Peoplecare health insurance

Peoplecare Health Fund

Interested in taking out Health Insurance? Compare Peoplecare policies and apply for cover.

Peoplecare is a not-for-profit health fund that offers a range of cover options to its members. Named by the Australian Financial Review's Smart Investor magazine as the number-one open health fund in Australia, Peoplecare prides itself on offering competitive cover solutions to its members.


Peoplecare - free 100 gift cardFree $100 gift card for new members

  • Peoplecare is offering a $100 gift card for new members who join one of their Hospital or combo covers to spend on anything (or anyone!).

finder.com.au does not currently have access to this health insurance brand. You may wish to compare options available on the health insurance homepage.
October update: Members can only pay by direct debit from an account or credit card. No discounts or surcharges apply.

Peoplecare Health Insurance Cover Options

  • #1 open health fund in Australia – The Australian Financial Review's Smart Investor, Australia's ten best private health funds*

Entry to Peoplecare is non-restricted, so any Australian who is eligible to take out private health cover can join the fund. A not-for-profit fund, Peoplecare is run in the interests of its members and aims to pass on profits to its customers in the form of improved products and premium rates.

With an emphasis on customer service, Peoplecare has a 24-hour Online Member Services department ready to field any questions you may have. It can also provide national coverage, as it has agreements in place with 30,000 doctors and 500 private hospitals around the country.

Peoplecare Health Insurance Levels of Cover

Hospital cover options

  • This entry-level hospital cover requires you to pay a $500 excess when you are admitted to hospital. It covers accommodation in a public or private hospital for things like intensive care, in-hospital pharmacy and some basic Medicare-eligible procedures.
  • Also attracting a $500 excess, this mid-level cover combines a broader range of benefits with affordability. Including cover for sterilisation, plastic and reconstructive surgery, joint replacements, spinal procedures, gastric banding and more, it also includes restricted cover for assisted reproductive services, pregnancy services and major eye surgery.
  • This is the highest level of hospital cover available from Peoplecare and it is available with your choice of excess: $0, $250 or $500. The higher the excess you choose, the lower your premiums will be. This policy covers an extensive range of in-hospital procedures including major eye surgery, intensive care, palliative care, psychiatric services, rehabilitation, pregnancy services, assisted reproduction services, cardiothoracic and related services, gastric banding, hip and knee replacements and much more.

These three hospital cover options can be taken out on their own or paired with one of the following extras cover options to create a combined policy.


Extras cover options

  • This affordable option is suited to members who are young, healthy and fit. It covers 100% of ambulance costs, 50% of general dental costs, optical, physio, chiro and health management programs.
  • For cover that is a little more comprehensive, Peoplecare Mid Extras covers ambulance expenses and 60% of both general and major dental costs. It also provides benefits for pharmacy, optical, physio, orthoptics, occupational therapy, chiro, natural therapies, remedial massage, podiatry and health management programs.
  • This provides even more generous benefit limits than the above option and also adds cover for orthodontics, laser eye surgery, psychology, speech therapy, health aids, orthotics and hearing aids.
  • Offering the maximum level of extras cover available from Peoplecare, Premium Extras offers higher benefit limits and cover for a comprehensive range of general treatments. This includes 80% cover for the cost of dental, major dental, orthodontics, laser eye surgery, exercise physiology, speech therapy, health management programs, health aids and a whole lot more.

Are there any additional benefits?

    • Combine cover. Combine hospital and extras cover to receive a discount on the cost of taking out each cover separately.
    • Eyewear discounts. Members can enjoy a range of discounts on eyewear purchased from Peoplecare Eyes. Further eyewear discounts are available through OPSM and Laubman & Pank.
    • Members Own Health Fund. Peoplecare has joined forces with 14 other health funds under the Members Own Health Fund brand. Like these other funds, Peoplecare is run solely to benefit its members.
    • Peoplecare Eyes and Teeth. Peoplecare also operates an optical and dental centre in Wollongong to offer a range of treatments and services to members.
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General exclusions and waiting periods

Peoplecare will not pay your private health insurance claim if:

