ahm Health Insurance

Looking for health insurance that promotes flexibility, choice and a great online chat?

ahm Health Insurance is trusted by over 500,000 Australians nationwide to protect their healthcare needs. Backed by Medibank, it is one of the largest private health funds in the country.

Sign up deals with ahm for February 2019

ahm Deals ahm Deals

Get a gift card for up to $200 when you take out hospital & extras

Singles get a gift card of $100 and couples & families can get $200. Offer applies to new members signing up for a hospital and extras policy.

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What health insurance options are available?

ahm Health Insurance offers hospital, extras and packaged policies. Select from the three categories below to learn more about the different cover options.

  • Top Hospital. Made for those who want complete peace of mind, this policy covers all hospital treatments that Medicare pays a benefit for, as well as specialised services including pregnancy, labour ward fees, reproductive services, sterility reversal and weight loss surgery.
  • White Deluxe. A good choice if you are looking for a comprehensive policy without pregnancy. It covers all the services included in Top Hospital except for obstetrics, reproductive services and weight loss surgery, which are excluded. A partial benefit also applies to psychiatric services.
  • White Classic. An intermediate policy that covers a wide range of hospital services including cancer treatment, heart procedures, brain surgery, joint reconstruction and more. Specialised treatments such as dialysis, spinal fusion, pregnancy and major eye surgery are excluded.
  • White Boost. This policy allows you to claim for a number of hospital treatments including surgery to remove wisdom teeth, joint reconstruction, colonoscopies and tonsil removal. Pregnancy, psychology, palliative care and rehabilitation are partially covered.
  • White Lite. Designed for the budget-conscious, this policy covers essential hospital services including injury relating to accidents, emergency ambulance transport, tonsil removal and more. Be aware that a large number of treatments are excluded from this policy.
  • White Starter. If you are young, healthy and wanting to avoid the Medicare Levy Surcharge, this policy is a solid option. It provides full cover for accident treatment and emergency ambulance as well as partial cover for rehabilitation, palliative care and psychiatric services.
  • Super Extras. A premium extras policy that covers you for 28 services including major dental, orthodontics, optical and pharmacy prescriptions. Super Extras also boasts the highest annual benefit limits and no limit is applied to routine dental.
  • Black 70 Plus. Be it routine, complex or major dental, physio or natural therapies, chiropractic and podiatry treatments, plus a range of health improvement options, this policy will get you back up to 70% on everything you'll need for your head to your toes.
  • Family Extras. This policy covers a range of out-of-hospital treatments including pre and postnatal services and birthing courses. While annual benefit limits are not as high as Super Extras, they are still generous and waiting periods are waived for common services your children may need, such as routine dental and optical.
  • Lifestyle Extras. Focusing on the wellbeing of the body and the mind, this extras policy covers up to 17 alternative and complementary therapies including acupuncture, naturopathy and herbalism. Other services are not neglected either, as you are also covered for major dental, optical, laser eye surgery and more.
  • Black 70. A generous policy that includes up to 70% back on your included extras, such as dental, remedial massage and physio therapies. What's more, it provides 100% back on optical frames, prescription and contact lenses, as well as no gap dental check-ups.
  • Black 60. Covering you for a range of essential extras services without breaking the bank, this policy pays up to 60% towards the cost of treatments including major dental, physiotherapy and remedial massage. Optical and emergency ambulance transport costs are fully covered. Annual benefit limits are shared between certain services.
  • Black 50 Saver. An inexpensive entry-level policy that covers 50% of the costs relating to routine dental, physiotherapy, chiropractic and osteopathic care. Emergency ambulance transport is also included and fully covered. Annual benefit limits are shared between certain services.
  • Deluxe Flexi. Combining all the services included in White Deluxe plus a generous amount of extras, this policy ensures that you are fully covered both inside and outside of hospital. Be aware that psychiatric care has a partial benefit applied, while obstetrics, reproductive services and weight loss surgery are excluded.
  • Classic Flexi. A solid option if you are looking for a comprehensive combined policy without the additional cost of insuring for specialised services. The hospital cover is identical to White Classic with the same exclusions and restrictions. All the extras services covered by Deluxe Flexi are also included with the exception of major dental.
  • Boost Flexi. The middle ground option between the comprehensive and budget packages, Boost Flexi provides the same level of hospital cover as the White Boost policy while including a large number of extras services such as routine and complex dental, optical, physiotherapy, natural therapies, prescription medications and more.
  • Lite Flexi. Affordable without compromising on protection, this policy includes all the hospital services covered by White Lite along with a range of extras. Rehabilitation, palliative care and psychiatric care are partially covered, while major dental, podiatry, orthotics and natural therapies are excluded.
  • Starter Flexi. Suitable for those who only require the bare essentials, this policy covers you for vital hospital services and general treatments that are not eligible for a Medicare benefit (such as dental) and it allows the policyholder to avoid the Medicare Levy Surcharge and the Lifetime Health Cover loading.

