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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.

Phoenix Health insurance

Is it a good health insurer?

Phoenix Health has 6 hospital policies and 1 extras policy in our comparison, from $97.56 a month for hospital cover (Single · NSW · $500 hospital excess, after rebate).

Issued by Phoenix Health Fund Limited. Hospital, extras or both.

Explore 6 hospital products and 1 extras product, or find cover by treatment. Sources for Phoenix Health

Reviewed, Edited and Designed by

Grace Connolly

Created with AI assistance

Our editorial process

Page updated 27 October 2026 · Prices effective 14 September 2026

I need cover for…

Compare cover across all Australian health funds.

Phoenix Health cover: the main choices.

For sleep studies

Silver Plus Advantage Hospital does not fully cover sleep studies. Check the hospital cover for exclusions and restricted benefits before choosing.

Compare hospital inclusions

Compare the cover, not just the premium

Compare Silver Plus Support Hospital with Bupa and Medibank before choosing on price. Their cover differs for palliative care.

Compare selected alternatives

Before you pay for Silver Plus

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

Compare hospital inclusions

Phoenix Health policies and example prices.

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

Compare my options

Hospital cover

6 product lines

Phoenix Health hospital policies: monthly example premiums after rebate for Single · NSW · $500 hospital excess
TierProductMonthly premium after rebate
BasicBasic Accident Only Hospital$80.13/monthat $750 excess
BronzeBronze Hospital$97.56/month
Bronze PlusBronze Plus Essentials Hospital$101.18/month
Silver PlusSilver Plus Support Hospital$129.78/month
Silver PlusSilver Plus Advantage Hospital$189.61/month
Silver PlusSilver Plus Family Hospital$254.43/month
$28.60 more per month for Silver Plus Support Hospital versus Bronze Plus Essentials Hospital after rebate for the selected example profile.
Back, neck and spine is an additional inclusion, not the complete list of differences.

Extras cover

1 product line

Phoenix Health extras policies: monthly example premiums after rebate for Single in NSW, with no hospital excess
ProductMonthly premium after rebate
Kick Start Extras 50$30.94/month

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

All Phoenix Health policy pages

Phoenix Health joining offer

Current offer

Get 1 month free

New members get 1 month free when they join Phoenix Health directly, on its website or by phone. The offer covers hospital-only and combined hospital and extras policies. It ends on 30 June 2027. The second month of membership is free, once the first month of premiums has been paid.

For new members who join Phoenix Health directly on an eligible hospital-only or combined hospital and extras policy. Former members qualify only after at least 6 months away from Phoenix Health.

Ends 30 June 2027

Offer terms

Offer information checked: 27 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.

Phoenix Health eligibility and offer terms

The terms name only joining directly via the website or over the phone. Eligibility and other conditions apply.

Join directly on Phoenix Health's website or by phone, on an eligible hospital-only or combined hospital and extras policy. The terms do not name extras-only cover.

The offer ends on 30 June 2027. Applications received after 11.59pm (AEST) that day may not qualify.

The free month is applied after at least one month of premiums has been paid. Fortnightly payers get the 3rd and 4th fortnights free.

Cancelling in the 30-day cooling-off period means no free month. Phoenix Health may take back the free month if the policy is cancelled within 6 months, or suspended or cancelled by Phoenix Health within 3 months.

Current members, Phoenix Health staff and their immediate family cannot take the offer, nor can Board Members. One free month is allowed per member or membership, ever.

The offer cannot be combined with any other offer or promotion. Phoenix Health may cancel or extend it at any time.

What does Phoenix Health hospital insurance cover?

1 Phoenix Health hospital policy fully covers cataracts

TierProductMonthly premium after rebate
Silver PlusSilver Plus Advantage Hospital$189.61/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 6 hospital policies

Selected Phoenix Health treatment categories.

TreatmentBasic Accident Only HospitalBasicBronze HospitalBronzeBronze Plus Essentials HospitalBronze PlusSilver Plus Support HospitalSilver PlusSilver Plus Advantage HospitalSilver PlusSilver Plus Family HospitalSilver Plus
CataractsNot includedNot includedNot includedNot includedIncludedNot included
Joint replacementsNot includedNot includedNot includedNot includedIncludedNot included
Heart and vascular systemNot includedNot includedNot includedIncludedIncludedIncluded
Pregnancy and birthNot includedNot includedNot includedNot includedNot includedIncluded
Assisted reproductive servicesNot includedNot includedNot includedNot includedNot includedIncluded
Hospital psychiatric servicesRestrictedRestrictedRestrictedRestrictedRestrictedRestricted
Sleep studiesNot includedNot includedNot includedIncludedNot includedNot included
Palliative careRestrictedRestrictedRestrictedRestrictedIncludedIncluded
Back, neck and spineNot includedNot includedNot includedIncludedIncludedIncluded
Implantation of hearing devicesNot includedNot includedNot includedIncludedIncludedIncluded
Plastic and reconstructive surgery (medically necessary)Not includedNot includedNot includedIncludedIncludedIncluded
Podiatric surgery (provided by a registered podiatric surgeon)Not includedNot includedNot includedIncludedIncludedIncluded

What the Phoenix Health extras policy pays back.

