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News 07.04.26: Health insurance premiums increased by an average of 4.41% from 1 April 2026. The largest rise in nearly a decade. Read more at https://www.theguardian.com/australia-news/2026/feb/19/australian-private-health-insurance-premiums-increase-will-policies-deliver-cost-more.

ahm health insurance

Is it a good health insurer?

ahm has 16 hospital and 18 extras policies in our comparison, from $87.45 a month for hospital cover (Single · NSW · $500 hospital excess, after rebate).

Issued by Medibank Private Limited. Hospital, extras or both.

Explore 16 hospital and 18 extras products, or find cover by treatment. Sources for ahm

Reviewed, Edited and Designed by

Grace Connolly

Created with AI assistance

Our editorial process

Page updated 26 October 2026 · Prices effective 9 September 2026

I need cover for…

Compare cover across all Australian health funds.

ahm cover: the main choices.

For antenatal and postnatal classes with no annual limit

Super Extras has no annual cap on antenatal and postnatal classes. Check the extras benefits for per-service benefits and provider conditions.

See the benefit differences

For blood treatment

Bronze Plus Support does not fully cover blood treatment. Check the hospital cover for exclusions and restricted benefits before choosing.

Compare hospital inclusions

If you plan to keep your extras

Some of ahm's extras benefit limits grow with membership. Check the policy documents for how the limits grow before relying on a higher limit.

Policy documents

ahm policies and example prices.

The profile you choose updates the ahm price tables, hospital shortlist and alternative-policy comparison below.

Who needs cover?

Single · NSW · $500 hospital excess · example premiums after rebate.

Monthly examples include the 24.118% government rebate, the maximum for adults under 65. Your rebate and final quote may differ.

Price assumptions

Need an ahm price for your circumstances? Compare ahm with cover across all Australian health funds.

Compare my options

Hospital cover

16 product lines

ahm hospital policies: monthly example premiums after rebate for Single · NSW · $500 hospital excess
TierProductMonthly premium after rebate
BasicAmbulance & Accident Hospital (Basic)$87.45/month
BasicAmbulance Hospital (Basic)$77.85/monthat $750 excess
Basic PlusCore Hospital (Basic+)$94.17/month
BronzeBronze No Fuss$103.81/month
Bronze PlusBronze Plus Everyday$109.00/month
Bronze PlusBronze Plus Loaded$122.02/month
Bronze PlusBronze Plus Support$128.81/month
SilverSilver Support$147.44/month
Silver PlusEssentials Silver Plus$130.52/month
Silver PlusEvolve Silver Plus$156.32/month
Silver PlusSaver Silver Plus Support$179.65/month
Silver PlusCore Silver Plus$187.47/month
Silver PlusSuper Silver Plus$218.50/month
Silver PlusDeluxe Saver Silver Plus$181.17/monthat $750 excess
GoldAdvanced Hospital Gold$390.45/month
GoldElite Gold Copayfrom $303.49 to $336.61/monthwith no excess
$171.95 more per month for Advanced Hospital Gold versus Super Silver Plus after rebate for the selected example profile.
Assisted reproductive services is an additional inclusion, not the complete list of differences.

Extras cover

18 product lines

ahm extras policies: monthly example premiums after rebate for Single in NSW, with no hospital excess
ProductMonthly premium after rebate
Choosable 50 - Teeth$13.24/month
Black 50 Saver$16.12/month
Black 50$21.70/month
Value Extras$33.77/month
Choosable 60 - Teeth / Eyes$42.53/month
Choosable 60 - Teeth / Wellbeing$44.81/month
Black 60$44.85/month
Choosable 60 - Teeth / Muscle & Bone$44.92/month
Classic Extras$45.64/month
Choosable 60 - Teeth / Eyes / Muscle & Bone$55.17/month
Choosable 60 - Teeth / Eyes / Wellbeing$55.43/month
Choosable 60 - Teeth / Wellbeing / Muscle & Bone$58.39/month
Lifestyle Extras$61.24/month
Choosable 60 - Teeth / Eyes / Wellbeing / Muscle & Bone$65.90/month
Family Extras$65.90/month
Black 70$66.70/month
Black 70 Boost$82.18/month
Super Extras$102.40/month
All ahm policy pages

ahm joining offer

Current offer

Up to 12 weeks free

New members who keep hospital and extras cover get 6 weeks free after 60 days. They get another 6 weeks free after 13 months. The 2 and 6 month extras waiting periods are waived.

