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Finder’s health insurance methodology

Here's how we calculated the Finder health insurance awards.

What are the Finder health insurance awards?

Finder's health insurance awards is a ratings methodology for private health insurance based on a combined price and features score ranging from 0 to 10. We rated almost every health insurance policy available in Australia and selected winners for the following categories:

  • Health insurance provider
  • Gold hospital
  • Silver hospital
  • Bronze hospital
  • Basic hospital
  • Comprehensive extras
  • Medium extras
  • Basic extras

We use the final scores from our insurance awards to inform the top picks on several of our pages, including the best health insurance page.

Finder's health insurance awards criteria

The criteria for Finder's health insurance awards were determined by our insights team and health insurance experts.

Hospital insurance eligibility criteria

  • The policy must be available for new policyholders after April 2024
  • The product must cover policyholders for treatment as a private patient in a private hospital
  • The product must exempt the policyholder from the Medicare Levy Surcharge and the Lifetime Health Cover loading
  • An insurer may only claim one place in the final winners' list in this category
  • The product must not be from a restricted fund
  • The product must be approved by the Commonwealth Ombudsman
  • Funds must have at least 0.5% national market share, according to the Commonwealth Ombudsman
  • The product must have a $750 excess
  • The product must be classed at the appropriate tier for the awards (Gold/Silver/Bronze/Basic) – "Plus" policies are included in their base category
  • Where duplicate products exist with the same underwriter, a single product will be chosen based on other product features – this is noted on the relevant awards with an asterisk (*)

Extras cover eligibility criteria

  • The policy must be available for new policyholders
  • An insurer may only claim one place in the final winners' list in this category
  • The product must not be from a restricted fund
  • The product must be approved by the Commonwealth Ombudsman
  • Funds must have at least 0.5% national market share, according to the Commonwealth Ombudsman
  • The product must be classed at the appropriate tier for the awards (Comprehensive/Medium/Core)

Finder's health insurance awards methodology

1. How we calculated our hospital score

Products were assessed by averaging premiums (with a $750 excess, no rebate applied) from all states and territories for 4 life stages: single, couple, family and single parent. We took the 38 coverable treatment categories and assessed them against the average price for each product, with policies offering the best value scoring the highest.

How we calculated the hospital features rating:

The policy with the largest number of treatments covered earned the highest feature rating. Since everyone has different health needs, we did not weigh specific treatments as more important than others. It's important that you take into consideration your own circumstances when you look for health insurance. The following treatments were included in our features rating:

  • Rehabilitation
  • Hospital psychiatric services
  • Palliative care
  • Brain and nervous system
  • Eye (not cataracts)
  • Ear, nose and throat
  • Tonsils, adenoids and grommets
  • Bone, joint and muscle
  • Joint reconstructions
  • Kidney and bladder
  • Male reproductive system
  • Digestive system
  • Hernia and appendix
  • Gastrointestinal endoscopy
  • Gynaecology
  • Miscarriage and termination of pregnancy
  • Chemotherapy, radiotherapy and immunotherapy for cancer
  • Pain management
  • Skin
  • Breast surgery (medically necessary)
  • Diabetes management (excluding insulin pumps)
  • Heart and vascular system
  • Lung and chest
  • Blood
  • Back, neck and spine
  • Plastic and reconstructive surgery (medically necessary)
  • Dental surgery
  • Podiatric surgery (provided by a registered podiatric surgeon)
  • Implantation of hearing devices
  • Cataracts
  • Joint replacements
  • Dialysis for chronic kidney failure
  • Pregnancy and birth
  • Assisted reproductive services
  • Weight loss surgery
  • Insulin pumps
  • Pain management with a device
  • Sleep studies

2. How we calculated our extras score

The extras cover methodology is broken down into 3 tiers: core, medium and comprehensive. Policies were only considered for the top category they were eligible for. The policies within each tier were then ranked.

How we calculated the extras features rating:

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3. How we calculated our health insurance winner

The best health insurance provider was determined by awarding points to the winners and runners-up of the gold/silver/bronze/basic awards and extras policy awards. 3 points were awarded to the winning fund for each award, 2 points to the first runner-up and 1 point to the third runner-up.

What are the Finder customer satisfaction awards?

The Finder customer satisfaction awards recognise Australia's favourite brands across a huge number of categories. We survey thousands of Australians to understand how they feel about their recent product purchases to help you make a decision about what product to get. It's an independent awards program calculated by our data and insights team. Commercial partnerships do not influence the results in any way.

Health insurance customer satisfaction awards criteria

To get our customer satisfaction award winners for health insurance, we asked a total of 765 customers how they felt about their current health fund. To be eligible for inclusion in the final results, we had to get a minimum of 45 responses for each health insurer.

We asked each customer to rate the following out of 5:

  • Features and benefits
  • Customer service
  • Ease of application
  • Value for money
  • Overall

Respondents were also asked whether they would recommend the brand to a friend. The final score was calculated as an average of all metrics scored.

In total, 3 awards were given out:

  • Winner
  • Highly commended
  • Highly commended.

Why you can trust Finder's health insurance experts

freeYou pay nothing. Finder is free to use. And you pay the same as going direct. No markups, no hidden fees.
expert adviceYou save time. We spend 100s of hours researching health insurance so you can sort the gold from the junk faster.
independentYou can trust us. We say it like it is. We aren't owned by an insurer and our opinions are our own.

Frequently asked questions

Gary Ross Hunter's headshot
Editor, Insurance & Innovations

Gary Ross Hunter was 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, The Guardian and news.com.au. Gary holds a Kaplan Tier 2 General Advice General Insurance certification which meets the requirements of ASIC Regulatory Guide 146 (RG146). See full bio

Gary Ross's expertise
Gary Ross has written 725 Finder guides across topics including:
  • Health, home, life, car, pet and travel insurance
  • Managing the cost of living
James Martin's headshot
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Editor

James Martin was the insurance editor at Finder. He has written on a range of insurance and finance topics for over 7 years. James often shares his insurance expertise as a media spokesperson and has appeared on Prime 7 News, WIN News, Insurance News, 7NEWS and The Guardian. He holds a Tier 1 General Insurance (General Advice) certification and a Tier 1 Generic Knowledge certification, both of which meet the requirements of ASIC Regulatory Guide 146 (RG146). See full bio

James's expertise
James has written 255 Finder guides across topics including:
  • Car, home, life, health, travel and pet insurance
  • Managing the cost of living
  • Money-saving tips

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