The nonprofit Health Insurance Fund of Australia, or HIF, was founded in WA in 1954 and today has close to 120,000 members. It's also Australia's first and only certified carbon-neutral health fund.
HIF contact details
Phone: 1300 13 40 60
HIF complaints rating: Medium
When we score policies we give each fund a complaints rating, based on the number of complaints and serious disputes the Ombudsman deals with. We take into account the size of the fund, so big funds don't get automatically penalised for having more complaints.
- The ratings are Low, Medium and High. A Low rating is better than a High rating – it means the fund has fewer complaints and fewer serious disputes for its size.
- The infographic below shows the complaints about the fund to the Ombudsman as a percentage of all complaints. Complaints can be about benefits or customer service. The most serious complaints are escalated for investigation.
- The higher the share of complaints a fund receives above its market share, the worse its performance compared to other funds. If its share of complaints is below its market share, that's a better result.
A medical gap is the difference between Medicare's recommended fee and what your doctor actually charges for a treatment or service.
Health funds have agreements with particular doctors and hospitals to cover all of the gap, which are called 'no gap agreements', or part of that gap, which are called 'known gap agreements' (these will have lower out-of-pocket costs, usually less than $500).
Our graphic below displays the CHOICE gap rating, which takes into account the percentage of services where members either paid no gap or a known gap, compared to the state average.
- Above average
- Below average
- Well below average
We also display the percentage of medical services that HIF covers with no gap, and compare it to the industry average. The higher the percentage, the more effective the fund's gap scheme is in a state or territory.
The benefit amount your fund pays you for hospital services depends not only on the type of cover you buy, but also whether your fund has an agreement with the hospital where you're treated.
The table below shows how many hospital agreements HIF has in your state compared to the fund with the highest number (the industry maximum). Note that public hospitals don't have agreements with specific funds and are generally treated as though they're agreement hospitals.
Discount for direct debit: None
Discount for annual prepay: 4%
Total discount for annual prepay via direct debit: 4%
All HIF extras and combined policies have emergency ambulance (road ambulance only).
Cover is capped for Vital Options at:
- 50% of fee up to an overall policy annual limit
- one service per person / two per policy a year.
Co-payment of $50 per service applies to non-emergency call-outs and transportation.
Yes, adult children are covered up to age 21 and up to age 25 if in full-time study.
Up to $700 a day of extras benefits can be claimed via email or the fund's app (iOS and Android).