For new members who have not held ahm hospital or extras cover in the last 30 days.

Ends 30 November 2026

Offer terms

Offer information checked: 26 October 2026. Prices, benefits and promotions can change. Before applying, check the insurer's official website for current availability, eligibility requirements, expiry dates and full terms. Read our Terms of Use. Report an error to info@healthinsurance.au.

ahm eligibility and offer terms

Available through ahm's website or call centre. Do not assume this offer applies when joining through another comparison service. Eligibility and other conditions apply.

Join and start an eligible hospital and extras package on or before 30 November 2026.

If you join online, enter the promo code 12WFREEWW.

Keep the cover and pay premiums for 13 continuous months to receive the second 6 weeks.

Related insurer

Also considering Medibank?

ahm and Medibank-branded health cover share an issuer, but their policy benefits, prices and joining offers can differ.

A Medibank-branded policy is not an ahm policy. Check the exact product and terms before joining.

Explore Medibank-branded cover

What does ahm hospital insurance cover?

6 ahm hospital policies fully cover cataracts

TierProductMonthly premium after rebate
Silver PlusSaver Silver Plus Support$179.65/month
Silver PlusCore Silver Plus$187.47/month
Silver PlusSuper Silver Plus$218.50/month
Silver PlusDeluxe Saver Silver Plus$181.17/monthat $750 excess
GoldAdvanced Hospital Gold$390.45/month
GoldElite Gold Copayfrom $303.49 to $336.61/monthwith no excess

Single · NSW · $500 hospital excess. Only policies that fully include cataracts are shown. How we read hospital categories

Compare selected treatment categories across all 16 hospital policies

Selected ahm treatment categories.

TreatmentAmbulance & Accident Hospital (Basic)BasicAmbulance Hospital (Basic)BasicCore Hospital (Basic+)Basic PlusBronze No FussBronzeBronze Plus EverydayBronze PlusBronze Plus LoadedBronze PlusBronze Plus SupportBronze PlusSilver SupportSilverEssentials Silver PlusSilver PlusEvolve Silver PlusSilver PlusSaver Silver Plus SupportSilver PlusCore Silver PlusSilver PlusSuper Silver PlusSilver PlusDeluxe Saver Silver PlusSilver PlusAdvanced Hospital GoldGoldElite Gold CopayGold
CataractsNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedIncludedIncludedIncludedIncludedIncludedIncluded
Joint replacementsNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedIncludedIncludedIncludedIncludedIncludedIncluded
Heart and vascular systemNot includedNot includedNot includedNot includedNot includedNot includedNot includedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
Pregnancy and birthNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedIncludedIncluded
Assisted reproductive servicesNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedNot includedIncludedIncluded
Hospital psychiatric servicesRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedIncludedIncluded
BloodNot includedNot includedNot includedNot includedIncludedIncludedNot includedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded
Sleep studiesNot includedNot includedIncludedNot includedIncludedIncludedNot includedNot includedIncludedIncludedIncludedIncludedIncludedIncludedIncludedIncluded

More premium does not mean more back on everything.

ahm extras limits per 12 months unless the statement says otherwise

Selected benefitChoosable 50 - TeethClassic ExtrasChoosable 60 - Teeth / Eyes / WellbeingFamily ExtrasBlack 70 BoostSuper Extras
Optical / physio benefit examplesNot includedOptical: $150.00 set benefit. Physio: $34.00 set benefit for an initial visitOptical: 60% of eligible charge. Physio: Not includedOptical: $220.00 set benefit. Physio: $36.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: 70% of eligible chargeOptical: 100% of eligible charge. Physio: $44.00 set benefit for an initial visit
Optical limitNot included$150.00$250.00$220.00$200.00$250.00
Physiotherapy limitNot included$200.00Separate physio limitNot included$300.00Separate physio limit$400.00Shared with chiropractic, osteopathy & other services$600.00Separate physio limit
Major dental limit$500.00Shared with general dental & endodonticNot included$800.00Shared with general dental, endodontic & orthodontic$750.00sub-limits apply$750.00Shared with endodontic & other services$1,100.00sub-limits apply
Antenatal and postnatal classes limitNot includedNot includedNot includedNo annual limitNot includedNo annual limit
Psychology included?NoNoYesYesYesYes
Optical waiting periodNot includedNo waiting period6 monthsNo waiting period6 monthsNo waiting period
Source statementSingle-policy exampleSingle-policy exampleSingle-policy exampleSingle-policy exampleSingle-policy exampleSingle-policy example

Single-policy examples. Each links to its policy statement.

