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Compare Phoenix Health Fund health insurance

How Phoenix Health Fund rates for member complaints, gap cover and ambulance.

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Phoenix Health Fund summary

Phoenix Health Fund is a mutual nonprofit private health insurer. Established in 1953 originally for the needs of the Australian steel industry, today it has just over 15,000 members. It belongs to Members Own Health Funds, an alliance of 15 nonprofit and mutual health funds that promotes the benefits of funds that reward members rather than investors or overseas owners.

Phoenix Health Fund contact details

Phone: 1800 028 817

Email: enquiries@phoenixhealthfund.com.au

Website: phoenixhealthfund.com.au

Is Phoenix Health Fund nonprofit?

Yes.

Does Phoenix Health Fund get many complaints from members?

Phoenix Health Fund complaints rating: High

  • 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.

How good is Phoenix Health Fund's gap cover?

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.

Rating scale

  • Above average
  • Average
  • Below average
  • Well below average

We also display the percentage of medical services that Phoenix Health Fund 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.

How many hospital agreements does Phoenix Health Fund have in my state?

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 Phoenix Health Fund 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.

Does Phoenix Health Fund offer any discounts?

Discount for direct debit: None

Discount for annual prepay: None

Total discount for annual prepay via direct debit: None

Does Phoenix Health Fund offer ambulance cover?

All Phoenix Health extras, hospital and combined policies have emergency ambulance cover.

Does Phoenix Health Fund offer family policies that cover adult children?

Yes, adult children are covered up to age 21 and up to age 25 if in full-time study and not living with a partner.

Does Phoenix Health Fund let you claim online or in-app?

All services can be claimed via email or the fund's app (iOS and Android).

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