Is HIF Health Insurance Worth It? Australian Review 2025
Our expert's review of HIF
HIF (Health Insurance Fund of Australia) stands out for its highly modular approach, letting members combine any hospital and extras plan to tailor coverage for singles, couples, or families. The range is notable: hospital cover spans six levels from Basic Plus (focused on budget and emergencies) up to Gold Top, which covers every Medicare-listed clinical category, including maternity, cardiac, joint replacement and IVF, with hospital excess options up to $750 and no excess for dependants. HIF’s extras policies provide dental, optical, physiotherapy, mental health, complementary therapies and more, with generous annual limits (e.g., $1,500 major dental, $1,000 orthodontics, $300 optical) and access to unique services like global second medical opinions. Unlimited ambulance is always included, an important feature in Australia. Waiting periods respect industry norms (2 months for most, 12 months for pre-existing/pregnancy/major dental). Compared to competitors, HIF’s flexibility and high extras limits are strong differentiators, while exact pricing will depend on member details. HIF suits health-aware singles, couples and families wanting flexibility, high extras, and global support options. As a Perth-based mutual, HIF is longstanding and APRA-regulated, but no Trustpilot score is available. Claims are processed online and via app or HICAPS, with generally fast, straightforward reimbursement.
- ✅Fully modular extras and hospital choice
- ✅All hospital covers include unlimited ambulance
- ✅Generous dental and optical limits (up to $1,500/year)
- ✅No hospital excess for children under 18
- ✅Second medical opinion service on select covers
- ✅Extras for complementary therapies and mental health
- ✅Simple online, app and on-the-spot claiming
- ❌No fixed pricing or premium examples published
- ❌No customer review average score available
- ❌Waiting periods up to 12 months for some benefits
- ❌Certain major services excluded below top tiers
- ❌Benefits not payable for outpatient specialist or non-admitted treatments
- ✅Fully modular extras and hospital choice
- ✅All hospital covers include unlimited ambulance
- ✅Generous dental and optical limits (up to $1,500/year)
- ✅No hospital excess for children under 18
- ✅Second medical opinion service on select covers
- ✅Extras for complementary therapies and mental health
- ✅Simple online, app and on-the-spot claiming
Our expert's review of HIF
- ✅Fully modular extras and hospital choice
- ✅All hospital covers include unlimited ambulance
- ✅Generous dental and optical limits (up to $1,500/year)
- ✅No hospital excess for children under 18
- ✅Second medical opinion service on select covers
- ✅Extras for complementary therapies and mental health
- ✅Simple online, app and on-the-spot claiming
- ❌No fixed pricing or premium examples published
- ❌No customer review average score available
- ❌Waiting periods up to 12 months for some benefits
- ❌Certain major services excluded below top tiers
- ❌Benefits not payable for outpatient specialist or non-admitted treatments
- ✅Fully modular extras and hospital choice
- ✅All hospital covers include unlimited ambulance
- ✅Generous dental and optical limits (up to $1,500/year)
- ✅No hospital excess for children under 18
- ✅Second medical opinion service on select covers
- ✅Extras for complementary therapies and mental health
- ✅Simple online, app and on-the-spot claiming
- What does HIF health insurance cover?
- What is the price of HIF health insurance in 2025?
- Is HIF health insurance accessible to newcomers?
- Does HIF health insurance cover seniors?
- How does the reimbursement work with HIF?
- How to contact HIF health insurance?
- HIF Promo Codes
- FAQ
- On the same topic
Why trust HelloSafe?
Why trust HelloSafe? HelloSafe is a leading international expert in private health insurance, helping over a million users worldwide each month to find the right cover. Our experts have reviewed policies from dozens of insurers in Australia, providing an in-depth analysis of their cover, premiums and quality of service.
What does HIF health insurance cover?
