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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.
Showing prices for:
  • Single
  • NSW
  • Age 30
  • Base Rebate
  • $500 Excess
Doctors Health logo

Doctors Health Fund Health Insurance Review 2026

Compare 47 Doctors Health policies. Prices shown for: Single, NSW, Age 30, $500 excess.

Doctors Health Insurance - Quick Facts

All Policies47
From$65.00/mo
Founded1977
Customer reviews
1.9 stars/ 15 reviews
Excellent Service Record
Based on 15 complaints  |  Oct 2024 – Sep 2025Ombudsman data from Doctors Health.

Prices reflect your profile settings (Single, NSW, Age 30, $500 excess). Policy information from PrivateHealth.gov.au (13 August 2026). Reviews from ProductReview.com.au (April 2026). Not affiliated with Doctors Health.

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See all 47 Doctors Health policies side-by-side with personalised pricing.

Prices reflect your profile settings (Single, NSW, Age 30, $500 excess). Policy information from PrivateHealth.gov.au (13 August 2026). Reviews from ProductReview.com.au (April 2026). Not affiliated with Doctors Health.

Explore Doctors Health Policies

Doctors Health offers 47 health insurance policies across three coverage types. Prices shown are for Single, NSW, Age 30, $500 excess.

Hospital Cover

15 policies covering private hospital treatment, from $65.00* per month. Ranges from Basic tier (lowest coverage, avoid Medicare Levy Surcharge) to Gold tier (highest coverage, most treatments included).

15 policies available
From:$65/mo*
View Policies

Extras Cover

6 policies covering general treatment (dental, optical, physio, etc.), from $15.00* per month. Extras policies help reduce out-of-pocket costs for everyday health services not covered by Medicare.

6 policies available
From:$15/mo*
View Policies

Hospital & Extras Combined

26 policies bundling both hospital and extras coverage, from $180.21* per month. Combined policies often include a discount (typically 2–5%) compared to purchasing hospital and extras separately.

26 policies available
From:$180.21/mo*
View Policies
Policy Name
Type
Tier
Price*
Hospital
Extras
Prime Choice Gold & Essential Extras
Combined
Gold
$343.33
Smart Starter Bronze Plus & Starter Extras
Combined
Bronze+
$180.21
Prime Choice Gold
Hospital
Gold
$244.22
-
Smart Starter Bronze Plus
Hospital
Bronze+
$128.17
-
Lite Extras
Extras
-
$15.00
-

*Prices for Single, NSW, Age 30, $500 excess. Actual prices may vary — confirm with Doctors Health directly.

Overall Doctors Health price increase

Doctors HealthIndustry average

Customer Reviews

Google Reviews
1.9out of 5
Based on 15 reviewsReviews sourced from
Google Reviews (April 2026).

What Doctors Health Specialises In

Find policies suited to your situation. Prices are indicative only.

Hospital Coverage
Gold
Comprehensive — all clinical categories
Bronze+
17+ clinical categories, plus added cover
Extras Coverage
General Dental (check-ups, cleans, fillings)
Optical (glasses, contacts, eye tests)
Physiotherapy
Psychology
Remedial Massage

All prices shown are indicative only and were last updated on 13 August 2026 using data from PrivateHealth.gov.au. Actual prices may vary based on individual circumstances. Please confirm pricing directly with insurers.

Customer Service Record & Complaints

How Doctors Health Fund compares to other Australian health insurers based on pricing, service record, and product range.

Excellent Service Record6 complaints in Q3 2025 (Jul–Sep) · 100% resolved internallySource: Private Health Insurance Ombudsman (PHIO) Quarterly Report, Q3 2025
Official PHIO Data

Based on official data from the Private Health Insurance Ombudsman (PHIO), Doctors Health has an Excellent Service Record with significantly fewer complaints than the industry average when normalised by market share.

30Complaint Rateper 1% market share · last 12 months
7%Investigation Rateformal investigations
93%Resolution Rateresolved internally

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q4 2024 – Q3 2025. Complaint rate = total complaints ÷ market share percentage. Note: All health insurers receive some complaints. Lower rates indicate better service and faster internal resolution of member concerns.

