
|General Treatment (extras) Covered||40.5%||52.1%||49.7%||47.0%||52.1%||50.5%||46.4%||40.5%||48.4%|
|Private Hospital Agreements||6||99||81||60||25||24||9||2||-|
|Day Hospital Agreements||9||108||84||63||34||26||8||1||-|