HIF offers modular hospital and extras covers, from Basic Plus (accidents and limited basics) up to Gold Top, which is truly comprehensive. Their extras options scale from Basic to Top, with percentage refunds and generous limits for dental, optical, physiotherapy, and mental health, plus unlimited emergency ambulance across all plans. Notable strengths are flexibility, wellness programs, and premium service options like mental health navigation. However, lower tiers exclude many major procedures, and strict waiting periods or pre-existing condition limits apply. Some natural therapies have restricted cover, and pharmacy is mainly for non-PBS scripts.
Important
for you to easily compare and make your choice, we have added a column with what the public health system reimburses.
Routine medical care
Garantie | Medicare | Basic Plus Hospital / Basic Extras | Silver Plus Hospital / Top Extras |
---|---|---|---|
Médicaments sur ordonnance | par défaut (PBS, co-payment applies) | non couvert | Jusqu'à 400 $/an (non-PBS) Remboursement : 100 % |
Hospitalisation | 100% Standard shared room (public) | 100% (public shared, restricted services) Nombre de jours illimité | 100% (public/private en contrat) Nombre de jours illimité |
Transport ambulancier | par défaut (état/territoire, souvent partiel/limité) | 100% Illimité (emergency + non-emergency, 50 $ co-pay non-urgence) | 100% Illimité (emergency + non-emergency, 50 $ co-pay non-urgence) |
Soins à domicile | par défaut (programmes publics/droits spécifiques restreints) | non couvert | Jusqu'à 500 $ Période : par année |
Analyse de laboratoire | 100% Public et Medicare-eligible labs | non couvert | non couvert |
(PBS, co-payment applies)
Remboursement : 100 %
Standard shared room (public)
Nombre de jours illimité
Nombre de jours illimité
(état/territoire, souvent partiel/limité)
Illimité (emergency + non-emergency, 50 $ co-pay non-urgence)
Illimité (emergency + non-emergency, 50 $ co-pay non-urgence)
(programmes publics/droits spécifiques restreints)
Période : par année
Public et Medicare-eligible labs
Dental care
Garantie | Medicare | Basic Extras | Simple Extras | Essential Extras | Advanced Extras | Top Extras |
---|---|---|---|---|---|---|
Soins dentaires préventifs et courants | par défaut Limitations sur actes, remboursement public | 50% jusqu'à 400 $/an Par an | 60% jusqu'à 600 $/an Par an | 100% jusqu'à 1 250 $ (avec majeurs et ortho) Par an | 100% jusqu'à 1 000 $/an Par an | 100% jusqu'à 1 500 $/an Par an |
Soins dentaires de base | par défaut Consultation, nettoyage, obturations, par an | inclus dans 400 $/an | inclus dans 600 $/an | inclus dans 1 250 $/an Par an | inclus dans 1 000 $/an Par an | inclus dans 1 500 $/an Par an |
Soins dentaires majeurs | par défaut Limité, généralement non remboursé privé | non couvert (hors petits actes si plafond) | non couvert (hors petits actes si plafond) | inclus dans 1 250 $/an Par an | inclus dans 1 000 $/an Par an | jusqu'à 1 500 $/an pour majeurs Par an |
Orthodontie | non couvert Publique rarement, généralement enfants | non couvert | non couvert | 100% jusqu’à 1 250 $ Par an, 12 mois attente | 800 $/an Plafond vie : 2 000 $ | 1 000 $/an Plafond vie : 2 500 $ |
Limitations sur actes, remboursement public
Par an
Par an
Par an
Par an
Par an
Consultation, nettoyage, obturations, par an
Par an
Par an
Par an
Limité, généralement non remboursé privé
Par an
Par an
Par an
Publique rarement, généralement enfants
Par an, 12 mois attente
Plafond vie : 2 000 $
Plafond vie : 2 500 $
Vision care
Garantie | Medicare | Basic Extras | Simple Extras | Value Extras | Essential Extras | Advanced Extras | Top Extras |
