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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.

HIF health insurance

Is it a good health insurer?

HIF has 5 hospital and 8 extras policies in our comparison, from $95.00 a month for hospital cover (Single · NSW · $500 hospital excess, after rebate).

Issued by Health Insurance Fund of Australia Limited. Hospital, extras or both.

Explore 5 hospital and 8 extras products, or find cover by treatment. Sources for HIF

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…

HIF cover: the main choices.

If you claim psychology every year

Top Extras has a $700 psychology limit. Check the extras benefits for shared pools and claim conditions.

See the benefit differences

For dental surgery

Basic Plus Hospital does not fully cover dental surgery. Check the hospital cover for exclusions and restricted benefits before choosing.

Compare hospital inclusions

Before you pay for Bronze

Bronze Hospital adds bone, joint and muscle treatment and other categories compared with Basic Plus Hospital. What the hospital cover step costs depends on your household, state and excess.

Compare hospital inclusions

HIF policies and example prices.

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

Compare my options

Hospital cover

5 product lines

HIF hospital policies: monthly example premiums after rebate for Single · NSW · $500 hospital excess
TierProductMonthly premium after rebate
Basic PlusBasic Plus Hospital$95.00/month
BronzeBronze Hospital$113.44/month
Bronze PlusBronze Plus Hospital$117.35/month
Silver PlusSilver Hospital$150.02/month
Silver PlusSilver Plus Hospital$201.01/month
$50.99 more per month for Silver Plus Hospital versus Silver Hospital after rebate for the selected example profile.
Cataracts is an additional inclusion, not the complete list of differences.

Extras cover

8 product lines

HIF extras policies: monthly example premiums after rebate for Single in NSW, with no hospital excess
ProductMonthly premium after rebate
Basic Extras$27.58/month
Value Extras$36.23/month
Simple Extras$45.87/month
Special Options$55.62/month
Essential Extras$56.08/month
Advanced Extras$79.68/month
Super Options$86.73/month
Top Extras$114.35/month
All HIF policy pages

What does HIF hospital insurance cover?

1 HIF hospital policy fully covers cataracts

TierProductMonthly premium after rebate
Silver PlusSilver Plus Hospital$201.01/month

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

Compare selected treatment categories across all 5 hospital policies

Selected HIF treatment categories.

TreatmentBasic Plus HospitalBasic PlusBronze HospitalBronzeBronze Plus HospitalBronze PlusSilver HospitalSilver PlusSilver Plus HospitalSilver Plus
CataractsNot includedNot includedNot includedNot includedIncluded
Joint replacementsNot includedNot includedNot includedNot includedIncluded
Heart and vascular systemNot includedNot includedNot includedIncludedIncluded
Pregnancy and birthNot includedNot includedNot includedNot includedNot included
Assisted reproductive servicesNot includedNot includedNot includedNot includedNot included
Hospital psychiatric servicesRestrictedRestrictedRestrictedRestrictedRestricted
Implantation of hearing devicesNot includedNot includedIncludedIncludedIncluded
Dental surgeryNot includedNot includedIncludedIncludedIncluded
Bone, joint and muscleNot includedIncludedIncludedIncludedIncluded
Brain and nervous systemNot includedIncludedIncludedIncludedIncluded
Breast surgery (medically necessary)Not includedIncludedIncludedIncludedIncluded
Chemotherapy, radiotherapy and immunotherapy for cancerNot includedIncludedIncludedIncludedIncluded
Diabetes management (excluding insulin pumps)Not includedIncludedIncludedIncludedIncluded
Digestive systemNot includedIncludedIncludedIncludedIncluded
Ear, nose and throatNot includedIncludedIncludedIncludedIncluded
Eye (not cataracts)Not includedIncludedIncludedIncludedIncluded
Gastrointestinal endoscopyNot includedIncludedIncludedIncludedIncluded
GynaecologyNot includedIncludedIncludedIncludedIncluded
Kidney and bladderNot includedIncludedIncludedIncludedIncluded
Male reproductive systemNot includedIncludedIncludedIncludedIncluded
Miscarriage and termination of pregnancyNot includedIncludedIncludedIncludedIncluded
Pain managementNot includedIncludedIncludedIncludedIncluded
SkinNot includedIncludedIncludedIncludedIncluded

More premium does not mean more back on everything.

