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Pros
Its basic hospital policy cover is competitively priced and covers 8 treatments including joint reconstructions, and tonsils, adenoids and grommets.
Its basic extras insurance policy comes with pharmaceutical prescriptions cover, unlike many other insurers.
Cons
Its gold hospital policy isn't the lowest-priced option – HBF, Medibank and HCF all generally offer slightly cheaper options.
AAMI/nib received proportionally more complaints than other big health funds including HBF, Bupa and Medibank.
Basic Hospital Plus. This is for young and healthy families on a budget. It covers the basics including emergency ambulance, accidental injury, joint reconstructions, gynaecology, dental surgery, tonsils, adenoids and grommets, gastrointestinal endoscopy, hernia and appendix, miscarriage and termination of pregnancy, hospital psychiatric services, palliative care and rehabilitation.
Bronze Hospital Plus. This plan is for healthy young singles and couples not yet planning a family. It includes everything in the Basic Hospital Plus plan and treatment for cancer, strokes, diabetes, and ear, nose and throat.
Silver Everyday Hospital Plus. This is the ideal mid-level cover for older singles and couples as well as completed families. It includes everything in the Bronze Hospital Plus plan plus heart-related procedures and breast surgery.
Silver Advantage Hospital Plus. This is for singles and couples not planning on starting a family or who already have completed families. It's perfect for those who want peace of mind that they have a high level of insurance without having to pay extra for pregnancy coverage. It includes everything in Silver Everyday as well as cataracts, joint replacements, dialysis for kidney failure and rehabilitation.
Gold Hospital. This is comprehensive cover that includes everything in Silver Advantage Hospital Plus as well as pregnancy and birth-related services, infertility investigations, assisted reproductive services, weight loss surgery and psychiatric treatment.
Extras coverage
Starter Extras. This is budget-friendly cover that lets you claim up to 60% back on commonly used healthcare services including chiropractic/osteopathy, physiotherapy, preventative dental, general dental, ambulance, pharmaceutical prescriptions and optical.
Starter Boost Extras. This lets you claim up to 60% back on a wider range of healthcare services. It includes everything in the Starter Extras plan with higher annual limits plus major dental, natural therapies and remedial massage.
Everyday Active Extras. This lets you claim up to 60% back on a wider range of healthcare services. It includes everything in the Starter Boost Extras plan with higher annual limits plus orthodontics, podiatry/orthotics, dietary advice, top health aids, psychology, speech pathology (speech therapy), occupational therapy, healthier lifestyle expenses and preventative tests.
Premium Active Extras. This lets you claim up to 70% back on the cost of an extensive range of services including everything in the Everyday Active Extras plan with higher annual limits plus antenatal and postnatal services, hearing aids/speech processors, eye therapy (orthoptics) and exercise physiology.
Ambulance coverage
AAMI Health Insurance's hospital and extras policies include Unlimited Emergency Ambulance Cover. Cover includes:
Unlimited emergency ambulance transport to hospital.
Emergency ambulance call-out fees (if you are treated at the scene by paramedics and don't need to go to hospital).
Transport between hospitals where specialist treatment is required.
AAMI Health Insurance complaints
We looked at the 2021 Ombudsman health insurance complaints – AAMI is included with its underwriter, nib. Here's how AAMI/nib stacked up:
AAMI/nib received a smaller percentage of total complaints than its market share.
AAMI/nib had proportionally more complaints than several other big health funds, including HBF, Bupa and Medibank.
This chart shows the weighted volume of complaints received by each health fund, according to the Commonwealth Ombudsman. The lower the number, the better. Only non-restricted funds with a national market share of at least 0.1% are included here. AAMI/nib is twelfth overall in this ranking. The weighting ensures that funds are compared fairly; larger funds serve more customers so can potentially get more complaints.
AAMI/nib member retention
The chart below shows the 2020 member retention for each health fund (with a market share of at least 0.5%) according to the Commonwealth Ombudsman. A higher member retention percentage may indicate more satisfied customers, while a lower percentage may mean that customers were less satisfied with their service.
Of the big health funds, AAMI/nib had the second lowest member retention (78%), just ahead of Medibank (75%).
Why you can trust Finder's health insurance experts
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Unlike other comparison sites, we're not owned by an insurer. That means our opinions are our own and you can compare nearly every health fund in Australia on the site (and find a better deal).
We're here to help
Since 2014, we've helped 350,000+ people find health insurance by explaining your options simply. We'll never ask for your number or email to see prices. We're here to help you make a decision.
AAMI frequently asked questions
No, AAMI is not not-for-profit. It's a private, for-profit insurance company.
AAMI customers who choose to pay their premiums by direct debit will save 4% on their insurance.
You can claim at any time by filling out an online claim form and uploading a copy of your receipt from your mobile device. You can also call between 8am and 6pm weekdays on 13 22 44.
Gary Ross Hunter is an editor at Finder, specialising in insurance. He’s been writing about life, travel, home, car, pet and health insurance for over 6 years and regularly appears as an insurance expert in publications including The Sydney Morning Herald, news.com.au, The Telegraph, Explore Travel and Escape. Gary holds a Kaplan Tier 1 General Insurance (General Advice) certification and a Kaplan Tier 1 Generic Knowledge certification which meets the requirements of ASIC Regulatory Guide 146 (RG146).
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