---|---|---|---|---|---|---|---|
Lunettes, lentilles, chirurgie | par défaut Limité, enfants/urgences uniquement | 150 $/an 50% remboursé, par an | 200 $/an 60% remboursé, par an | 150 $/an, par an | 200 $/an 100% remboursé, par an | 275 $/an 100% remboursé, par an | 300 $/an 100% remboursé, par an |
Consultation d’un optométriste | 100% Consultation optométriste, fréquence limitée | non couvert | non couvert | non couvert | non couvert | non couvert | non couvert |
Limité, enfants/urgences uniquement
50% remboursé, par an
60% remboursé, par an
100% remboursé, par an
100% remboursé, par an
100% remboursé, par an
Consultation optométriste, fréquence limitée
Specialized and paramedical care
Garantie | Medicare | Basic Extras | Simple Extras | Value Extras | Essential Extras | Advanced Extras | Top Extras |
---|---|---|---|---|---|---|---|
Médecines douces | non couvert Aucun remboursement médecine douce | 50% jusqu'à 300 $/an 2 mois attente | 60% jusqu'à 150 $/an 2 mois attente | 100 $/an Par an, 2 mois attente | Cumulé avec autres selon forfait, voir conditions | 350 $/an 2 mois attente | 500 $/an 2 mois attente |
Psychologue | non couvert Rendez-vous Medicare uniquement | non couvert | non couvert | non couvert | non couvert | 700 $/an 2 mois attente | 700 $/an 2 mois attente |
Orthophonie | non couvert Rendez-vous Medicare uniquement | non couvert | non couvert | non couvert | non couvert | 600 $/an 2 mois attente | 600 $/an 2 mois attente |
Assurance voyage | non couvert Pas de remboursement santé hors pays | non couvert | non couvert | non couvert | non couvert | non couvert | non couvert |
Aucun remboursement médecine douce
2 mois attente
2 mois attente
Par an, 2 mois attente
2 mois attente
2 mois attente
Rendez-vous Medicare uniquement
2 mois attente
2 mois attente
Rendez-vous Medicare uniquement
2 mois attente
2 mois attente
Pas de remboursement santé hors pays
Good to know
Who can join HIF health insurance: * Anyone who lives in Australia * Must be eligible for Medicare * Minimum age to hold a policy is 18 * Dependant children can be covered, often up to the age of 25 if studying full-time. You can add or remove family members (like a partner or children) from your policy at any time. Choose from 4 types of cover to suit your situation: * Single – For one adult. * Couple – For you and your partner. * Single Parent – For one adult and their dependant children. * Family – For two adults and their dependant children.
What is the price of HIF health insurance in 2025?
Type of protection (household composition) | Essential Hospital & Basic Extras | Silver Plus Hospital & Essential Extras | Gold Top Hospital & Top Extras |
---|---|---|---|
Individuelle (1 insured) | Approx. $52/month | Approx. $110/month | Approx. $145/month |
Couple (2 insured) | Approx. $98/month | Approx. $210/month | Approx. $285/month |
Single parent family (1 adult + 2 children) | Approx. $77/month | Approx. $170/month | Approx. $220/month |
Family (2 adults + 2 children) | Approx. $120/month | Approx. $260/month | Approx. $340/month |
*Ces tarifs sont donnés à titre indicatifs. Les primes réelles peuvent différer en fonction de votre situation personnelle et des options choisies.*
👉 Compare the best health insurance offers in Australia for free.Discover the offersIs HIF health insurance accessible to newcomers?
HIF cover is designed for new arrivals, overseas workers, international students and visitors who do not yet have access to Medicare or need private insurance to meet visa conditions or protect against unexpected health issues on arrival in Australia.
