myOwn Health Insurance Review

Published: May 31, 2019

If you’re looking for a health insurance company that provides more rewards and benefits, then myOwn health insurance with AIA Vitality might be worth considering.

In 2017, GMHBA, the not-for-profit health fund, partnered with life insurance giant AIA and their AIA Vitality programme to create myOwn health insurance.

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myOwn offers a range of Hospital and Hospital with Extras policy options suited to different individual requirements. Benefits can be further increased when you engage with the AIA Vitality wellness program, included for up to two adults per any myOwn policy.

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Bronze Plus Hospital 750 and Lite 70 Extras
$30.75*
*Premiums are based on a single adult, under the age of 30, living in NSW. It includes a 25.059% Australian Government Rebate and a 5% AIA Vitality discount.
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Get Hospital and Extra cover with the benefits of AIA Vitality!

Benefits of myOwn private health insurance

  • Up to 10% off selected Hospital cover if you're between 18 and 29 years old.
  • A wide variety of Hospital only and Hospital with Extras packages.
  • Unlock rewards when earning AIA Vitality points by knowing and improving your health.
  • Initial 5% discount on your myOwn policy when you first join. The discount will remain as long as you maintain an AIA Vitality Silver status or above.
  • Additional 5% discount when adding an AIA Priority Protection life insurance policy.
  • Up to 70% back from any recognised provider up to your annual limit.
  • Emergency ambulance services via land, air and sea.
  • Lower out-of-pocket costs for dental check-ups with access to smile.com.au.

Compare policy options

myOwn health insurance with AIA Vitality offers you the choice of standalone Hospital cover or a combined package of Hospital and Extras cover.

Take note: Standalone Extras cover is not available from this health fund.

Hospital cover options

Private Hospital cover helps pay the cost of treatments and services received while an in-patient in the hospital. You can generally choose an Excess amount of either $500 or $750. No Excess is payable for children or student dependents.

Take note: Below is a quick overview of what each Hospital policy offers. For a comprehensive list of benefits and exclusions, please visit the myOwn health insurance website.

Basic Hospital

$500 Excess

  • Covers private hospital treatment for accidental injuries only.
  • Includes emergency transport in an ambulance.

Restricted cover for hospital psychiatric, palliative care and rehabilitation.

Bronze Hospital

Choice of $500 or $750 Excess

  • Joint reconstruction
  • Cancer treatment
  • Appendix removal
  • Hernia investigation and treatment
  • Ear, nose and throat
  • Gynaecology
  • Male reproductive service
  • Tonsils, adenoids and grommets
  • Kidney and bladder

Bronze Plus Hospital

Choice of $500 or $750 Excess

  • Everything in Bronze Hospital
  • Dental surgery
  • Medically necessary plastic and reconstructive surgery
  • Blood
  • Lunch and chest

Silver Hospital

Choice of $500 or $750 Excess

  • Rehabilitation
  • Back, neck and spine
  • Heart and vascular system
  • Implantation of hearing devices
  • Podiatric surgery

Silver Plus Hospital

Choice of $500 or $750 Excess

  • Everything in the Silver Hospital plan
  • Joint replacements
  • Palliative care
  • Cataracts
  • Dialysis for chronic kidney failure
  • Insulin pumps
  • Pain management with device

Silver Plus Enhanced

Choice of $500 or $750 Excess

  • Everything in Silver Plus Hospital
  • Pregnancy & birth-related services
  • Assisted reproductive services, like IVF
  • Weigh loss surgery
  • Sleep studies

Gold Hospital

The most comprehensive Hospital option with a choice of $500 or $750 Excess.

  • Includes everything in Silver Plus Enhanced
  • Hospital psychiatric services
  • Travel and accommodation costs can be claimed ($50 per day) for either yourself or a carer while you're in the hospital.

Source: myOwn.com.au (June 2019)

Hospital and Extras packages

Extras cover can only be purchased in combination with Hospital cover. Extras cover helps with the payment for general treatments and services received outside of the hospital that Medicare doesn’t cover, for example, dental, optical and physiotherapy.

Minimum 50 Extras

50% back on general treatments, up to your annual limits. Available on Basic, Bronze, Bronze Plus and Silver Hospital policies.

  • Acupuncture combined with remedial massage: $200 annual limit.
  • Chiropractic and osteopathy: $200 annual limit.
  • General dental: $600 annual limit.
  • Optical: $200 annual limit, with 100% back.
  • Physiotherapy, hydrotherapy and Myotherapy: $300 annual limit.

Lite 60 Extras

An affordable option with 60% back on benefits. Offered with Basic, Bronze, Bronze Plus, Silver and Gold Hospital policies.

  • Combined chiropractic, physiotherapy, myotherapy, hydrotherapy and osteopathy: $300 annual limit.
  • General dental: $600 annual limit.
  • Major dental: $300 annual limit.
  • Optical: $200 annual limit, with 100% back.

General treatments covered

Lite 65 Extras

Claim 65% Extras on Extras. Only available with Basic and Gold Hospital cover options.

Lite 70 Extras

Get 70% back on all the general treatments. Available on Bronze, Bronze Plus, Silver and Gold Hospital policies.
Combined chiropractic, physiotherapy, myotherapy, hydrotherapy and osteopathy $350 annual limit. $400 annual limit.
BUPA - Bronze Extras 0 days $26.05 – Limited to 1 service per year
General dental $700 annual limit. $800 annual limit.
Major dental $400 annual limit $500 annual limit
Optical $200 annual limit, with 100% back $200 annual limit, with 100% back
Acupuncture combined with remedial massage $250 annual limit. $350 annual limit.

Everyday 55 Extras

Claim 55% back on a long list of general treatments. This medium Extras cover is exclusively available on Bronze Plus Hospital policies.

Mid 60 Extras

60% back on Extras with a broad range of general treatments. This Extras cover can be added to all Silver and Gold Hospital policies.
  • Chiropractic and osteopathy: $200 annual limit.
  • General dental: $800 annual limit.
  • Major dental: $500 annual limit.
  • Optical: $250 annual limit, with 100% back.
  • Psychology: $200 annual limit.
  • Physiotherapy, exercise physiology, hydrotherapy and Myotherapy: $300 annual limit.
  • Acupuncture combined with remedial massage: $200 annual limit.
  • Dietetics: $200 annual limit.
  • Hearing aids: $300 annual limit.
  • Non PBS Pharmaceuticals: $40 per prescription, up to $200 annual limit.
  • Preventative health benefits: $100 annual limit.
  • Occupational therapy: $200 annual limit.
  • Swimming lessons: $200 annual limit.
  • Chiropractic and osteopathy: $300 annual limit.
  • General dental: $800 annual limit.
  • Major dental: $800 annual limit.
  • Orthodontics: $800 annual limit.
  • Optical: $250 annual limit, with 100% back.
  • Psychology: $300 annual limit.
  • Physiotherapy, exercise physiology, hydrotherapy and Myotherapy: $500 annual limit.
  • Podiatry: $300 annual limit.
  • Acupuncture combined with remedial massage: $300 annual limit.
  • Audiology: $300 annual limit.
  • Dietetics: $300 annual limit.
  • Eye therapy: $300 annual limit.
  • Hearing aids: $300 annual limit.
  • Non PBS Pharmaceuticals: $40 per prescription, up to $300 annual limit.
  • Preventative health benefits: $150 annual limit.
  • Occupational therapy: $300 annual limit.
  • Speech therapy: $300 annual limit.
  • Swimming lessons: $200 annual limit.

General treatments covered

Comprehensive 70 Extras

Exclusive to Silver Plus Hospital policies.

Top 70 Extras

Available with a Silver Plus or Gold Hospital policy.
Claim 70% back on ancillary benefits
Antenatal and postnatal Not included $400 annual limit.
General dental $1000 annual limit.
Major dental $1000 annual limit.
Orthodontics Not included $1000 annual limit, with $2,600 lifetime limit.
Optical $300 annual limit.
Physiotherapy combined with exercise physiology, hydrotherapy & myotherapy $600 annual limit.
Chiropractic and osteopathy combined $400 annual limit.
Psychology $400 annual limit.
Hearing aids $500 annual limit.
Audiology $400 annual limit.
Acupuncture combined with remedial massage $400 annual limit.
Dietetics $400 annual limit.
Non PBS Pharmacy $40 per prescription, up to 400 annual limits.
Podiatry $400 annual limit.
Preventative health benefits $200 annual limit.
Orthopaedic appliances $400 annual limit.
Eye therapy $400 annual limit.
Occupational therapy $400 annual limit.
Speech therapy $400 annual limit.
Swimming lessons $300 annual limit.

Source: myOwn.com.au (June 2019)

Waiting Periods

A waiting period refers to the amount of time that needs to pass before you can claim the benefits listed under your policy.

  • Pre-existing conditions: 12 months
  • Pregnancy: 12 months
  • Accidents and emergency ambulance: 1 day
  • All other hospital admissions: 2 months
  • General dental: 2 months
  • Major dental: 12 months
  • Orthodontics: 12 months
  • Psychology: 2 months
  • Optical: 6 months
  • Medical appliances like hearing aids: 12 months

Frequently asked questions and answers

Is the myOwn health fund any good?

Whether myOwn health insurance is a good health fund for you, depends on your unique requirements, including your stage of life, budget and general health. However, if you want access to the AIA Vitality program, then purchasing myOwn Health Insurance, might be worth considering.

Do you get a discount if you’re under 30?

If you’re between 18 and 29 year’s old and purchase an eligible myOwn Hospital policy, you can generally get up to 10% off your premiums. The discount amount you'll receive depends on your age when you first purchase a selected Hospital policy. The discount will be automatically applied when you join and will continue until you turn 41 if you continue to pay your premiums.

Age-related discounts on a myOwn Hospital policy
Age Discount
18 to 25 10%
26 8%
27 6%
28 4%
29 2%

How to claim myOwn health benefits

  • Log in to the myOwn member's portal. Remember to upload your receipts within two months of receiving treatment.
  • Swipe your myOwn membership card at any healthcare provider that supports HICAPS and claim right there and then.
  • Download and complete the paperwork, remember to attach itemised invoices and post or email it to the company.

How long can your child remain on your policy?

Children can stay on your family or single parent health insurance policy up until their 21st birthday. After that, they have 2 months to get their own cover if they don't want to serve any waiting periods. However, if they qualify as student dependents, they may remain covered on your policy until they turn 25 years old.

How do you get AIA Vitality with myOwn?

Once you join AIA health insurance and become a member, you’ll automatically have AIA Vitality and start on the Bronze status. You can improve your status by earning points when completing various health assessments and fitness activities. The more you improve your health, the bigger the rewards, for example, receive up to 50% off selected gym memberships and up to $650 worth of shopping vouchers from selected retailers, including Myer, Ticketmaster and Woolworths.

Learn more on how you can earn points by visiting our AIA Vitality information page.

Terms and Conditions of the 6 weeks cash back offer

This offer is available to new myOwn customers that buy any myOwn health insurance policy between 13 May and 30 June 2019 and agrees to pay their premium by direct debit. This offer is not available to people that have held a myOwn membership during the previous 12 months.

Six weeks worth of premiums will be credited back into your direct debit account in your third month of continuous cover on the same or upgraded policy after you’ve paid your first two months of premiums.

Waiting periods, sub-limits and annual limit apply. This offer cannot be used together with any other promotional join offer.

Ask an Expert?

4 Comments

  • Colleen Carlson |

    I am looking for a private health fund that deals with only mental health. My son has Schizophrenia and is needing regular visits to a psychiatrist, with possible in hospital stays. Most of the funds I have looked at only offer partly covered mental health services. Can you help me to find one that fully covers mental health?

    • SPECIALIST
      Anneke Van Aswegen |

      Hi Colleen.

      If you want a health insurance policy for mental health that provides comprehensive hospital psychiatric coverage and psychology benefits, you generally need to purchase a Gold Hospital policy combined with Top Extras cover. However, this will vary from fund to fund.

      Please be aware that these services typically require a 2 month waiting period before you’re eligible to claim. However, if the fund views it as a pre-existing condition, they may request a 12 month waiting period.

      If you need help comparing policies from some of Australia’s major health insurance brands, please call 1300 795 560 and a specialist will assist you.

  • Anita |

    If I transfer from another plan, where I’ve had over 10 years continued membership, do waiting periods still apply?

    • SPECIALIST
      Anneke Van Aswegen |

      Hi Anita.

      If you switch from one health fund to another, purchasing a similar policy, then generally you do not have reserve your waiting period. However, if you change to an upgraded plan the waiting period will usually apply for the increased amount of coverage or benefits you did not have access to previously.