Phoenix Health Fund Limited (PWA)
Phoenix Health Fund has been operating for over 65 years originally established for the employees of the Australian Steel Industry. Now open to all Australian’s the fund provides generous benefits with good old-fashioned service. As a not-for-profit insurer our core focus is our members’ and our commitment to reinvesting into services and benefits that support and improve the health outcome of our membership.
Phoenix Health Fund is also proud to be a founder of Members Own Health Fund, whose purpose is to collectively represent the smaller not-for-profit health funds across the industry and support the reduction to member expenses and maximise member benefits.
Phoenix Health Fund 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.
Phoenix Health Fund Limited operates in all states and territories.
Phoenix Health Fund Limited polices are sold under a number of different brands, including:
- Raiz Health
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||90.4%||88%|
|Management expenses (% cont)||10.1%||9.2%|
|Management expenses (average policy)||$482||$343|
|Member retention (%)||85%||81%|
|Hospital Related Charges Covered||90.1%||94.1%||92.2%||93.3%||96.7%||92.0%||97.6%||84.9%|
|Medical Services with No Gaps||86.8%||92.9%||89.6%||92.8%||93.7%||88.2%||92.7%||89.8%|
|Medical Services with No or Known Gaps||95.4%||98.5%||98.9%||98.4%||99.9%||97.6%||100%||95.9%|
|General Treatment (extras) Covered||46.7%||52.6%||52.1%||53.9%||56.2%||52.5%||51.6%||52.6%|
|Private Hospital Agreements||5||95||74||50||25||21||8||2|
|Day Hospital Agreements||8||89||72||50||27||22||4||1|
|Share of PHIO complaints compared to insurer market share|