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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.

AIA health insurance

Is it a good health insurer?

AIA has 8 hospital and 3 extras policies in our comparison, from $95.69 a month for hospital cover (Single · NSW · $500 hospital excess, after rebate).

Issued by AIA Health Insurance Pty Ltd. Hospital, extras or both.

Explore 8 hospital and 3 extras products, or find cover by treatment. Sources for AIA

Reviewed, Edited and Designed by

Grace Connolly

Created with AI assistance

Our editorial process

Page updated 27 October 2026 · Prices effective 17 September 2026

I need cover for…

AIA cover: the main choices.

Before you pay for Silver Plus

Silver Plus Advanced Hospital adds cataracts and other categories compared with Silver Hospital. What the hospital cover step costs depends on your household, state and excess.

Compare hospital inclusions

Before you pay for Silver

Silver Hospital adds back, neck and spine treatment and other categories compared with Bronze Plus Essential Hospital. What the hospital cover step costs depends on your household, state and excess.

Compare hospital inclusions

AIA policies and example prices.

The profile you choose updates the AIA 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 AIA price for your circumstances? Compare AIA with cover across all Australian health funds.

Compare my options

Hospital cover

8 product lines

AIA hospital policies: monthly example premiums after rebate for Single · NSW · $500 hospital excess
TierProductMonthly premium after rebate
BasicBasic Accident Only Hospital$95.69/month
Basic PlusBasic Plus Hospital$100.29/monthat $750 excess
BronzeBronze Hospital$114.37/month
Bronze PlusBronze Plus Essential Hospital$122.90/month
SilverSilver Hospital$153.77/month
Silver PlusSilver Plus Advanced Hospital$225.80/month
Silver PlusSilver Plus Family Hospital$305.42/monthat $750 excess
Silver PlusSilver Plus Hospital$146.41/monthat $750 excess
$72.03 more per month for Silver Plus Advanced Hospital versus Silver Hospital after rebate for the selected example profile.
Cataracts is an additional inclusion, not the complete list of differences.

Extras cover

3 product lines

AIA extras policies: monthly example premiums after rebate for Single in NSW, with no hospital excess
ProductMonthly premium after rebate
Base Set Extras Only$34.09/month
Base 55% Back Extras Only$34.91/month
Good 65% Back Extras Only$40.16/month

AIA also sells other extras covers only as part of a package with AIA hospital cover.

All AIA policy pages

What does AIA hospital insurance cover?

2 AIA hospital policies fully cover cataracts

TierProductMonthly premium after rebate
Silver PlusSilver Plus Advanced Hospital$225.80/month
Silver PlusSilver Plus Family Hospital$305.42/monthat $750 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 8 hospital policies

Selected AIA treatment categories.

TreatmentBasic Accident Only HospitalBasicBasic Plus HospitalBasic PlusBronze HospitalBronzeBronze Plus Essential HospitalBronze PlusSilver HospitalSilverSilver Plus Advanced HospitalSilver PlusSilver Plus Family HospitalSilver PlusSilver Plus HospitalSilver Plus
CataractsNot includedNot includedNot includedNot includedNot includedIncludedIncludedNot included
Joint replacementsNot includedNot includedNot includedNot includedNot includedIncludedIncludedNot included
Heart and vascular systemNot includedNot includedNot includedNot includedIncludedIncludedIncludedIncluded
Pregnancy and birthNot includedNot includedNot includedNot includedNot includedNot includedIncludedNot included
Assisted reproductive servicesNot includedNot includedNot includedNot includedNot includedNot includedIncludedNot included
Hospital psychiatric servicesRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedRestricted
Back, neck and spineNot includedNot includedNot includedNot includedIncludedIncludedIncludedIncluded
Implantation of hearing devicesNot includedNot includedNot includedNot includedIncludedIncludedIncludedIncluded
Plastic and reconstructive surgery (medically necessary)Not includedNot includedNot includedNot includedIncludedIncludedIncludedIncluded

More premium does not mean more back on everything.

AIA extras limits per 12 months unless the statement says otherwise

Selected benefitBase Set Extras OnlyBase 55% Back Extras OnlyGood 65% Back Extras Only
Optical / physio benefit examplesOptical: 100% of eligible charge. Physio: $40.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: 55% of eligible chargeOptical: 100% of eligible charge. Physio: 65% of eligible charge
Optical limit$150.00$150.00$200.00
Physiotherapy limit$250.00Shared with chiropractic, acupuncture, remedial massage, exercise physiology, osteopathy & other services$300.00Shared with chiropractic, exercise physiology, osteopathy & other services$400.00Shared with chiropractic, exercise physiology, osteopathy & other services
Major dental + endodontic limitNot includedNot included$700.00Shared with general dental
Psychology included?YesYesYes
Optical waiting period6 months6 months6 months
Source statementSingle-policy exampleSingle-policy exampleSingle-policy example

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

About these examples

Base Set Extras Only → Base 55% Back Extras Only
Both single-policy examples have a $150 optical limit. But the upgrade raises the shared physio limit from $250 to $300.The reason to upgrade is the wider benefits you need, not an assumption that every cap rises.
Good 65% Back Extras Only's higher benefit examples
The optical examples stay at 100%, with a $200 optical limit and $400 shared physio limit for the Single-policy example.Compare these benefits with the premium.
Why AIA's shared limits and waiting periods matter

Every optical benefit shown has a standard waiting period of 6 months.