- Medical care
Doctor consultations, general practitioner visits, in-hospital medical care. Reimbursement usually up to the Medical Benefits Schedule or a set benefit ceiling per service. - Prescribed care
Reimbursement for medicines on prescription (non-PBS), physiotherapy, and allied health, often up to an annual limit (for example, $200 to $400 per year depending on the extras cover). - Specialist care
Access to specialists, diagnostic tests, and in-hospital treatment for included conditions. Many surgical procedures are covered as inpatient if listed on your formula, with waiting periods. - Emergency dental care
Treatment for acute pain, infection, or trauma—covered within annual sub-limits (for example, $400 to $600 per year). - Medical transport
Unlimited emergency ambulance transport, included under all covers, subject to a small co-payment for non-emergency use (usually $50). - Additional expenses (hospitalisation or death)
Includes daily hospital accommodation, agreed prostheses, in-hospital drugs, and, on some formulas, lump-sum support in the event of death or specific repatriation support.
The policy can generally be arranged for 12 months but can be renewed as required for the duration of your stay. Coverage may exclude treatment outside Australia, and you must meet age and visa criteria (e.g. typically under 65–70 years at joining, specific stay conditions). Waiting periods apply: generally 2 months for most benefits, 12 months for pre-existing conditions, pregnancy and some major treatments. Policies are only valid if you remain legally in Australia and without Medicare.
Coverage Exclusions and Verification
HIF does not cover outpatient services or non-listed treatments; always check your plan to avoid unexpected costs.
Does HIF health insurance cover seniors?
HIF offers accessible health insurance solutions for retirees and those transitioning from group cover to an individual plan. The offer is intended for individuals aged 65 and over, or anyone losing access to a corporate or collective health plan, enabling them to continue with comprehensive protection tailored to later-life needs. The transition from collective to individual cover is designed to be straightforward, with no medical evidence required if the application to join is made within 60 days of the end of the former contract. This ensures continuity of benefits and immediate access to reimbursement, avoiding periods without cover.
Available options allow you to personalise the scope of protection according to your health requirements and budget:
- Basic Plus Hospital: Covers essential hospital care in the event of accidents and select standard treatments; includes emergency ambulance and basic surgeries, with an affordable premium.
- Bronze and Bronze Plus Hospital: Broader hospital coverage for common procedures, select surgeries, and certain diseases, including psychiatric and rehabilitation support (restricted), plus unlimited ambulance transport.
- Silver and Silver Plus Hospital: More comprehensive coverage for a wide scope of inpatient treatments, including cardiac care, diabetes, joint replacements, and additional support programs; excludes maternity and assisted reproduction.
- Gold Top Hospital: Highest level of hospital cover with no exclusions—all treatments listed on the Medicare schedule are included, along with unlimited emergency ambulance and enhanced benefits for chronic or complex needs.
- Basic, Simple, Value, Essential, Advanced, and Top Extras: Modular extras formulas covering general and major dental, optical, physiotherapy, pharmacy, mental health support, hearing aids, and even home nursing or healthy lifestyle benefits, based on the selected tier and specific needs.
- Travel and extended care options: Some covers include medical travel, health management programs, and access to home or in-home care, also responding to new needs after retirement (e.g. diabetes support, home rehabilitation, or hospital-at-home for eligible cases).
HIF Transition Program
The HIF Transition Program allows you to keep your cover level and waiting period credit when converting from a group policy, provided the application is made within the 60-day deadline.
How does the reimbursement work with HIF?
Functionality | Availability | Expert review |
---|---|---|
Online claim submission | ✅ | Submit claims digitally via the HIF website or app for faster processing and reduced paperwork. |
Mobile application | ✅ | Manage your policy, upload receipts, and view entitlements from your smartphone with the HIF mobile app. |
Member portal for reimbursements | ✅ | Track each claim, view benefit limits, and download statements at any time through the secure member portal. |
Benefit simulator | ❌ | No online tool for estimating your upcoming reimbursements; users need to consult cover tables or contact HIF. |
Reimbursement processing time | 48h | Approved online or app claims are generally reimbursed within two business days to your nominated account. |
Add or remove members without fees | ✅ | Changes to family composition (add or remove a member) are free and can be managed online or by phone. |
Phone support with medical professional | ❌ | HIF does not offer direct phone access to a nurse or health professional for medical advice or triage. |
Second medical opinion | ✅ (Top/Silver+) | The HIF Second Opinion service provides eligible members with international medical expert advice on diagnosis or care. |
24/7 travel assistance | ❌ | No dedicated 24/7 travel emergency assistance; travel coverage is limited, especially for overseas incidents. |
How to contact HIF health insurance?