  • It is for services received outside of Australia
  • You lodge your claim more than two years after you have received the services
  • You have already reached your annual benefit limit for a general treatment
  • It is for treatment received within a waiting period
  • It is for any treatment which Medicare doesn’t cover, such as cosmetic surgery that is not medically necessary
  • It is for treatment that is covered by compensation payments or another form of insurance, such as third party insurance
  • It is for services you receive as an outpatient
  • It is for certain high-cost drugs
  • It is for prostheses that aren’t on the Commonwealth Government’s list of approved prostheses
  • It is for ambulance services paid for by the government, some other type of insurance or a subscription
  • It is for discharge pharmaceuticals.
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Waiting periods

It’s also worth remembering that all health funds will require you to serve waiting periods when you sign up. While you will be immediately covered for things like ambulance transport and hospitalisation after an accident, you will have to sit out a two-month waiting period before you can access most hospital and extras benefits. Some treatments and procedures attract longer waiting periods, such as orthodontics, obstetrics, laser eye surgery and treatment for pre-existing conditions.

Peoplecare Health Insurance Excess

A private health insurance hospital excess is the amount you pay upfront when you are admitted to hospital, and it’s your contribution to the cost of your hospital accommodation. While Basic Hospital and Mid Hospital both require you to pay a $500 excess, Premium Hospital allows you to choose between a $0, $250 or $500 excess. The lower your excess, the higher your premiums will be.

However, you will not need to pay any excess for children under the age of 21 who are included on your policy, and you’ll only have to pay half the relevant excess for public hospital or day surgery visits.

In addition, no matter how many times anyone on your fund membership is admitted to hospital in any year, you’ll only have to pay the maximum annual excess as listed on your policy. For example, if you hold a single policy and your excess is $500, that is the maximum amount you pay every year. If you hold a couples or family policy, the maximum annual excess amount rises to $1,000.

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How do I join?

Step 1 – Head to the Peoplecare website

Go to the Peoplecare website, select new members and click 'Join Peoplecare'.

Step 2 – Fill out the cover details

In this step you'll need to answer the following questions:

  • When do you want your cover to start?
  • What state do you live in?
  • What membership type do you need?
  • Do you need Hospital cover?
  • Do you need Extras cover?
  • Which product do you need?
  • What is your date of birth?
  • Include Government Rebate?

Once you're done, click calculate quote

Step 3 – Enter your personal details

  • Gender
  • Title
  • First Name
  • Second Name
  • Surname
  • Date of Birth
Medicare

At this point you can choose to enter your Medicare Card Details. If you choose to, you'll need to know:

  • Medicare Card Number
  • First Name
  • Second Name
  • Surname
Previous Fund

Next, you'll be asked if you're transferring from another Fund. If you are, you'll need to know:

  • Previous Fund Name
  • Clearance Certificate Request
  • Member Number
  • Date Joined (if known)
  • Date Ceased (if known)

Step 4 – Contact details

Home Address

You'll need to enter your:

  • Street name and number
  • Suburb
  • State
  • Postcode
Postal Address

You only need to fill this section out if it's not the same as your home address

Email

Enter your email Address and you'll need to tick yes or no to consent to the fund sending you information via email.

Phone Numbers

For Home and Work phone numbers, please include the STD code. You need to enter at least one phone number:

  • Home Phone
  • Home Fax
  • Mobile Phone
  • Work Phone
  • Work Fax
Contact Preferences

You need to choose your contact preference between email and post.

Step 5 – People Covered

Add Spouse/Partner/Dependent

You'll need to enter the following details for whomever you're wanting covered:

  • Relationship
  • Gender
  • Title
  • First Name
  • Second Name
  • Surname
  • Date of Birth
  • Email Address
  • Medicare
  • Previous Fund
Who can be covered?

Those who can be covered include your newborn baby, son, daughter, child dependant (non-student), exchange student, other child dependent, spouse, partner or former partner.

Step 6 – Rebate

Enter your medicare details including:

  • Family name
  • Given name
  • Your Medicare Card number
  • Patient reference number
  • Valid

Find out all you need to know about the private health insurance rebate

Step 7 – View application

You need to view the application and make sure that the details are correct before the site will let you proceed.

