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HIF Health Insurance Review

Megan Fraser Updated: 11 May 2022
Types of Health Insurance

Considering your health insurance options or wanting to switch healthcare insurance providers? Then HIF Insurance may be the company that suits your unique requirements. HIF private hospital cover is a great option for many Australians. It’s been awarded three CANSTAR gold awards, and members have a choice between 6 Hospital and 6 Extras policies. Plus, you can combine plans to get the coverage that’s right for you.

hif logo

With HIF private hospital cover, you know you’re getting quality coverage. You can relax knowing that your insurer has paid out more than $151million in claims in 2020 alone. And with 105,345 members, you know you’re not alone in choosing this insurer. Compare health insurance policies today with this review.

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What does HIF offer

HIF is a company that was created with the goal of giving people affordable health insurance and great value. HIF stands out among other funds because it allows its members total freedom when choosing their healthcare providers while also returning any surpluses into lower premiums or new benefits/services provided at no cost.

HIF also offers members:

family hif health 01

Who is HIF Health Insurance?

The HIF story is one of expansion and growth.  In 1954, the organisation made its debut as a humble group of workers in government departments across Western Australia. Now there are members all over the country, thanks to increased coverage that has become possible due to them being an incorporated association under WA’s Associations Incorporations Act 1895 (WA). Then June 2010 saw another shift happen with some big changes. The company became known internationally and changed its name to the Health Insurance Fund Of Australia as its nationwide membership saw a dramatic increase.

Today, HIF is a unique healthcare fund that allows members to choose their own healthcare providers. The surpluses from this decision go back into the member’s account, resulting in lower premiums and increased rebates for them. The insurer is also the first carbon-neutral insurance company.

Pros and Cons of HIF Health

Advantages

  • The HIF is a not-for-profit, member-owned health fund that sends all of its profits back to the members.
  • The first carbon-neutral health fund in Australia.
  • HIF is committed to supporting several vital causes, including St John Giving.
  • Members gain the benefit of choosing their own health care providers.
  • They offer attractive members rewards.

Disadvantages

  • The policy rates are either similar or slightly more expensive than others offered in Australia.
  • HIF has an online presence and operates solely through remote means. If you’re not in Perth, all transactions must take place there or by phone/email.
  • No youth discounts are offered.

Compare Hospital policies

Hospital cover options from HIF Australia give you peace of mind when admitted to hospital. Varying levels and types help find the perfect combination that fits your family’s needs, as well as budget. There are six Hospital policies to choose from:

Basic Plus

Price: $14.71 weekly

Benefits

  • Hernia and appendix
  • Tonsils, adenoids and grommets
  • Joint reconstructions

Restrictions

  • Rehabilitation
  • hospital psychiatric services
  • palliative care

Bronze

Price: $125.80 monthly

Benefits

  • Bone, joint and muscle
  • Eye (not cataracts)
  • Miscarriage and termination of pregnancy
  • Brain and nervous system
  • Gastrointestinal endoscopy
  • Pain management
  • Breast surgery (medically necessary)
  • Gynaecology Skin
  • Chemotherapy, radiotherapy and immunotherapy for cancer
  • Diabetes management (excluding insulin pumps)
  • Joint reconstructions
  • Digestive system
  • Kidney and bladder
  • Ear, nose and throat
  • Male reproductive system

Restrictions

  • Rehabilitation
  • hospital psychiatric services
  • palliative care

Bronze Plus

Price: $128.25 monthly

Benefits

  • Everything included in Bronze
  • Lung and chest
  • Dental surgery
  • Pain management
  • Podiatric surgery

Restrictions

  • Rehabilitation
  • hospital psychiatric services
  • palliative care

Silver Plus

Price: $215.45 monthly

Benefits

  • Everything in the Bronze Plus
  • Rehabilitation
  • Skin
  • Sleep studies
  • Cataracts
  • Pain management with device
  • Joint replacements
  • Implantation of hearing device
  • Heart and vascular system
  • Gynaecology
  • Palliative care

Restrictions

  • Hospital psychiatric services

Gold Top

Price: $260.90 monthly

Benefits

  • Everything included in Silver
  • Rehabilitation
  • Sleep studies
  • Hospital psychiatric services
  • Dialysis for chronic kidney failure
  • Weight loss surgery
  • Insulin pump
  • Blood
  • Assisted reproductive services

Restrictions

  • None

Compare Extras policies

HIF Australia offers Extras policies that help you manage your day-to-day health needs. By offering a variety of options for Extras, the health company ensures that no matter what’s going on in life or how busy it gets, you will be covered.

