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Insurer

Phoenix Health Fund

Reviewed and updated 16 March 2024

About Phoenix Health Fund

What is Phoenix Health Fund?

Phoenix Health Fund is a private health insurer that operates as an open health fund

Background

Phoenix Health Fund was established in 1953 in Newcastle to provide hospital cover for employees of Stewarts and Lloyds, a steel tube manufacturer.

As part of the Tubemakers of Australia group, the fund soon expanded to offer insurance to all employees working for the group.

Eventually, Phoenix Health Fund evolved from a restricted to an open fund.

Who can join Phoenix Health Fund?

As Phoenix is now an open fund, anyone can join.

What products does Phoenix Health Fund offer?

Phoenix Health Fund offers:


Do Phoenix Health Fund policies include Ambulance Cover?

Phoenix Health Fund includes ‘medically necessary’ Ambulance Cover with:

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

Is Phoenix Health Fund a not-for-profit health insurer?

Yes. Phoenix is a not-for-profit health insurer.


Does Phoenix Health Fund operate in all Australian states and territories?

Yes. Phoenix Health Fund operates in all Australian states and territories.


How does Phoenix Health Fund Hospital Cover compare with other insurers?

BenchmarksPhoenixIndustry average
Member retention for Hospital Cover85.9%88.6%
% hospital-related charges covered91.9%90.6%

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


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

Yes. Phoenix Health Fund 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:

LocationNumber of private Agreement HospitalsIndustry maximum
ACT56
NSW9598
NT22
QLD4960
SA1923
TAS89
VIC7376
WA2124

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

LocationNumber of day Agreement HospitalsIndustry maximum
ACT89
NSW84103
NT12
QLD4857
SA2430
TAS48
VIC6979
WA2024

Source: Phoenix Health Fund: performance


How does Phoenix Health Fund Extras Cover compare with other insurers?

BenchmarkPhoenixIndustry average
% Extras Cover charges covered54.1%52.0%

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


How does Phoenix Health Fund compare with other private health insurers?

BenchmarksPhoenixIndustry average
Market share0.2%
% services with no gap92.2%88.8%
% services with no gap or where known gap payment made98.4%97.4%
Market share of complaints to the PHIO0.2%
% complaints investigated by the PHIO0.0%
Benefits as a % of contributions82.5%83.1%
Management expenses as a % of contribution income9.6%9.9%
Management expenses per average policy$464$375

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


Is Phoenix Health Fund a member of any industry organisations?

Yes. Phoenix Health Fund 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.

It is also a member of the Members Health Fund Alliance, an alliance of not-for-profit, member-owned, regional or community-based health insurers.


Does Phoenix Health Fund let me claim online or via an app?

Yes. Phoenix Health Fund allows you to make a claim online through Online Member Services or with the Phoenix Health App.


How to contact Phoenix Health Fund

Phone:

1800 028 817

Website:

https://www.phoenixhealthfund.com.au

Email:

enquiries@phoenixhealthfund.com.au

Address:

Suite 1
4 Honeysuckle Drive
NEWCASTLE NSW 2300

Postal address:

PO Box 156
NEWCASTLE NSW 2300


Compare Phoenix with other private health insurers

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