Step 8 – Payments details

How would you like to pay?

In this section you'll need to enter how you would like to pay. You can choose from: Direct debit from your credit card, Direct debit from your bank account or Invoice.

If you chose credit card

If you chose direct debit you'll need to enter:

  • Card Type
  • Card Number
  • Card Name
  • Card Expiry
  • Select Payment Frequency
  • Select your initial contribution date.
If you chose direct debit

If you chose direct debit you'll need to enter:

  • Account Type
  • BSB Number
  • Financial Institution
  • Branch Name
  • Account Number
  • Account Name
  • Select Payment Frequency
  • Select your initial contribution date
If you chose invoice

You'll need to select the payment frequency

Benefit Payments

To make sure you're getting your benefit payments sent to the right account, you'll need to enter your:

  • Account Type
  • BSB Number
  • Financial Institution
  • Branch Name
  • Account Number
  • Account Name

Step 9 – Confirm

This is the final step. Make sure your details are correct and click confirm. It's that easy

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Making a claim with Peoplecare is easy

Peoplecare aims to make the process of lodging a claim as easy as possible. If you incur hospital costs, in most cases the hospital will send the bill straight to your health fund. Peoplecare will then take care of the cost for you.

When it comes to medical claims, doctors should again send any claim straight through to Peoplecare, but if they don’t you will need to claim from Medicare first and Medicare will then forward your claim on to Peoplecare.

Finally, if you need to make an extras claim there are several options at your disposal:

  • Electronic claiming. Swiping your Peoplecare membership card on the spot at most general treatment providers will see the benefits you are entitled to deducted from your bill.
  • Use the Peoplecare app. Peoplecare’s claims app is available from the Apple App Store and the Google Play store.
  • Claim online. Many extras claims can be lodged online through the Peoplecare website.
  • Email. Complete a claim form, scan the form and your receipts and then email them back to your health fund.
  • Post or fax. You can send your completed claim form and any receipts by mail or fax to Peoplecare.
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Download the Peoplecare app

FundAndroidiOS
Peoplecare
Google-play
Apple-app-store
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Have questions about Peoplecare?

Do I need to submit a claim form when I swipe my card for on-the-spot claiming?

  • No, there is no need to fill out a claim form in this situation. All you need to do is swipe your Peoplecare membership card.

What happens to my waiting periods when I transfer from another health fund?

  • If you’ve already served waiting periods with another fund, you will not need to re-serve them when you join Peoplecare as long as you had an equivalent or higher level of cover with your previous fund and all of your membership payments were up to date.

I want to upgrade my cover - how can I do that?

  • A. To upgrade your level of cover simply phone Peoplecare or complete the ‘Change of Cover’ form available through its website.

Is there a no claim bonus like I get with my car insurance?

  • Under Australian legislation, private health funds are not allowed to offer no claim bonuses to their members.

How can I join Peoplecare?

Peoplecare allows new members to apply quickly and easily online, or you can phone the health fund directly if you’d like to speak to a real person. You also have the option of downloading an application form, filling it out and then emailing, faxing or posting it back to the health fund.

Speak with an adviser about getting cover from Peoplecare today

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4 Responses to Peoplecare Health Fund

  1. Default Gravatar
    Kerri | March 28, 2016

    Is your ambulance cover australia wide

    • Staff
      Richard | March 29, 2016

      Hi Kerri,

      Thanks for your question. finder.com.au is a comparison service and not an insurer. Peoplecare will pay for 100% of the cost of your ambulance treatment and transport within Australia, no matter how far you need to travel.

      I hope this was helpful,
      Richard

  2. Default Gravatar
    frank | December 7, 2015

    what is your email address. I have quite a lengthy email
    about joining but the address info@peoplecare is
    apparently wrong. I am deaf hate the phone so depend on emails

    • Staff
      Richard | December 7, 2015

      Hi Frank,

      Thanks for your question. finder.com.au is a comparison service and not an insurer. The contact email listed on the Peoplecare website and in the product disclosure statement (PDS) is info@peoplecare.com.au.

      I hope this was helpful,
      Richard

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