HIF extras limits per 12 months unless the statement says otherwise

Selected benefitBasic ExtrasValue ExtrasEssential ExtrasAdvanced ExtrasSuper OptionsTop Extras
Optical / physio benefit examplesOptical: 100% of eligible charge. Physio: 50% of eligible chargeOptical: 100% of eligible charge. Physio: $30.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: $35.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: $45.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: $40.00 set benefit for an initial visitOptical: 100% of eligible charge. Physio: $50.00 set benefit for an initial visit
Optical limit$150.00$150.00$200.00$275.00$260.00$300.00
Physiotherapy limit$300.00Shared with chiropractic, osteopathy & other services$350.00Shared with non-PBS medicines, chiropractic, podiatry, exercise physiology, osteopathy & other services$400.00Shared with chiropractic, podiatry, dietetics, exercise physiology, osteopathy & other services$500.00Shared with exercise physiology & other services$900.00sub-limits apply. Shared with orthoptics, occupational therapy & speech therapy$750.00Shared with exercise physiology & other services
Major dental + endodontic limitNot includedNot included$1,250.00Shared with general dental & orthodontic$1,000.00$1,300.00sub-limits apply. Shared with general dental, orthodontic & other services$1,500.00
Psychology included?NoNoNoYesYesYes
Optical waiting period2 months2 months2 months2 months2 months2 months
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

Basic Extras → Value Extras
Both single-policy examples have a $150 optical limit. But Value Extras raises the shared physio limit from $300 to $350.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 stay at 100%, with a $300 optical limit and $750 shared physio limit for the Single-policy example.Compare these benefits with the premium.
Why HIF's shared limits and waiting periods matter

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

How shared limits work

HIF vs. Australian Unity vs. Westfund

How HIF compares with similar hospital policies.

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

Comparing HIF Silver Hospital with Australian Unity Midpoint Hospital (Silver Plus) and Westfund Silver Plus Everyday Hospital. Single · NSW · $500 hospital excess · Silver Plus hospital cover

Change price profile ↑

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

CompareHIFSilver HospitalReference policyAustralian UnityMidpoint Hospital (Silver Plus)$2.88 more a month than HIFWestfundSilver Plus Everyday Hospital$3.23 less a month than HIF
Monthly premium after rebate$150.02/month$152.90/month$146.79/month (lowest price in this row)
CataractsNot includedNot includedNot included
Joint replacementsNot includedNot includedNot included
Pregnancy and birthNot includedNot includedNot included
Hospital psychiatric servicesRestrictedRestrictedRestricted
Heart and vascular systemIncludedIncludedIncluded
Policy detailsView HIF Silver HospitalView Australian Unity Midpoint Hospital (Silver Plus)View Westfund Silver Plus Everyday Hospital

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 HIF Silver Hospital on tier, cataracts and joint replacements. How we choose alternatives

Compare all 38 hospital treatment categories

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

CompareHIFSilver HospitalAustralian UnityMidpoint Hospital (Silver Plus)WestfundSilver Plus Everyday Hospital
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 HIF with cover from every Australian health fund.

Compare all funds

HIF against the industry.

Google

3.1 / 5

149 Google reviews

Voluntary customer reviews · HIF Health Insurance

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

Complaint share is close to market share

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

HIF'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 0%.

Latest quarter, January to March 2026. The Ombudsman referred 3 complaints about Health Insurance Fund of Australia Limited to it to resolve, 0.5% of those it referred about all insurers, and investigated none. Ombudsman Quarterly Update · checked 26 October 2026

App Store

1.6 / 5

38 App Store ratings

HIF App · Health Insurance Fund of Australia Limited (HIF)

Snapshot: 22 October 2026. HIF App is HIF's own app. This rates the app on the Australian App Store, not HIF's cover or claims. This small sample may not reflect the experience of most members.

Google Play

2.2 / 5

113 Google Play reviews

HIF App · HIF Mobile App

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

Check the practical details.

  • Check your provider

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

  • Make or track a claim

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

Contact HIF

For general enquiries, call 1300 134 060. Monday to Friday: 9am to 8pm in the ACT, NSW, Tasmania and Victoria; 8.30am to 7.30pm in SA; 8am to 7pm in Queensland; 7.30am to 6.30pm in the NT; 6am to 5pm in WA.Contact details checked 22 October 2026.Official contact details and messaging options

Before you choose HIF.

Who owns HIF?

HIF 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 HIF hospital policy?

Basic Plus Hospital is the cheapest HIF hospital policy for a single person in NSW with a $500 hospital excess, at $95.00 a month after the 24.118% government rebate for adults under 65 (prices effective 17 September 2026). This compares all 5 HIF 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 Hospital to Silver Hospital?

HIF Silver Hospital adds full cover for heart and vascular system, plastic and reconstructive surgery (medically necessary) and 4 more categories compared with Bronze Plus Hospital. For the Single / NSW / $500 excess example it costs $32.67 more a month, so check what each policy covers before you upgrade.

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

Sources for HIF.

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

I need cover for...