About these examples

Choosable 60 - Teeth / Eyes / Wellbeing → Super Extras
Both single-policy examples have a $250 optical limit. But Super Extras pays 100% rather than 60% for the optical example.The reason to upgrade is the wider benefits you need, not an assumption that every cap rises.
Super Extras: higher benefit examples
Classic Extras pays a $150.00 set benefit for the optical example. Super Extras pays 100% instead. It has a $250 optical limit and $600 physio limit for the Single-policy example.Compare these benefits with the premium. A set benefit is a fixed payment for the listed treatment.
Why ahm's shared limits and waiting periods matter

Standard optical waiting periods in these examples range from none to 6 months.

How shared limits work

ahm vs. HBF vs. HCF

How ahm compares with similar hospital policies.

These are selected Silver Plus examples from HBF and HCF, not identical policies or a search for the cheapest cover across the market.

Comparing ahm Essentials Silver Plus with HBF Essential Silver Hospital and HCF Hospital Standard Silver Plus. Single · NSW · $500 hospital excess · Silver Plus hospital cover

Change price profile ↑

ahm and selected alternatives: monthly prices and verified coverage differences.

CompareahmEssentials Silver PlusReference policyHBFEssential Silver Hospital$7.18 more a month than ahmHCFHospital Standard Silver Plus$10.32 more a month than ahm
Monthly premium after rebate$130.52/month (lowest price in this row)$137.70/month$140.84/month
CataractsNot includedNot includedNot included
Joint replacementsNot includedNot includedNot included
Pregnancy and birthNot includedNot includedNot included
Hospital psychiatric servicesRestrictedRestrictedRestricted
Heart and vascular systemIncludedIncludedIncluded
Policy detailsView ahm Essentials Silver PlusView HBF Essential Silver HospitalView HCF Hospital Standard Silver Plus

Price assumptions

What the differences mean for you

All 38 treatment categories have the same status for these policies. That does not mean the policies have identical terms or out-of-pocket costs.

These alternatives match ahm Essentials Silver Plus on tier, cataracts and joint replacements. How we choose alternatives

Compare all 38 hospital treatment categories

ahm and the alternatives: all 38 treatment categories, policy information as at 26 October 2026.

CompareahmEssentials Silver PlusHBFEssential Silver HospitalHCFHospital Standard Silver Plus
RehabilitationIncludedIncludedIncluded
Insulin pumpsNot includedNot includedNot included
Pain management with a deviceNot includedNot includedNot included
Dialysis for chronic kidney failureNot includedNot includedNot included
CataractsNot includedNot includedNot included
Joint replacementsNot includedNot includedNot included
Hospital psychiatric servicesRestrictedRestrictedRestricted
Pregnancy and birthNot includedNot includedNot included
Assisted reproductive servicesNot includedNot includedNot included
Heart and vascular systemIncludedIncludedIncluded
Back, neck and spineIncludedIncludedIncluded
BloodIncludedIncludedIncluded
Bone, joint and muscleIncludedIncludedIncluded
Brain and nervous systemIncludedIncludedIncluded
Breast surgery (medically necessary)IncludedIncludedIncluded
Chemotherapy, radiotherapy and immunotherapy for cancerIncludedIncludedIncluded
Dental surgeryIncludedIncludedIncluded
Diabetes management (excluding insulin pumps)IncludedIncludedIncluded
Digestive systemIncludedIncludedIncluded
Ear, nose and throatIncludedIncludedIncluded
Eye (not cataracts)IncludedIncludedIncluded
Gastrointestinal endoscopyIncludedIncludedIncluded
GynaecologyIncludedIncludedIncluded
Hernia and appendixIncludedIncludedIncluded
Implantation of hearing devicesIncludedIncludedIncluded
Joint reconstructionsIncludedIncludedIncluded
Kidney and bladderIncludedIncludedIncluded
Lung and chestIncludedIncludedIncluded
Male reproductive systemIncludedIncludedIncluded
Miscarriage and termination of pregnancyIncludedIncludedIncluded
Pain managementIncludedIncludedIncluded
Palliative careIncludedIncludedIncluded
Plastic and reconstructive surgery (medically necessary)IncludedIncludedIncluded
Podiatric surgery (provided by a registered podiatric surgeon)IncludedIncludedIncluded
SkinIncludedIncludedIncluded
Sleep studiesIncludedIncludedIncluded
Tonsils, adenoids and grommetsIncludedIncludedIncluded
Weight loss surgeryNot includedNot includedNot included