Compare ahm's health insurance options

Finding the best* ahm policy for your treatment

If you have a specific treatment in mind, it can be tricky to compare your options. So we've done some research through PDS document, online chats and our comparison tool to find some great options for common treatments. All the prices shown are quotes for Single cover in NSW paying by direct debit and includes an Australian Government Rebate of 25.415% with a 0% Lifetime Health Cover loading.

  • You might like if - You’re looking for a combined extras limit where all your extras are bundled into one total allowance.
  • You might not like if - You use a wide range of extras, as your dental x-rays and fillings could eat into your physio limit.

Top pick for dental

Ahm have a deal with a number of dentists to offer you 100% back on dental check-ups.

No gap dental treatments:

  • Examination
  • Clean and polish or scale and clean
  • Fluoride treatment

Not included in no gap dental, but covered under routine dental

  • X-rays
  • Tooth Extractions
  • Fillings

If you’re looking for dental only, it’s worth looking at the Super Extras option. It’s more expensive but is one of very few policies to offer no waiting periods, and no annual limits on general dental. General dental includes check-ups, minor extractions, x-rays, fillings, and teeth cleaning.

Fund Limit Wait period Cost per month Apply

Super extras

$1,100 12 months $80.14 Go to site

Top pick for optical

With ahm, the standard optical limit is $200 per year, and it’s included in a few extras policies - because the limits reset every year and your eye test is covered by Medicare, a new pair of specs every 12 months is a great way to get value from your cover.

Extras that include optical also have limits for dental and physio.

Policy Treatment Waiting Period Annual Limit Cost per month Apply
Black 60 Optical 6 months $200 $32.40 Go to Site

Top pick for saving on tax

If you’re earning over $90k, and don’t have hospital cover - you will get slugged with a big charge come tax time. You can avoid this by taking out a basic policy that covers you for ambulances should you ever find yourself in an accident. It will actually save you on your taxes and the yearly cost of the policy is less than the tax charge.

Policy Services Excess Cost per month Apply
White Starter Accident
$500 $68.51 Go to Site

Top pick for pregnancy

If you're thinking about starting a family, and looking for pregnancy cover - you'll have to take out a top hospital policy.

Policy Treatment Waiting Period Cost per month Apply
Top Pregnancy 12 months $155.45 Go to Site

