Navy Health was originally established in 1955 for the family members of the Royal Australian Navy. The fund now operates as an independent private insurer providing cover to the wider Navy, Army and Air Force communities.
Navy Health is a restricted fund and a not-for-profit insurer. It’s a member of the Members Health Alliance Fund and all profits are diverted back into the fund to give back more to members.
Nobody chooses to go to hospital. But when you do, appropriate hospital cover will help you get the treatment you need, where and when you want it. It also helps to pay the bills, as fees for hospital rooms and specialists can add up.
Think about what services you’re likely to need, in line with your budget. If you earn over $90,000 individually or $180,000 as a couple, you could avoid paying the Medicare Levy Surcharge.
Navy Health offers four tiers of hospital cover, ranging from Basic Hospital all the way up to Premium Gold Hospital that offers their most comprehensive cover. They can all be combined with one of Navy Health’s extras packages.
This is Navy Health’s budget option. It doesn’t offer anything you wouldn’t already get in a public hospital, but does allow you to avoid the Medicare Levy Surcharge.
Navy Health’s budget cover is aimed at people who are young and health, but still includes a wide range of hospital treatments.
A comprehensive hospital cover policy that includes almost everything except pregnancy and weight loss services, making it suitable for older customers.
Navy Health’s most comprehensive level of hospital cover includes all the major private services such as pregnancy and IVF, making it suitable for service personnel looking to start a family.
Emergency ambulance cover is included in all hospital and extras policies.
From dental, to optical, to chiro and more, extras insurance helps cover the bills for routine treatments with rebates of up to 100%.
While we’ve summarised the key points of each plan below, it’s always worth digging a little deeper into any gap fees, how much you can claim back, and whether your preferred healthcare provider, such as your local dentist, is recognised by the health fund.
Take the time to work out what you need and what you’re prepared to pay. If this feels a bit overwhelming, you can speak to one of our experts.
Navy Health offers 3 tiers of extras cover, from a budget option covering the basic popular services such as dental and optical, through to a premium top-tier option.
Budget Extras offers benefits on the most popular services, making it an appealing value for money option.
Navy Health’s most popular option provides a broader range of cover than Budget Extras and higher benefits on the basics.
The most comprehensive level of cover provides higher benefits and annual limits on all services, as well as extra protections for families.
Waiting periods are there to stop people from signing up, claiming and then cancelling their cover. It means once you take out a new plan, you may have to wait a certain amount of time before receiving your benefit.
When you switch to Navy Health from another provider, you won’t have to re-serve your waiting periods, unless your new policy covers something you didn’t have before or you’ve increased your extras limits.
Funds such as Navy Health that are part of the Members Health Fund Alliance have value-based member driven business models with close to 90% of all premiums returned to policyholders in benefits.
All members also have access to an online wellness portal and a chronic disease management program.
Simply tell the hospital you are a member of a Navy Health policy. Your hospital account will be sent directly to Navy Health for them to assess on your behalf.
You can swipe your membership card to claim directly on the spot with your provider’s HICAPS or iSOFT terminal.
You can also claim via the Navy Health claiming app, claim online through Online Member Services or fill out the claim form and send it via email or mail.
Navy Health has agreements with a large number of hospital and day surgery providers across Australia.
When comparing policies, it’s worth checking if your preferred local hospitals and clinics are covered. Our specialists at Health Insurance Comparison can do this for you.
From 1 January to 31 March 2020, the Private Health Ombudsman received 2 complaints from Navy Health members, making up 0.2% of total complaints. Navy Health has a market share of 0.3%.
Navy Health is a restricted membership fund. It is open to current and past members of the Navy, Army and Air Force and their families.
Our experts can provide you with free personal advice. Let us call you.