Combined cover

HIF offers you the option to combine their Hospital and Extras plans into a packaged cover that suits your requirements. With combined cover, HIF gives customers added support for in-hospital stays and treatments during an extended stay at one hospital or if they need help with everyday services like visiting a dentist or optometrist. In addition, there is the Silver Plus no maternity combo policy, which is a pre-packaged option that could be ideal for you.The Silver Plus No Maternity Combo plan is an excellent option for those who don’t need pregnancy and birth services. The added value includes your choice of treating doctor or specialist, shared room accommodation in a HIF contracted private hospital (or a public facility), and access to medical care through AccessGap Cover. It costs $264.30 monthly, with the only restriction being hospital psychiatric services.

ambulance hif

Ambulance cover from HIF

To ensure that you’re always prepared for any emergency, your comprehensive HIF extras policy includes an ambulance cover. This enables 100% reimbursement of costs associated with callouts and transportation services, while non-emergency uses attract a $50 co-payment fee.

How to Join HIF

Joining HIF is easy and takes just a few minutes. All the paperwork for you, including applying to join online with Government Rebate – it’s all done! You can also contact your old health fund if necessary, so they don’t hold onto any money from previous years that might belong within their account balance at the time of cancellation (which would be transferred over when switching).

Here is how to join HIF:

  • Go to the HIF website.
  • Select what residency you currently hold and which state you live in.
  • Select how many people you wish to take out coverage for.
  • Choose your policy (you can request a quote and compare policies beforehand)
  • Enter your details and send through your request.
  • Once accepted, your coverage begins immediately.

Frequently Asked Questions and Answers

  • Is HIF not for profit?

    Yes, this healthcare insurance fund is not-for-profit and returns profits to its members. HIF is a unique health insurance fund that covers people from all over Australia. You don’t need to be located in WA or even owned by an Australian citizen; just have your visa, and you’re good for coverage.
  • How do I claim from HIF?

    There are several easy ways to claim with HIF. You can do it through the mobile app, email, or fax. If you’re looking for an easier way, there’s also eClaiming which allows users of all abilities access without any need whatsoever to download anything onto their device.
  • How long can my dependents stay on my membership?

    The family membership is perfect for young people who need a place to stay, and it lasts until they turn 21. If you’re not married or in a de-facto relationship, and the dependent continues living with their parents after that, they can remain on the membership.
  • How do I claim from HIF?

    There are numerous ways to claim back from HIF. Below are a few:
    • Claim immediately. Utilise online electronic claiming called HICAPS or iSOFT and settle your account. Simply swipe your HIF membership card, and it will go through instantly. You may need to pay the difference if there is any.
    • Claim Online. HIF’s Online Member Centre offers members the option to claim online. You’ll even be able to see the estimated benefit payable.
    • Claim via phone. With the HIF mobile app, you can submit your claims anytime. It’s free for members.
    • Claim via email. All you need to do is email a scan of your completed HIF claim form to [email protected]
    • Claim by post. Download and complete a HIF claim form on the website and post it to HIF, GPO Box X2221, Perth WA 6847.
  • What does HIF stand for?

    HIF stands for The Health Insurance Fund of Australia. It is a government-owned healthcare provider that has been providing coverage for over fifty years. The organisation was originally known as the Western Australian Government Railways Employees Hospital and Medical Fund Inc., but it changed its name to honour Australia’s history of supporting those in need with tax revenues from mining exports on January 1st 2017
  • Does HIF cover occupational therapy?

    Yes, HIF offers cover for occupational therapy under certain Extra’s policies. Suppose you’re looking for this healthcare treatment to be covered specifically. In that case, we recommend you review and compare the offered Extras policies to find the level of coverage that best suits your needs and budget.

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