Find participating ahm no gap dental providers

ClinicAddressContact Number
Pacific Smiles Dental BelconnenShop 75/75a Westfield 18 Benjamin Way Belconnen 261702 6251 5100
Pacific Smiles Dental GungahlinMarketplace Gungahlin 30-33 Hibberson Street Gungahlin 291202 6250 5400
Pacific Smiles Dental ManukaCnr Flinders Way & Franklin St Manuka 260302 6260 6400
Pacific Smiles Dental TuggeranongCnr Reed & Anketell St Tuggeranong 290102 6293 2700
Pacific Smiles Dental Woden28 Brewer St Woden 260602 6282 8100
Pacific Smiles Dental BalgowlahShop 21 197-215 Condamine St Balgowlah 2093
Pacific Smiles Dental Bateau Bay12 Bay Village Rd Bateau bay 2261
Pacific Smiles Dental Belmont12 Thomas St Belmont 2280
Pacific Smiles Dental Belrose56-58 Glen St Belrose 2085
Pacific Smiles Dental Blacktown116 Main St Blacktown 2148
Pacific Smiles Dental BrookvaleWestfield Warringah Mall Cnr Condamine & Old Pittwater Rd Brookvale 2100
Pacific Smiles Dental CampbelltownMacarthur Square 200 Gilchrist Dr Campbelltown 2560
Pacific Smiles Dental CharlestownCnr Smart & Pearson St Charlestown 2290
Pacific Smiles Dental ErinaErina Fair 620-658 Terrigal Dr Erina 2250
Pacific Smiles Dental Forster22 South St Forster 2428
Pacific Smiles Dental Gladesville225 Victoria Rd Gladesville 2111
Pacific Smiles Dental Greenhills8 Molly Morgan Dr Greenhills 2323
Pacific Smiles Dental Jesmond28 Bluegum Rd Jesmond 2299
Pacific Smiles Dental Kotara6/88 Park Ave Kotara 2289
Pacific Smiles Dental Lake HavenLake Haven Dr Lake haven 2263
Pacific Smiles Dental Marrickville34 Victoria St Marrickville 2204
Pacific Smiles Dental Morisset49 Yambo St Morisset 2264
Pacific Smiles Dental Narellan326 Camden Valley Way Narellan 2567
Pacific Smiles Dental Nowra64 Junction St Nowra 2541
Pacific Smiles Dental Parramatta80 George St Parramatta 2150
Pacific Smiles Dental Penrith59-61 Station St Penrith 2750
Pacific Smiles Dental Queanbeyan131 Monaro St Queanbeyan 2620
Pacific Smiles Dental RutherfordRutherford Shopping Centre 3 West Mall Rutherford 2320
Pacific Smiles Dental Salamander Bay1/167 Salamander Way Salamander bay 2317
Pacific Smiles Dental ShellharbourShop 1096 Stockland Shellharbour 211 Lake Entrance Road Shellharbour 2529
Pacific Smiles Dental Singleton1 Gowrie St Singleton 2330
Pacific Smiles Dental Sydney CBDLevel 1 The Galeries Shopping Centre 500 George St Sydney 2000
Pacific Smiles Dental Toronto43 The Blvd Toronto 2283
Pacific Smiles Dental Tuggerah50 Wyong Rd Tuggerah 2259
Pacific Smiles Dental Wagga Wagga37 Trail St Wagga wagga 2650
Pacific Smiles Dental Warilla102 Shellharbour Rd Warilla 2528
Pacific Smiles Dental Bribie IslandBribie Island Shopping Centre 1/ 241 Goodwin Dr Bribie island 4507
Pacific Smiles Dental Burleigh Heads149 West Burleigh Rd Burleigh heads 4220
Pacific Smiles Dental CapalabaCapalaba Central Shopping Centre 38-62 Moreton Bay Rd Capalaba 4157
Pacific Smiles Dental Deception BayMarket Square Deception Bay Ave Deception Bay 4508
Pacific Smiles Dental HelensvaleWestfield Helensvale 1 - 29 Millaroo Dr Helensvale 4212
Pacific Smiles Dental MorayfieldMorayfield Shopping Centre 171 Morayfield Rd Morayfield 4506
Pacific Smiles Dental Mount Ommaney171 Dandenong Rd Mount Ommaney 4074
Pacific Smiles Dental North LakesWestfield North Lakes North Lakes Dr North lakes 4509
Pacific Smiles Dental Mount GravattCnr Logan & Kessels Rd Upper mount gravatt 4122
Pacific Smiles Dental Redbank PlainsTown Square Redbank Plains Redbank Plains Rd Redbank plains 4301
Pacific Smiles Dental Runaway BayGF024 Runaway Bay Centre 10-12 Lae Drive Runaway bay 4216
Pacific Smiles Dental StrathpineStrathpine Centre Gympie Rd Strathpine 4500
National Dental Care FindonFindon Shopping Centre 303 Grange Rd Findon 5023
National Dental Care Kadina70 Graves St Kadina 5554