How shared limits work

AIA vs. Australian Unity vs. ahm

How AIA compares with similar hospital policies.

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

Comparing AIA Silver Plus Advanced Hospital with Australian Unity Assured Hospital (Silver Plus) and ahm Super Silver Plus. Single · NSW · $500 hospital excess · Silver Plus hospital cover

Change price profile ↑

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

CompareAIASilver Plus Advanced HospitalReference policyAustralian UnityAssured Hospital (Silver Plus)$2.33 less a month than AIAahmSuper Silver Plus$7.30 less a month than AIA
Monthly premium after rebate$225.80/month$223.47/month$218.50/month (lowest price in this row)
CataractsIncludedIncludedIncluded
Joint replacementsIncludedIncludedIncluded
Pregnancy and birthNot includedNot includedNot included
Hospital psychiatric servicesRestrictedRestrictedRestricted
Heart and vascular systemIncludedIncludedIncluded
Policy detailsView AIA Silver Plus Advanced HospitalView Australian Unity Assured Hospital (Silver Plus)View ahm Super 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 AIA Silver Plus Advanced Hospital on tier, cataracts and joint replacements. How we choose alternatives

Compare all 38 hospital treatment categories

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

CompareAIASilver Plus Advanced HospitalAustralian UnityAssured Hospital (Silver Plus)ahmSuper Silver Plus
RehabilitationIncludedIncludedIncluded
Insulin pumpsIncludedIncludedIncluded
Pain management with a deviceIncludedIncludedIncluded
Dialysis for chronic kidney failureIncludedIncludedIncluded
CataractsIncludedIncludedIncluded
Joint replacementsIncludedIncludedIncluded
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 AIA with cover from every Australian health fund.

Compare all funds

AIA against the industry.

Google

4.8 / 5

1,911 Google reviews

Voluntary customer reviews · AIA Health Insurance

Snapshot: 26 October 2026. This is the Google listing for AIA Health Insurance, not a rating of AIA as a whole or a representative survey.

Complaint share is above market share

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

AIA's share of complaints the Ombudsman received in 2024-25 is above its market share at 30 June 2025. Its share of complaints the Ombudsman investigated that year is 4.5%.

Latest quarter, January to March 2026. The Ombudsman referred 18 complaints about AIA Health Insurance Pty Ltd to it to resolve, 2.7% of those it referred about all insurers, and investigated none. Ombudsman Quarterly Update · checked 26 October 2026

App Store

4.8 / 5

105 App Store ratings

AIA Health Australia app · AIA AUSTRALIA LIMITED

Snapshot: 22 October 2026. AIA Health Australia is AIA's own app. This rates the app on the Australian App Store, not AIA's cover or claims.

Google Play

2.4 / 5

72 Google Play reviews

AIA Health Australia app · AIA Australia

Snapshot: 22 October 2026. AIA Health Australia is AIA's own app. This rates the app on Google Play, not AIA's cover or claims. This small sample may not reflect the experience of most members.

Check the practical details.

  • Check your provider

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

  • Make or track a claim

    Use AIA's health claims guidance for receipts, claim tracking and remaining benefits.

Contact AIA

For quotes, call 133 242. Monday to Friday 9am to 5pm (AEST/AEDT), excluding public holidays.Contact details checked 22 October 2026.Official contact details and messaging options

Before you choose AIA.

Can younger adults get a discount with AIA?

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

Source: AIA fund rules, checked 26 October 2026.

What is the cheapest AIA hospital policy?

Basic Accident Only Hospital is the cheapest AIA hospital policy for a single person in NSW with a $500 hospital excess, at $95.69 a month after the 24.118% government rebate for adults under 65 (prices effective 17 September 2026). This compares all 8 AIA hospital policies, not the whole market. Check what it excludes before choosing on price.

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

What changes if I move from Bronze Plus Essential Hospital to Silver Hospital?

AIA Silver Hospital adds cover for heart and vascular system, implantation of hearing devices and 2 more categories compared with Bronze Plus Essential Hospital. For the Single / NSW / $500 excess example it costs $30.87 more a month, so check what each policy covers before you upgrade.

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

Sources for AIA.

Policy information retrieved 26 October 2026. Prices effective 17 September 2026.

All policies by cover type

Hospital and extras (64)

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