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Insurer

onemedifund

Reviewed and updated 16 March 2024

About onemedifund

What is onemedifund?

onemedifund is a private health insurer that operates as an open health fund

Background

In 2007, not-for-profit insurer Peoplecare helped establish National Health Benefits Australia Pty Ltd, which trades under the brand onemedifund. Peoplecare manages onemedifund on behalf of its parent company.

Who can join onemedifund?

Anyone can join onemedifund because it is an open health fund.

What products does onemedifund offer?

onemedifund offers:

Do onemedifund policies include Ambulance Cover?

onemedifund includes emergency Ambulance Cover with:

  • Hospital Cover
  • Extras Cover
  • Combined Hospital and Extras Cover.

Is onemedifund a not-for-profit health insurer?

No. onemedifund is a for-profit health insurer.


Does onemedifund operate in all Australian states and territories?

Yes. onemedifund operates in all Australian states and territories.


How does onemedifund Hospital Cover compare with other insurers?

BenchmarksonemedifundIndustry average
Member retention for Hospital Cover93.6%88.6%
% hospital-related charges covered93.2%90.6%

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


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

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

LocationNumber of private Agreement HospitalsIndustry maximum
ACT56
NSW9798
NT22
QLD5160
SA2023
TAS59
VIC7476
WA2224

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

LocationNumber of day Agreement HospitalsIndustry maximum
ACT89
NSW87103
NT12
QLD4857
SA2530
TAS68
VIC6779
WA1924

Source: onemedifund: performance


How does onemedifund Extras Cover compare with other insurers?

BenchmarkonemedifundIndustry average
% of Extras Cover charges covered51.0%52.0%

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


How does onemedifund compare with other private health insurers?

BenchmarksonemedifundIndustry average
Market share0.1%
% of services with no gap90.1%88.8%
% of services with no gap or where known gap payment made97.8%97.4%
Market share of complaints to the PHIO0.0%
% complaints investigated by the PHIO0.0%
Benefits as a % of contributions75.7%83.1%
Management expenses as a % of contribution income9.7%9.9%
Management expenses per average policy$603$375

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


Is onemedifund a member of any industry organisations?

No. onemedifund is not a member of any industry organisations.


Does onemedifund let me claim online or via an app?

Yes. onemedifund allows you to make a claim through the onemedifund app or online. You can also claim on the spot through the HICAPS payment system at your provider. 


How to contact onemedifund

Phone:

1800 148 626

Website:

https://www.onemedifund.com.au/ 

Email:

info@onemedifund.com.au

Address:

The ‘Precinct’
Level 6
10 Herb Elliot Avenue
SYDNEY OLYMPIC PARK NSW 2127

Postal address:

Locked Bag 25
WOLLONGONG NSW 2500 


Compare onemedifund with other private health insurers

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