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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.

HCF health insurance

Is it a good health insurer?

HCF has 7 hospital and 7 extras policies in our comparison, from $91.19 a month for hospital cover (Single · NSW · $500 hospital excess, after rebate).

Issued by The Hospitals Contribution Fund of Australia Ltd. Hospital, extras or both.

Explore 7 hospital and 7 extras products, or find cover by treatment. Sources for HCF

Reviewed, Edited and Designed by

Grace Connolly

Created with AI assistance

Our editorial process

Page updated 26 October 2026 · Prices effective 17 September 2026

I need cover for…

Compare cover across all Australian health funds.

HCF cover: the main choices.

For eye treatment other than cataracts

Hospital Basic Plus covers eye treatment other than cataracts. Check the hospital cover for exclusions and restricted benefits before choosing.

Compare hospital inclusions

For dental with no annual limit

Vital Extras has no annual cap on general dental. Check the extras benefits for per-service benefits and provider conditions.

See the benefit differences

For a choice of preferred providers

HCF has preferred-provider networks across 6 service types. Use the provider search to confirm whether your provider participates.

Provider search

HCF policies and example prices.

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

Compare my options

Hospital cover

7 product lines

HCF hospital policies: monthly example premiums after rebate for Single · NSW · $500 hospital excess
TierProductMonthly premium after rebate
BasicAccident Only Basic$84.66/monthat $750 excess
Basic PlusHospital Basic Plus$91.19/month
BronzeHospital Bronze$105.10/month
Bronze PlusHospital Bronze Plus$113.86/month
Silver PlusHospital Standard Silver Plus$140.84/month
Silver PlusHospital Silver Plus$198.41/month
GoldHospital Optimal Gold$415.95/monthat $750 excess
$57.57 more per month for Hospital Silver Plus versus Hospital Standard Silver Plus after rebate for the selected example profile.
Cataracts is an additional inclusion, not the complete list of differences.

Extras cover

7 product lines

HCF extras policies: monthly example premiums after rebate for Single in NSW, with no hospital excess
ProductMonthly premium after rebate
Starter Extras$13.75/month
Starter Extras (With Optical)$18.17/month
Flex My Extras$30.80/month
Mid Extras$37.49/month
Choose My Extras$51.12/month
Vital Extras$64.46/month
Top Extras$85.03/month
All HCF policy pages

HCF joining offer

Current offer

Get 6 weeks free

Join eligible hospital and extras cover and stay for 90 days to get 6 weeks free. HCF also waives the 2-month waiting periods on extras for new members who join during the offer.

For Australian residents aged 18 or over who have not held HCF or RT Health cover in the 2 months before joining.

Ends 10 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.

HCF eligibility and offer terms

The offer is not available through a broker. Eligibility and other conditions apply.

Join and start an eligible combined hospital and extras policy by 10 November 2026. The offer ends at 11:59pm AEDT that day. Gold, Bronze Plus and My Family covers are excluded.

Pay premiums and keep the policy for 90 continuous days. HCF then extends the paid-to date by six weeks, which can take up to six weeks to process.

People who received a promotional discount or free weeks on HCF or RT Health cover in the 12 months before the offer are excluded.

Longer extras waiting periods and all hospital waiting periods still apply.

What does HCF hospital insurance cover?

2 HCF hospital policies fully cover cataracts

TierProductMonthly premium after rebate
Silver PlusHospital Silver Plus$198.41/month
GoldHospital Optimal Gold$415.95/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 7 hospital policies

Selected HCF treatment categories.

TreatmentAccident Only BasicBasicHospital Basic PlusBasic PlusHospital BronzeBronzeHospital Bronze PlusBronze PlusHospital Standard Silver PlusSilver PlusHospital Silver PlusSilver PlusHospital Optimal GoldGold
CataractsNot includedNot includedNot includedNot includedNot includedIncludedIncluded
Joint replacementsNot includedNot includedNot includedNot includedNot includedIncludedIncluded
Heart and vascular systemNot includedNot includedNot includedNot includedIncludedIncludedIncluded
Pregnancy and birthNot includedNot includedNot includedNot includedNot includedNot includedIncluded
Assisted reproductive servicesNot includedNot includedNot includedNot includedNot includedNot includedIncluded
Hospital psychiatric servicesRestrictedRestrictedRestrictedRestrictedRestrictedRestrictedIncluded
Eye (not cataracts)Not includedIncludedIncludedIncludedIncludedIncludedIncluded
Male reproductive systemNot includedIncludedIncludedIncludedIncludedIncludedIncluded

More premium does not mean more back on everything.