Reason for contact | Contact HIF |
---|---|
I want a health insurance quote 🧾 | Visit the online quote page or call 1300 134 060 (Mon–Fri 6am–5pm AWST, select 'Join/Quotes'). |
I need an insurance certificate 🧾 | Request via your online member account or email [email protected] with policy details. |
I need medical assistance 🩺 | Call 1300 134 060 (Mon–Fri 6am–5pm AWST), choose options for 'hospital or care support' in the menu. |
I want to report an incident or track a claim 🔍 | Log in to your member area or call 1300 134 060, menu 'Claims and Benefits'. |
HIF Promo Codes
HIF promo codes | Details |
---|---|
HelloSafe promo code | -5% Compare now |
Note: Les codes promos sont susceptibles de changer. Pour obtenir les derniers codes promos, rendez-vous sur notre comparatif des meilleures assurances santé.
FAQ
Who can subscribe to HIF health insurance?
You can subscribe to HIF health insurance directly via the HelloSafe comparator for a quick and easy online application process. This allows you to compare plans and choose the best fit for your needs before joining HIF.
Are there any age restrictions with HIF?
HIF generally accepts applicants aged 18 and over. There is no strict upper age limit, but dependent children can remain on family policies up to age 21, or longer for full-time students under specific conditions.
Can you add or remove insured members on HIF?
You can add or remove members like partners or children from your HIF policy at any time. This can typically be done through the online member centre, by phone, or by submitting a change form, with updated premiums and cover details communicated promptly.
What waiting periods are applicable when joining HIF?
Waiting periods apply when first joining or upgrading your cover. Standard hospital waiting periods are 2 months for most services, 12 months for pre-existing conditions and pregnancy, and extras covers include 2-, 6-, or 12-month periods depending on the benefit type.
Are ambulance services included in HIF cover?
Yes, all HIF hospital and extras policies provide unlimited cover for emergency ambulance services Australia-wide, with a $50 co-payment for non-emergency transport. In some states, state-based ambulance schemes may also apply depending on your residence.
What is the process for making a claim with HIF?
You can claim directly at the point of service with most providers using your HIF member card (HICAPS), or submit claims online, through the mobile app, by email, or post. Most benefits are paid directly into your nominated bank account, typically within a few working days.
Who can subscribe to HIF health insurance?
You can subscribe to HIF health insurance directly via the HelloSafe comparator for a quick and easy online application process. This allows you to compare plans and choose the best fit for your needs before joining HIF.
Are there any age restrictions with HIF?
HIF generally accepts applicants aged 18 and over. There is no strict upper age limit, but dependent children can remain on family policies up to age 21, or longer for full-time students under specific conditions.
Can you add or remove insured members on HIF?
You can add or remove members like partners or children from your HIF policy at any time. This can typically be done through the online member centre, by phone, or by submitting a change form, with updated premiums and cover details communicated promptly.
What waiting periods are applicable when joining HIF?
Waiting periods apply when first joining or upgrading your cover. Standard hospital waiting periods are 2 months for most services, 12 months for pre-existing conditions and pregnancy, and extras covers include 2-, 6-, or 12-month periods depending on the benefit type.
Are ambulance services included in HIF cover?
Yes, all HIF hospital and extras policies provide unlimited cover for emergency ambulance services Australia-wide, with a $50 co-payment for non-emergency transport. In some states, state-based ambulance schemes may also apply depending on your residence.
What is the process for making a claim with HIF?
You can claim directly at the point of service with most providers using your HIF member card (HICAPS), or submit claims online, through the mobile app, by email, or post. Most benefits are paid directly into your nominated bank account, typically within a few working days.