Compare ahm with cover from every Australian health fund.

Compare all funds

ahm against the industry.

These figures describe Medibank Private Limited, which issues ahm health cover, not ahm customers alone.

Google

2.8 / 5

196 Google reviews

Voluntary customer reviews · ahm

Snapshot: 23 October 2026. This is ahm's listing, not a representative survey.

Complaint share is below market share

State of the Health Funds Report 2024-25 · checked 26 October 2026

Medibank's share of complaints the Ombudsman received in 2024-25 is below its market share at 30 June 2025. Its share of complaints the Ombudsman investigated that year is 17.3%.

Latest quarter, January to March 2026. The Ombudsman referred 150 complaints about Medibank Private Limited to it to resolve, 22.6% of those it referred about all insurers, and investigated none. Ombudsman Quarterly Update · checked 26 October 2026

App Store

4.7 / 5

10,967 App Store ratings

ahm health insurance app · Medibank Private Limited

Snapshot: 22 October 2026. ahm health insurance is ahm's own app. This rates the app on the Australian App Store, not ahm's cover or claims.

Google Play

4.6 / 5

About 2,190 Google Play reviews

ahm app · Medibank Private Limited

Snapshot: 22 October 2026. This rates the ahm app on Google Play, not ahm's cover or claims.

Check the practical details.

  • Check your provider

    Confirm that ahm recognises your provider. Ask for a treatment plan and item numbers so ahm can estimate your benefits and out-of-pocket costs.

  • Make or track a claim

    Use ahm's health claims guidance and member login for receipts, claim tracking and remaining benefits.

Contact ahm

Call ahm on 134 246. Monday to Friday, 9am to 6pm (AEDT), excluding national public holidays.Contact details checked 22 October 2026.Official contact details and messaging options

Before you choose ahm.

Who provides ahm health insurance?

ahm health insurance is issued by Medibank Private Limited. An ahm policy is not necessarily identical to a policy sold under another Medibank brand, so compare the actual policy terms and price.

Source: Official ahm information, checked 22 October 2026.

Do I get more back the longer I stay with ahm?

Some ahm extras limits grow as your membership continues. Check which benefits qualify and how the increases work on your policy.

Source: ahm fund rules, checked 26 October 2026.

Can younger adults get a discount with ahm?

ahm offers age-based discounts to eligible younger adults. Check the discount on your quote and how it changes as you get older.

Source: ahm fund rules, checked 26 October 2026.

What is the cheapest ahm hospital policy?

Ambulance & Accident Hospital (Basic) is the cheapest ahm hospital policy for a single person in NSW with a $500 hospital excess, at $87.45 a month after the 24.118% government rebate for adults under 65 (prices effective 9 September 2026). This compares all 16 ahm hospital policies, not the whole market. Check what it excludes before choosing on price.

Source: How we compare prices, checked 26 October 2026.

Is it worth moving from Bronze Plus Support to Silver Support?

ahm Silver Support adds cover for heart and vascular system, blood and 3 more categories compared with Bronze Plus Support. For the Single / NSW / $500 excess example it costs $18.63 more a month, so check what each policy covers before you upgrade.

Source: Private Health Information Statements, checked 26 October 2026.

Sources for ahm.

Policy information retrieved 26 October 2026. Prices effective 9 September 2026.

I need cover for...