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AIA Health Insurance

Reviewed and updated 3 April 2024

About AIA Health Insurance

What is AIA Health Insurance?

AIA Health Insurance (AIA Health) is a private health insurer that operates as an open health fund.

Background

AIA Health Insurance was established in 2017 as a joint venture between AIA Australia (a life insurer), GMHBA (a health insurer) and Discover (a financial services provider).

Up until 2020, it was known as MyOwn.

Who can join AIA Health?

Anyone can join AIA Health because it is an open health fund.

Is AIA Health a not-for-profit health insurer?

No. AIA Health is a for-profit health insurer.

Does AIA Health operate in all Australian states and territories?

Yes. AIA Health operates in all Australian states and territories.

How does AIA Health Hospital Cover compare with other insurers?

Benchmarks	AIA	Industry average
Member retention for Hospital Cover	69.0%	88.6%
% hospital-related charges covered	81.6%	90.6%

Source: Private Health Insurance Ombudsman: State of the Health Funds Report: 2022

Does AIA Health have agreements with some private hospitals or day hospitals to provide services at low cost or with no out-of-pocket costs?

Yes. AIA Health has agreements with a number of private hospitals that allow it to provide services to its members at low cost or with no out-of-pocket costs:

Location	Number of private Agreement Hospitals	Industry maximum
ACT	6	6
NSW	87	98
NT	2	2
QLD	50	60
SA	19	23
TAS	8	9
VIC	71	76
WA	19	24

AIA Health also has agreements with a number of day hospitals so it can provide services at low cost or with no out-of-pocket costs:

Location	Number of day Agreement Hospitals	Industry maximum
ACT	7	9
NSW	82	103
NT	1	2
QLD	42	57
SA	19	30
TAS	3	8
VIC	64	79
WA	18	24

Source: AIA Health Insurance: performance

How does AIA Health Extras Cover compare with other insurers?

Benchmark	AIA	Industry average
% Extras Cover charges covered	47.5%	52.0%

Source: Private Health Insurance Ombudsman: State of the Health Funds Report: 2022

How does AIA Health compare with other private health insurers?

Benchmarks	AIA	Industry average
Market share	0.3%	–
% services with no gap	84.2%	88.8%
% services with no gap or where known gap payment made	95.6%	97.4%
Market share of complaints to the PHIO	1.2%	–
% complaints investigated by the PHIO	2.5%	–
Benefits as a % of contributions	82.8.%	83.1%
Management expenses as a % of contribution income	13.5%	9.9%
Management expenses per average policy	$464	$375

Source: Private Health Insurance Ombudsman: State of the Health Funds Report: 2022

Is AIA Health Insurance a member of any industry associations?

Yes. AIA Health is a member of Private Healthcare Australia (PHA), a body that represents 20 registered health insurers and 97% of people covered by private health insurance.

Does AIA Health let you claim online or via an app?

Yes. AIA Health allows you to make a claim via its online portal.

How to contact AIA Health

Phone:

1800 333 0004

Website:

https://www.aia.com.au/en/individual/health-insurance.html

Email:

Health.MemberServices@aia.com.au

Address:

Level 6
509 St Kilda Road
MELBOURNE VIC 3004

Postal address:

PO Box 7302
MELBOURNE VIC 3004

Compare AIA Health with other private health insurance funds

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AIA Health Insurance

About AIA Health Insurance

What is AIA Health Insurance?

Background

Who can join AIA Health?

Is AIA Health a not-for-profit health insurer?

Does AIA Health operate in all Australian states and territories?

How does AIA Health Hospital Cover compare with other insurers?

Does AIA Health have agreements with some private hospitals or day hospitals to provide services at low cost or with no out-of-pocket costs?

How does AIA Health Extras Cover compare with other insurers?

How does AIA Health compare with other private health insurers?

Is AIA Health Insurance a member of any industry associations?

Does AIA Health let you claim online or via an app?

How to contact AIA Health

Compare AIA Health with other private health insurance funds

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