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Phoenix Health Fund Review

Phoenix Health Fund is a member-owned health insurance company with high customer satisfaction.

Last updated:

2019 Finder Awards

Winner: Best Health Insurance - Gold

Phoenix Health Fund Limited Gold Top Hospital $500 excess

Phoenix Health Fund's gold-level hospital cover came out on top for great value and range of treatments.

A not-for-profit, member-owned health fund, Phoenix provides a few simple choices of hospital cover or combined hospital plus extras cover. Phoenix also boasts a 98% customer satisfaction rating according to its latest customer survey. does not currently have access to this health insurance brand. You may wish to compare options available on the health insurance homepage.
Top 3 features
  1. Good for people who like their extras, as Phoenix Health Fund offers lots of unique treatment options in its Top Extras policy.
  2. Good for rural and regional Australians who travel far for their treatment.
  3. Beware if you're just trying to save on taxes, as Phoenix health Fund doesn't offer Basic hospital policies.

Who is Phoenix Health Fund?

Phoenix Health Fund is a member of the Members Owned Health Fund brand, which means it is run solely to benefit its members rather than to turn a profit. Since its beginnings in 1953, Phoenix Health Fund has aimed to provide affordable and top-quality health insurance to its members. It boasts a 98% member satisfaction rate and offers cover to suit singles, couples and families.

As a member of the Australian Health Service Alliance (AHSA), Phoenix can offer its members access to more contracted doctors and hospitals than any of the big health funds, as well as offer an Access Gap Scheme to reduce and even remove your out of pocket expenses.

What health insurance options are available?

  • Bronze Plus Starter Hospital 500. This policy offers cover for the 18 clinical categories required to get the Bronze label plus more including blood treatments, dental surgery and hearing implants. It also includes cover for emergency ambulance. There is a $500 excess.
  • Bronze Plus Mid Hospital 500. This policy is exactly the same as the Bronze Plus Starter Hospital except that it doesn't include podiatric surgery and does include full instead of restricted cover for Rehabilitation. There is a $500 excess.
  • Silver Plus Essentials Hospital 500. This policy covers all 26 clinical categories required of a Silver Policy plus a few more including cataracts, joint replacements, insulin pumps and kidney dialysis. It also includes cover for emergency ambulance.
  • Gold Top Hospital 500. This covers all 38 clinical categories required for the Gold label including pregnancy, weight loss surgery and assisted reproductive services (like IVF). It also includes emergency ambulance cover. There is a $500 excess.
  • Gold Top Hospital. This is exactly the same as the Gold Top Hospital 500 policy except there is no excess.

Phoenix Health Fund does not offer standalone extras policies. However, you can mix and match the following policies with one of the hospital policies above.

  • Base Extras. This is a very basic extras policy covering general dental, optical, some pharmaceuticals, chiro, osteo and physio.
  • Mid Extras. This covers what base Extras does plus a range of other services including major dental, orthodontic, acupuncture, podiatry and more.
  • Top Extras. This covers what mid does plus more including artificial eyes, midwifery, home nursing and psychology. When purchased with a hospital policy, it includes a travel and accommodation benefit for rural and regional patients who travel more than 200km for their hospital treatment.

These are packages that combine hospital plus extras into one pre-configured package, unlike the mix and match options above

  • Bronze Plus YoungSavers. This combines the Bronze Plus hospital policy with an extras policy that is similar to the Mid Extras policy but with slightly less cover.
  • Gold Value Combined 500. This combines the Gold Top Hospital policy with an extras policy that is similar to the Mid Extras policy but with slightly less cover.

Member offers

  • Travel insurance discounts. Phoenix Health Fund members can enjoy discounts on a range of QBE Travel Insurance policies.
  • Healthy lifestyle program. Phoenix Health Fund members with mid-level extras policies and above have access to a healthy lifestyle program that includes preventive health screens and health management programs like quit smoking classes, gym memberships and diabetes management courses.

How to make a claim

In the majority of cases, many general treatment providers will provide on-the-spot electronic claiming when you receive your treatment. All you have to do is swipe your Phoenix Health Fund membership and any benefits you are entitled to will be automatically deducted from your bill.

Where this is not an option, you'll be required to fill out and send in a claim form that includes your receipt, your membership number, the date the service was provided, the details of the service provided and the details of the service provider. Your claim form can then be submitted via email, post or fax, or via your smartphone using the Phoenix Health Fund Mobile Claiming app.

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