Doctors Health Fund was created by doctors to meet the health care needs of the wider medical community. Since 1977 it has offered a broad range of cover options and a selection of unique benefits to its members.
Doctors Health Fund is a restricted fund, with membership only open to current or former medical practitioners and their families. More specifically, you can join if you are a current or former:
In addition, the partner, child, parent, sibling, grandchild, former partner or partner of an adult child of any of eligible members can also qualify for cover.
The fund offers products tailored to suit the unique needs of its members, with three levels of hospital cover and three levels of extras cover available. These can be taken out as standalone cover or paired together to offer a higher level of protection.
Under new government reforms for private health insurance, insurers may now provide a discount for young people. Doctors Health Fund will give members the option for the discount, which is allowable between 2% and 10% per annum; depending on when a person purchases health insurance between the ages of 18 and 29. For couples and family policies, it will apply individually to the two adults on the policy.
Members will retain that discount until they turn 41, after which it reduces at 2% per annum until they are 45 years old.
Making a private health cover claim is very straightforward. For hospital cover claims, the hospital will usually send your bill straight to your health fund. Any excess or co-payment that applies to your policy will need to be made directly to the hospital.
For extras, the most convenient way to submit a claim is through HICAPS. This allows your claim to be processed on the spot so you can simply pay the difference, provided that your health provider is signed up to HICAPS.
Alternatively, you can submit a claim by logging into the Doctors Health Fund Member Portal​ and downloading the claim form. You can them email it info@doctorshealthfund.com.au or post it to
PO Box Q1749, Queen Victoria Building, Sydney NSW 1230, or fax it to 02 9260 9958.
In order for your claim to be considered valid and processed as quickly as possible, it needs to:
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