Phoenix Health extras limits per 12 months unless the statement says otherwise

Selected benefitKick Start Extras 50
Optical / physio benefit examplesOptical: Not included. Physio: 50% of eligible charge
Optical limitNot included
Physiotherapy limit$200.00within a $400.00 shared limit. Shared with chiropractic, acupuncture, remedial massage, exercise physiology & osteopathy
Major dental + endodontic limitNot included
Psychology included?No
Optical waiting periodNot included
Source statementSingle-policy example

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

About these examples

Why Phoenix Health's shared limits and waiting periods matter

Phoenix Health vs. Bupa vs. Medibank

How Phoenix Health compares with similar hospital policies.

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

Comparing Phoenix Health Silver Plus Support Hospital with Bupa Silver Plus Classic Hospital and Medibank Silver Plus Core. Single · NSW · $500 hospital excess · Silver Plus hospital cover

Change price profile ↑

Phoenix Health and selected alternatives: monthly prices and verified coverage differences.

ComparePhoenix HealthSilver Plus Support HospitalReference policyBupaSilver Plus Classic Hospital$4.72 more a month than Phoenix HealthMedibankSilver Plus Core$8.29 more a month than Phoenix Health
Monthly premium after rebate$129.78/month (lowest price in this row)$134.50/month$138.07/month
Palliative careRestrictedIncluded (best cover in this row)Included (best cover in this row)
CataractsNot includedNot includedNot included
Joint replacementsNot includedNot includedNot included
Pregnancy and birthNot includedNot includedNot included
Hospital psychiatric servicesRestrictedRestrictedRestricted
Policy detailsView Phoenix Health Silver Plus Support HospitalView Bupa Silver Plus Classic HospitalView Medibank Silver Plus Core

Price assumptions

What the differences mean for you

Different policies can come with different treatment benefits. Check whether these differences matter for the cover you need.

  • Palliative care: included with Bupa and Medibank; restricted with Phoenix Health.

These alternatives match Phoenix Health Silver Plus Support Hospital on tier, cataracts and joint replacements. How we choose alternatives

Compare all 38 hospital treatment categories

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

ComparePhoenix HealthSilver Plus Support HospitalBupaSilver Plus Classic HospitalMedibankSilver Plus Core
RehabilitationRestrictedRestrictedRestricted
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 careRestrictedIncludedIncluded
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 Phoenix Health with cover from every Australian health fund.

Compare all funds

Phoenix Health against the industry.

  • Phoenix Health members had no gap on 90.2% of in-hospital medical services in the 2024-25 financial year, against 87.1% across the industry. State of the Health Funds Report 2024-25 · accessed 26 October 2026

  • Phoenix Health paid 53.6% of members' extras (general treatment) charges in the 2024-25 financial year, against 50.7% across the industry. State of the Health Funds Report 2024-25 · accessed 26 October 2026

  • Phoenix Health increased premiums by an average of 2.95% in 2026, against 4.41% across the industry. Government premium-increase figures · accessed 23 October 2026

Complaint share is close to market share

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

Phoenix Health'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 0.9%.

Latest quarter, January to March 2026. The Ombudsman referred no complaints about Phoenix Health Fund Limited to it and investigated none. Ombudsman Quarterly Update · checked 26 October 2026

App Store

1.5 / 5

53 App Store ratings

Phoenix Health Mobile App · Phoenix Health Fund Limited

Snapshot: 23 October 2026. Phoenix Health Mobile App is Phoenix Health's own app. This rates the app on the Australian App Store, not Phoenix Health's cover or claims. This small sample may not reflect the experience of most members.

Google Play

2.1 / 5

45 Google Play reviews

Phoenix Health Mobile Claims app · Phoenix Health Fund

Snapshot: 23 October 2026. Phoenix Health Mobile Claims is Phoenix Health's own app. This rates the app on Google Play, not Phoenix Health's cover or claims. This small sample may not reflect the experience of most members.

Check the practical details.

  • Check your provider

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

  • Make or track a claim

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

Contact Phoenix Health

For general enquiries, call 1800 028 817. Monday to Friday, 8.30am to 5pm AEDT.Contact details checked 23 October 2026.Official contact details and messaging options

Before you choose Phoenix Health.

Who owns Phoenix Health?

Phoenix Health 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 23 October 2026.

Can younger adults get a discount with Phoenix Health?

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

Source: Phoenix Health fund rules, checked 27 October 2026.

What is the cheapest Phoenix Health hospital policy?

Bronze Hospital is the cheapest Phoenix Health hospital policy for a single person in NSW with a $500 hospital excess, at $97.56 a month after the 24.118% government rebate for adults under 65 (prices effective 14 September 2026). This compares all 6 Phoenix Health 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 Essentials Hospital to Silver Plus Support Hospital?

Phoenix Health Silver Plus Support Hospital adds cover for heart and vascular system, implantation of hearing devices and 4 more categories compared with Bronze Plus Essentials Hospital. For the Single / NSW / $500 excess example it costs $28.60 more a month, so check what each policy covers before you upgrade.

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

Sources for Phoenix Health.

Policy information retrieved 26 October 2026. Prices effective 14 September 2026.

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