Phoenix Health Fund Limited (PWA)

At Phoenix Health, we’ve been looking after the health and wellbeing of members for over 65 years; and while some say we’re the best kept secret in private health insurance, we think this gives us the edge in providing you with the most personal health insurance experience possible.

Health insurance shouldn't have to be hard and with covers that offer value for money and are actually affordable, we've made it so easy for you to see how our cover stacks up - check out our DIY cover comparison tool on our website at phoenixhealthfund.com.au, or get in touch if you'd prefer to chat - finding cover that's your perfect fit is what we love to do! We're super proud of our history, but are really excited about our future and to be able to help so many more people all around Australia.

We look forward to helping you discover how you're better off with Phoenix Health.

This information is provided by the insurer

Phoenix Health Fund Limited 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.

Phoenix Health Fund Limited 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 0.1% 0.2% market share
Investigated complaints 0%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 87% 86%
Benefits as % of contributions 90% 85.4%
Management expenses % of contribution income 8.7% 9.5%
Management expenses per average policy $419 $358
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 84.7% 93.5% 91.6% 91.4% 93.0% 95.8% 93.8% 85.3% 92.7%
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 75.9% 94.0% 90.2% 92.2% 93.8% 88.5% 89.9% 96.1% 92.7%
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 89.1% 98.7% 98.8% 98.4% 99.4% 98.6% 99.6% 98.4% 98.7%
Industry Result 92.7% 96.5% 97.6% 96.8% 99.1% 97.0% 98.2% 96.2% 97.1%
General Treatment (extras) Covered 52.7% 53.9% 54.3% 55.7% 55.5% 53.5% 54.1% 55.6% 54.4%
Industry Result 47.7% 50.1% 51.7% 53.4% 56.7% 56.6% 54.1% 58.8% 52.6%
Private Hospital Agreements 5 97 74 49 20 21 8 2 -
Industry Maximum 6 99 84 61 27 28 9 2 -
Day Hospital Agreements 8 88 72 49 26 22 4 1 -
Industry Maximum 11 108 94 64 35 39 9 2 -
Address:
PO Box 156
NEWCASTLE
NSW 2300
Phone: