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Review Phoenix Health Fund in 2024

Are you looking to take out private health insurance for the first time? Or perhaps you want to switch private health insurers? Then this insurer may be the ideal company for you. Phoenix Health Insurance Australia understands quality health insurance. They offer a range of health insurance products and health cover options that are easy to understand and simple to use.
Fact Checked

Updated: 28 May 2024

This guide is designed to help you navigate the world of health insurance. You’ll have everything you need to feel confident and in control when it comes to your health and wellbeing. Phoenix Health insurance plans include unlimited Ambulance cover with their Hospital cover. In addition, they offer Extras cover that gives you peace of mind by providing coverage for dental, optical, and physio treatments.

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What does Phoenix Health Insurance offer?

Private health insurance policies from Australian Unity are the perfect option for singles, and couples and Phoenix Health Insurance offers six Hospital policies and three Extras policies. Each policy comes with unlimited Ambulance cover, but they do not provide stand-alone ambulance coverage. You can mix and match Extras and Hospital policies to ensure optimal coverage.

About Phoenix Health?

Phoenix Health Insurance was established in 1953 originally for the needs of Australia’s steel industry. Today, they have over 15,000 members and belong to an alliance called Member-Owned Healthcare Funds. This alliance, consisting of 15 nonprofit health funds, promote healthy organisations which reward their members rather than investors or overseas owners.

With agreements with over 550 hospitals across Australia, Phoenix Health Fund Limited ensures that you’ll be covered in a hospital near your location. In addition, Phoenix Health Fund has an agreement with 36,000 Doctors who participate in the Access Gap Cover Scheme. This allows them to either reduce or eliminate any out of pocket costs incurred during admission.

Pros and cons of Phoenix Health Insurance

Advantages
  • Included emergency Ambulance Cover
  • Not-for-profit insurance company
  • Extensive treatments listed in Extras policies
Disadvantages
  • No Basic Hospital Policies
  • No stand-alone Ambulance coverage

Compare Hospital policies

Phoenix Health Fund offers six Hospital policies, each including emergency ambulance services and coverage. Each policy sits on a different levelled tier that includes coverage for a number of treatments. Each policy comes with a specific monthly premium price that depends on the treatments covered.

Bronze Hospital

Price per month: $112.27

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
  • Hernia and appendix
  • Tonsils, adenoids and grommets
  • Diabetes management (excluding insulin pumps)
  • Joint reconstructions
  • Digestive system
  • Kidney and bladder
  • Ear, nose and throat
  • Male reproductive system
Restrictions
  • Rehabilitation
  • Palliative care
  • Hospital psychiatric services

Bronze Plus Essentials Hospital

Price per month: $116.59

Benefits
  • Same as Bronze
  • Dental surgery
  • Digestive system
  • Lung and chest
  • Blood
Restrictions
  • Rehabilitation
  • Palliative care
  • Hospital psychiatric services

Bronze Plus Care Hospital

Price per month: $144.49

Benefits
  • Same as Bronze Essential
  • Heart and vascular system
Restrictions
  • Rehabilitation
  • Palliative care
  • Hospital psychiatric services

Silver Everyday Hospital

Price per month: $156.55

Benefits
  • Same as Bronze Plus
  • Implantation of hearing devices
  • Joint reconstructions
  • Plastic and reconstructive surgery (medically necessary)
  • Podiatric surgery
Restrictions
  • Rehabilitation
  • Palliative care
  • Hospital psychiatric services

Silver Plus Content Hospital

Price per month: $210.67

Benefits
  • Same as Silver
  • Joint replacements
  • Pregnancy and birth
  • Rehabilitation
Restrictions
  • Palliative care
  • Hospital psychiatric services

Silver Plus Advantage Hospital

Price per month: $228.35

Benefits
  • Same as Silver Plus Content
  • Palliative care
  • Back, neck and spine
  • Cataracts
  • Dialysis for chronic kidney failure
  • Gastrointestinal endoscopy
  • Insulin pumps
Restrictions
  • Hospital psychiatric services

Compare Extras policies

The private health insurance fund offers three Extras policies. Complete Extras 70 and Everyday Extras 60 are only available for purchase when combined with a Hospital policy and cannot be obtained as a stand-alone policy. Each level of coverage includes its own set of benefits and restrictions, as well as waiting periods and annual limitations.

Kick Start Extras 50

Premium per month: $36.96

Benefits
  • General dental
  • Gap Free Dental
  • Physiotherapy
  • Exercise Physiology
  • Chiropractic & Osteopathic
  • Remedial Massage
  • Non-PBS Pharmacy

Combined cover

Phoenix Health Fund does not offer already-existing combined policy options but allows members to combine Hospital and Extras policies. Combined coverage includes ambulance cover. Members can receive 100% back on all preventative dental services with combined policies.

Ambulance cover

You may be wondering how much Ambulance cover costs in Australia. Ambulance cover is automatically applied when members take out coverage from Phoenix Health Fund. With an Extras policy, there are limitations for ambulance cover. The lower your policy, the more limits you will receive. However, there are no limits on ambulance cover with Hospital policies. Ambulance only cover cannot be purchased through this private health insurer.

How to Join Phoenix Health

Becoming a member of this private health insurance company is simple. Below is a numbered list to help you join:

Claiming from Phoenix Health

Making a claim from your private health insurance is typically easy. When you receive treatment at any of the connected providers’ facilities, always ask about your Phoenix Health Fund membership. If it’s available and the provider offers on-the-spot electronic claiming for benefits like discounts or bonuses, then swipe your electronic card, and your file will be updated with all necessary information immediately.

If this is not available, there are a few other options. When submitting a Phoenix Health insurance claim, you must fill out and send the form with your receipt. You will also need to provide information about when services were provided and what type of service was involved. You can submit the Phoenix Health insurance claim form completed form via email or post. Alternatively, members can use the Phoenix Health private health insurance Mobile Claiming app.

Frequently Asked Questions and Answers

Phoenix Health Fund limited is a private health insurance company that was established in 1953 for the needs of Australian steelworkers. With just over 15,000 members, it belongs to Members Own Health Funds, which promotes private health care solutions that give people more control over their healthcare dollars by rewarding them instead of investors or overseas owners.

Yes, every Extras policy from Phoenix Health Fund limited covers Non-PS Pharmacy. Even the lowest form of Extras, the Kick Start package, covers pharmacy. However, depending on your level of coverage and budget, you will receive a limit on pharmacy.

While this depends entirely on what you consider good in terms of insurance companies, Phoenix Health Fund limited is generally considered a decent insurance company. The company offers six Hospital and three Extras health insurance policies, all including ambulance cover. The insurance company receives a low amount of complaints, with positive customer service results. While they are a bit more pricey than general insurance companies, they are known to offer top-notch health care insurance. This is important to consider when thingking about switching funds.

Yes, the private health insurer is a not-for-profit fund. All the profits are reinvested into members’ benefits and not given to shareholders.

There are a few benefits offered to members of Phoenix Health Fund. There are youth discounts on allpolicy offered, as well as access to the no dental gap scheme, which offers 100% back on preventative dental treatments and services. There are other benefits included depending on your level of coverage, such as 50% back on your policy up to your annual limit.

Yes, this health insurance company offers an Overseas Visitors Cover plan to those who are visiting from overseas. This policy covers doctor fees, ambulance services and accommodation as well. Student cover is available for dependents. As long as your child is under the age of 25, they can receive hospital services and medicare benefits as your dependent. In order to qualify, they must be studying or undertaking an apprenticeship.

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Specialist

Megan has extensive experience writing about health and life insurance in Australia. Megan has a special interest in health and wellness. She relies on her background in counselling psychology to convey the latest findings in a manner that is most beneficial to ComparingExperts readers. In every article she writes, Megan aims to uphold the standards of the Private Health Insurance Intermediaries Association (PHIAA) which ComparingExpert is part of.

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