AIA Health Insurance (AIA Health) is a private health insurer that operates as an open health fund.
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.
Anyone can join AIA Health because it is an open health fund.
No. AIA Health is a for-profit health insurer.
Yes. AIA Health operates in all Australian states and territories.
Benchmarks | AIA | Industry average |
Member retention for Hospital Cover | 76.1% | 86.9% |
% hospital-related charges covered | 80.2% | 89.9% |
Source: Private Health Insurance Ombudsman: State of the Health Funds Report 2023
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
Benchmark | AIA | Industry average |
% Extras Cover charges covered | 45.8% | 51.1% |
Source: Private Health Insurance Ombudsman: State of the Health Funds Report 2023
Benchmarks | AIA | Industry average |
Market share | 0.4% | – |
% services with no gap | 84.3% | 88.3% |
% services with no gap or where known gap payment made | 95.2% | 97.2% |
Market share of complaints to the PHIO | 1.3% | 3.1% |
% complaints investigated by the PHIO | 4.9% | 3.1% |
Benefits as a % of contributions | 83.2% | 80.5% |
Management expenses as a % of contribution income | 12.3% | 13.1% |
Management expenses per average policy | $435 | $592 |
Source: Private Health Insurance Ombudsman: State of the Health Funds Report 2023
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.
Yes. AIA Health allows you to make a claim via its online portal.
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
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