National Dental Care Mawson LakesThe Promenade Shopping Centre Shop 10 121-131 Mawson Lakes Blvd Mawson lakes 5095
National Dental Care Nailsworth83 Main North Rd Nailsworth 5083
National Dental Care North Adelaide104 Ward St North adelaide 5006
National Dental Care Salisbury12 John St Salisbury 5108
National Dental Care South Terrace303 South Tce Adelaide 5000
National Dental Care West Lakes151 Brebner Dr West lakes 5021
ClinicAddressContact Number
Crotty Dental174 Macquarie St Hobart 700003 6224 7666
City Dental119 Collins St Hobart 700003 6234 1303
City Dental15 Regina St Glenorchy 701003 6272 8253
City Dental130 New Town Rd New Town 700803 6228 1185
Dr Daniel Tan & Associates3 High St Launceston 725003 6331 2804
Pacific Smiles Dental Bairnsdale287 Main Street Bairnsdale 3875
Pacific Smiles Dental Bendigo84 Mollison St Bendigo 3550
Pacific Smiles Dental CranbourneCranbourne Park Shopping Centre 85 High St Cranbourne 3977
Pacific Smiles Dental Drysdale41 High St Drysdale 3222
Pacific Smiles Dental Glen WaverleyThe Glen Shopping Centre 235 Springvale Road Glen waverley 3150
Pacific Smiles Dental GreensboroughGreensborough Plaza Shop 108A 25 Main Street Greensborough 3088
Pacific Smiles Dental LeopoldGateway Plaza 641 Bellarine HighwayLeopold 3224
Pacific Smiles Dental MelbourneLevel 1, 360 Bourke St Melbourne 3000
Pacific Smiles Dental MeltonWoodgrove Shopping Centre 533-555 High St Melton west 3337
Pacific Smiles Dental Mill ParkWestfield Plenty Valley 415 McDonalds Rd Mill park 3082
Pacific Smiles Dental MulgraveWaverley Gardens 271 Police Rd Mulgrave 3170
Pacific Smiles Dental Point CookStockland Point Cook Shopping Centre Corner Main Street and Murnong St Point cook 3030
Pacific Smiles Dental Ringwood171-175 Maroondah Hwy Ringwood 3134
Pacific Smiles Dental Sale56 Cunningham St Sale 3850
Pacific Smiles Dental Torquay110 Geelong Rd Torquay 3228
Pacific Smiles Dental Taralgon20 Hotham St Traralgon 3844
Pacific Smiles Dental Warragul130 Albert Rd Warragul 3820
Pacific Smiles Dental Waurn Ponds160 Colac Rd Waurn ponds 3216
Pacific Smiles Dental WerribeePacific Werribee Cnr Derrimut Road & Heaths Rd Werribee 3030
ClinicAddressContact Number
DB Dental Applecross (Cnr Sleat Rd)884 Canning Hwy Applecross 61531300 4 83384
DB Dental Applecross (Riseley St)764 Canning Hwy Applecross 61531300 4 83384
DB Dental BaldivisShop 21 Stockland Baldivis Shopping Centre 26 Safety Bay Rd Baldivis 61711300 4 83384
DB Dental Brighton5/2359 Marmion Ave Jindalee 60361300 4 83384
DB Dental ClaremontUnit 1/240 Stirling Hwy Claremont 60101300 4 83384
DB Dental CottesloeLevel 1 525 Stirling Hwy Cottesloe 60111300 4 83384
DB Dental Craigie92 Eddystone Ave Craigie 60251300 4 83384
DB Dental CurrambineUnit 2/1 Hobsons Gate Currambine 60281300 4 83384
DB Dental EllenbrookUnit 3 1549 Gnangara Rd Aveley 60691300 4 83384
DB Dental InnalooShop 3 Innaloo Shoppers Village 388 Scarborough Beach Rd Innaloo 60181300 4 83384
DB Dental Joondalup420 Joondalup Dr Joondalup 60271300 4 83384
DB Dental Mandurah420 Joondalup Dr Joondalup 60271300 4 83384
DB Dental MandurahShop 3/319 Pinjarra Rd Mandurah 62101300 4 83384
DB Dental MelvillePoint Walter Medical Centre 322 Canning Hwy Bicton 61571300 4 83384
DB Dental North Fremantle2 Pensioner Guard Rd North Fremantle 61591300 4 83384
DB Dental Perth City Kings Square570 Wellington St Perth 60001300 4 83384
DB Dental RockinghamWoodbridge Shopping Centre 2-4 Elanora Dr Rockingham 61681300 4 83384
DB Dental South LakeUnit 1-5 Berrigan Dr South lake 61641300 4 83384
DB Dental Spearwood6 Barrington St Spearwood 61631300 4 83384
National Dental Care Darwin26 Mitchell St Darwin 0800
National Dental Care Palmerston3 Gurd St Palmerston 0830
Source: https://help.ahm.com.au/hc/en-us/articles/115009693807-Participating-no-gap-dentists