Complaint breakdown

15
Complaints
0.5
Mkt Share %
93%
Resolved
Quarter-on-Quarter:up 100% (3 → 6 complaints)complaint rate per market share worsening

Complaint Rate per 1% Market Share: Quarter on Quarter

Latest quarter
Previous quarters
Industry avg: 7.1
6
3 complaints
Q4 '24
6
3 complaints
Q1 '25
6
3 complaints
Q2 '25
12
6 complaints
Q3 '25

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q4 2024 – Q3 2025. Complaint rate = total complaints ÷ market share percentage. Complaint rate = complaints per 1% market share.

Top Complaint Categories — All Insurers Combined
Industry-wide from all 35+ insurers, Q1 2025-26. Not specific to Doctors Health.
Disputes referred to insurer87%
Resolved at first contact7%
Formal investigations7%
How Doctors Health Addresses These

93% internal resolution rate and 1 Ombudsman investigation — Doctors Health Fund resolves member concerns before they escalate.

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Report, Q1 2025-26. 849 total complaints industry-wide across all 35+ Australian health insurers.

Doctors Health vs Industry Average - Complaint Rate per 1% Market Share (Last 12 Months)

30
15 complaints
Doctors Health
28.58
Industry Avg

Doctors Health Fund's rate appears higher due to small market share (0.5%). With just 15 complaints over the last 12 months, the normalised calculation inflates the number. In absolute terms, far fewer than major insurers.

Source: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q4 2024 – Q3 2025. Complaint rate = total complaints ÷ market share percentage.

How to Resolve Issues

1
Contact Doctors Health1800 226 126 or info@doctorshealthfund.com.au
2
Request Internal ReviewIf unsatisfied, request a formal review.
3
Contact the OmbudsmanFree: 1800 640 695 or privatehealth.gov.au/ombudsman

Data Source: Private Health Insurance Ombudsman (PHIO) Quarterly Reports, Q4 2024 – Q3 2025. Complaint rate = total complaints ÷ market share percentage. Complaint data is independently collected and published by the Commonwealth Ombudsman's office. Update Frequency: Ombudsman data is updated quarterly (Jan, Apr, Jul, Oct).

Compare Doctors Health to Competitors

Based on official data from the Private Health Insurance Ombudsman (PHIO), Doctors Health Fund has an Excellent Service Record with significantly fewer complaints than the industry average when normalised by market share.

PricingCompare Doctors Health Fund's premiums against other funds for similar coverage levels.
Service RecordOmbudsman complaint data from PHIO Oct 2024 – Sep 2025 shows how each fund handles member issues.
Product rangeDoctors Health Fund offers 47 policies — compare the breadth of coverage options available.
Market PositionDoctors Health Fund holds 0.5% market share among Australian health insurers.
Doctors Health FundDoctors Health Fund
Current Fund
Policies
47
Google Ratings
1.9/5
From*
$65.00/mo
Type
For-profit
Service
Excellent

*For Single in NSW. Service record data from PHIO Q1 2025-26.

Contact & Support

Phone
General: 1800 226 126Claims: 1800 226 126Mon-Fri 8am-6pm AEST
Email
info@doctorshealthfund.com.au
Online
http://www.doctorshealthfund.com.au
Mail
PO Box Q1749Queen Victoria BuildingNSW 1230

Doctors Health Mobile App

App Store
App StoreDoctors Health Australia
3.7/5
29 ratings
View →
Google Play
Google PlayDoctors Health Australia
4.0/5
9 reviews·10K+ downloads
View →

App features: make claims with photo, PDF or invoice uploads, check extras limits and claims history, update payment details and address, review policy inclusions, and use Face ID or Touch ID.

Frequently Asked Questions

All information provided in these FAQs is general information only and does not constitute financial, insurance, or personal advice. For advice specific to your circumstances, consult with a licensed financial or insurance adviser, or contact insurers directly. Information is based on our understanding as of 13 August 2026 and may change. Always verify current information with official sources.

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