HCF extras limits per 12 months unless the statement says otherwise

Selected benefitStarter ExtrasFlex My ExtrasMid ExtrasChoose My ExtrasVital ExtrasTop Extras
Optical / physio benefit examplesOptical: Not included. Physio: $40.00 set benefit for an initial visit60% of eligible chargeOptical: 100% of eligible charge. Physio: $56.00 set benefit for an initial visit60% of eligible charge if chosenOptical: 100% of eligible charge. Physio: $58.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: $60.00 set benefit for an initial visit
Optical limitNot included$175.00$200.00$225.00 if chosen$250.00$275.00
Physiotherapy limit$150.00Shared with chiropractic, acupuncture, remedial massage, Chinese herbal medicine, osteopathy & other services$650.00Shared with general dental, acupuncture, Chinese herbal medicine and other services$350.00Shared with exercise physiology$350.00 if chosenShared with exercise physiology$350.00Shared with exercise physiology$600.00Shared with exercise physiology
Major dental + endodontic limitNot includedNot included$700.00Shared with general dental & other services$500.00 if chosen$850.00Shared with other services$1,000.00Shared with other services
Psychology included?NoNoNoIf chosenYesYes
Optical waiting periodNot included2 months2 months2 months if chosen2 months2 months
Source statementSingle-policy exampleSingle-policy exampleSingle-policy exampleSingle-policy exampleSingle-policy exampleSingle-policy example

On Choose My Extras, you choose any four of the services marked with an asterisk in its policy statement. Services shown "if chosen" are covered only when chosen.

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

About these examples

Mid Extras → Choose My Extras
Both single-policy examples have a $350 physiotherapy limit. But Choose My Extras raises the optical limit from $200 to $225. It also lowers the major dental limit from $700 to $500.Choose My Extras covers physiotherapy, optical and major dental only if you choose them among your four services.The reason to upgrade is the wider benefits you need, not an assumption that every cap rises.
Top Extras: higher benefit examples
The optical examples move from 60% on Flex My Extras to 100%, with a $275 optical limit and $600 shared physio limit for the Single-policy example.Weigh those increases against the premium.
Why HCF's shared limits and waiting periods matter

Every optical benefit shown has a standard waiting period of 2 months.

How shared limits work

HCF vs. Bupa vs. nib

How HCF compares with similar hospital policies.

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

Comparing HCF Hospital Standard Silver Plus with Bupa Silver Plus Essential Hospital and nib Silver Secure Hospital Plus. Single · NSW · $500 hospital excess · Silver Plus hospital cover

Change price profile ↑

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

CompareHCFHospital Standard Silver PlusReference policyBupaSilver Plus Essential Hospital$0.38 more a month than HCFnibSilver Secure Hospital Plus$3.15 more a month than HCF
Monthly premium after rebate$140.84/month (lowest price in this row)$141.22/month$143.99/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 HCF Hospital Standard Silver PlusView Bupa Silver Plus Essential HospitalView nib Silver Secure Hospital 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 HCF Hospital Standard Silver Plus on tier, cataracts and joint replacements. How we choose alternatives

Compare all 38 hospital treatment categories

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

CompareHCFHospital Standard Silver PlusBupaSilver Plus Essential HospitalnibSilver Secure Hospital 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 HCF with cover from every Australian health fund.

Compare all funds

HCF against the industry.

Google

2.9 / 5

75 Google reviews

Voluntary customer reviews · HCF Sydney

Snapshot: 26 October 2026. This is the Google listing for HCF Sydney, not a rating of HCF as a whole or a representative survey. This small sample may not reflect the experience of most members.

Complaint share is close to market share, but investigated complaints are higher

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

HCF's share of complaints the Ombudsman received in 2024-25 is close to its market share at 30 June 2025. Its share of complaints the Ombudsman investigated that year is 21.8%, above its market share.

Latest quarter, January to March 2026. The Ombudsman referred 79 complaints about The Hospitals Contribution Fund of Australia Ltd to it to resolve, 11.9% of those it referred about all insurers, and investigated none. Ombudsman Quarterly Update · checked 26 October 2026

App Store

4.7 / 5

60,543 App Store ratings

HCF My Membership App · THE HOSPITALS CONTRIBUTION FUND OF AUSTRALIA LTD

Snapshot: 22 October 2026. HCF My Membership App is HCF's own app. This rates the app on the Australian App Store, not HCF's cover or claims.

Google Play

4.5 / 5

About 10,600 Google Play reviews

HCF My Membership App · HCF Australia

Snapshot: 22 October 2026. HCF My Membership App is HCF's own app. This rates the app on Google Play, not HCF's cover or claims.

Check the practical details.

  • Check your provider

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

  • Make or track a claim

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

Contact HCF

For quotes and joining, call 1800 062 063. Monday to Friday 8am to 8pm and Saturday 9am to 1pm (AEST/AEDT).Contact details checked 22 October 2026.Official contact details and messaging options

Before you choose HCF.

Who owns HCF?

HCF is owned by its members and operates as a not-for-profit fund. That does not make every policy the best value for your needs.

Source: Government insurer profile, checked 22 October 2026.

What is the cheapest HCF hospital policy?

Hospital Basic Plus is the cheapest HCF hospital policy for a single person in NSW with a $500 hospital excess, at $91.19 a month after the 24.118% government rebate for adults under 65 (prices effective 17 September 2026). This compares all 7 HCF 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 Hospital Bronze Plus to Hospital Standard Silver Plus?

HCF Hospital Standard Silver Plus adds full cover for heart and vascular system, implantation of hearing devices and 2 more categories compared with Hospital Bronze Plus. For the Single / NSW / $500 excess example it costs $26.98 more a month, so check what each policy covers before you upgrade.

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

Sources for HCF.

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

I need cover for...