Are there any bonus benefits?

ahm offers some additional features:

  • Choose your own provider.ahm Health Insurance does not penalise you if you visit a non-preferred provider for any extras services.
  • Excess and co-payment options. You can access a range of excess and co-payment (daily charge) to help reduce the cost of your premiums.
  • Flexible extras limits. If you choose the Deluxe Flexi, Classic Flexi, Lite Flexi or Starter Flexi combined policies, the annual benefit limit is applied as a lump sum for you to spend however you wish, without shared limits.
  • Loyalty rewards. Annual benefit limits on some extras services increase every year that you maintain your cover. Combined policies cap at five years and standalone extras policies cap at 20 years.
Did you know?

You can get a refund if you change your mind about joining ahm within 30 days. If you haven't made a claim, you'll get your premium back.

Are there member offers?

As a member you're also intitled to some member rewards:

  • 2 for 1 HOYTS tickets.ahm Members can get 2 for 1 movie tickets every Thursday night after 5pm at HOYTS.
  • 20% off Michelle Bridges 12WBT. With 15 programs to choose from, including Beginner and Learn to run, ahm members save 20% on 12WBT programs.
  • 25% off Fitbit trackers. By using your ahm code, members can save 25% on a wide selection Fitbit trackers including a range of Aria scales.
  • 15% off Active Life. Members can get 15% off new Active Plus memberships across all 76 Goodlife Health Clubs.
  • 25% off Specsavers. When you buy a single pair of glasses at Specsavers, members can save 25% from the $149 and above range.
  • Pet insurance. Members can get two months free pet insurance.
  • 15% off Car insurance. There are 4 options available from Real insurance.
  • 25% off Home and contents insurance. There are 3 options available from Real insurance.

Paying your ahm health insurance premiums

ahm health insurance premiums can be paid:

  • Fortnightly
  • Monthly
  • Annually

Premiums can be paid in the following ways

  • Direct Debit: from your nominated bank account or credit card
  • Online: Log in to your account at ahm.com.au
  • Mail: Write a cheque to "ahm health insurance" print your name and member number on the back, and you can send it to ahm health insurance, Locked Bag 4, Wetherill Park NSW 2164.
  • BPAY: From your bank account
  • Phone: Using your credit card

Is there anything I cannot claim for?

Australian health funds typically exclude some procedures and items from cover, which is why you should always check your policy's rules and exclusions carefully. ahm's general exclusions can be found below:

  • Charges above the minimum benefit for surgically implanted prostheses
  • The full cost of accommodation or theatre fees if treated at a non-agreement hospital
  • Treatment that is currently subject to a waiting period
  • Personal items in hospital such as phone calls, TV, faxes, internet and newspapers
  • Take-home bandages and dressings
  • Costs for services not covered by Medicare
  • Any medical, hospital or ambulance services received overseas
  • Cosmetic surgery
  • The full cost of restricted or excluded services
  • Podiatric surgery

Did you know ahm also offer travel insurance?

How do I make a claim?

Once you’ve received treatment or purchased an item covered by your policy, you’ll need to make a claim. You can lodge a health insurance claim with ahm in the following ways:

  • On the spot. You can swipe your ahm membership card at almost 20,000 health care providers that support the HICAPS electronic claims system. This allows you to have your claim processed immediately.
  • Via a mobile app. You can lodge a claim using the ahm mobile app by taking a photo of your receipt using your smartphone and then submitting it to ahm.
  • Online. You can log into your online account through the ahm website and lodge your account by providing the details included on your receipt - just follow the two steps below.
  • By post. You can fill out a claim form and submit it along with your receipt from the provider to:
    • AHM Health Insurance
    • Locked Bag 1006
    • Matraville, NSW, 2036

Benefits can be paid by bank transfer or cheque.

Coming to Australia on a student visa?

ahm Health Insurance offers Overseas Student Health Cover (OSHC) for international students who are planning to study in Australia. The policy is fully compliant with student visa conditions and includes the following benefits:

  • Broad protection. Cover for hospital treatment, visits to the doctor, emergency ambulance transport and medications.
  • Fast payment on claims. Benefits are paid to you within two working days and claims can be lodged online or by phone.
  • Interpreter. A free interpreter service is available to use.
  • 24-hour helpline. Can be called for emergency medical assistance and advice.
  • Stress and trauma counselling. All members have free access to counselling if they require it.

Want to know more about ahm?

Below are some useful info to help you decide whether ahm is the health fund for you:

How many members does ahm service?

ahm provides health insurance cover to more than 500,000 people. Its parent fund, Medibank, boasts a 27.6% market share, making Medibank the largest health fund in Australia.

Some final details you might want know about

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13 Responses

  1. Default Gravatar
    LeahJanuary 8, 2017

    I was an ahm butbm it lapsed but want to renew it for me and my 3 teen aged kids.

    • finder Customer Care
      RichardJanuary 9, 2017Staff

      Hi Leah,

      Thanks for getting in touch. finder.com.au is a comparison service and not ahm. To speak with one of our advisers about getting cover from ahm or to compare your cover options from other funds in our panel, please complete the contact form above.

      All the best,

  2. Default Gravatar
    LynNovember 1, 2016

    Looking to get cover for a new insulin pump…need quote for best cover, waiting periods,any other relevant information. ..

    • finder Customer Care
      RichardNovember 4, 2016Staff

      Hi Lyn,

      Just letting you know that the diabetes and health insurance article has been updated with waiting periods and other helpful information.

      All the best,

    • finder Customer Care
      RichardNovember 2, 2016Staff

      Hi Lyn,

      Thanks for getting in touch. You may find our diabetes and health insurance article helpful. Unfortunately, the tables don’t contain information about waiting periods at the moment.

      All the best,

  3. Default Gravatar
    ananthaJune 1, 2016

    I recently joined AHM.If I want to change to top cover
    what should I do?Thanks.

    • finder Customer Care
      RichardJune 1, 2016Staff

      Hi Anantha,

      Thanks for your question. finder.com.au is a comparison service. If you enter your details in contact form above, an advisor will be in touch to discuss your options.

      I hope this was helpful,

  4. Default Gravatar
    JasonMarch 28, 2016

    Wow we are being hit with a 19% premium increase from $906.65 to $1077.9 per quarter by AHM! And from the 31st of May our current Mid-Life cover policy is being closed by AHM and we are being moved to a new black+white policy for the same premium of $1077.9 premium but the new policy covers less items as the old one!

    • finder Customer Care
      RichardMarch 29, 2016Staff

      Hi Jason,

      Thanks for getting in touch. If you would like to compare the premium increases for other Australian health funds, you may find the following useful:
      Premium increase 2016
      If you would like to compare your options with the help of an advisor, please complete the contact form at the top of the page.

      I hope this was helpful,

    • Default Gravatar
      March 29, 2016

      Richard I am aware of the premium increase page with nowhere does it mention a 19% premium increase;


      I asked a question. Why did our premium increase from $906.65 to $1077.9 per quarter, or 19% by AHM! Also why from the 31st of May will our current Mid-Life cover policy be closed by AHM and we are being moved to a new black+white policy for the same premium of $1077.9 premium but this new policy covers less items as the old one! Why have we been told if we won’t the same policy items as our current Mid-Life policy have we been told we will have to pay even more than the new premium of $1077.99?

    • finder Customer Care
      RichardMarch 29, 2016Staff

      Hi Jason,

      Thanks for getting in touch. finder.com.au is a comparison service and we are not permitted to provide our users with personalised financial advice. You will need to contact ahm directly about why your premiums are rising and why your cover is changing. If you would like to speak with an advisor to compare your options outside of ahm, you can do so by completing the contact form at the top of the page.


  5. Default Gravatar
    IVORMarch 4, 2016

    What will be your increase in april this year

    • finder Customer Care
      RichardMarch 4, 2016Staff

      Hi Ivor,

      Thanks for your question. finder.com.au is a comparison service and not an insurer. As ahm are a part of the medibank group, their average premium increase is 5.64% for 2016. For more information about 2016 premium increases you may find the following useful.

      I hope this was helpful,

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