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Long time members
As long time members we cannot understand these poor reviews, are the reviewers just not doing things right?
We have never ever had any issues on any claims we have made.No red tape and seamless claiming.
1 comment
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Whitney FPerth
- Verified customer
Easy to navigate with the best value
I spent about three weeks researching all the different health insurance funds trying to find what was best for me and HIF had by far the easiest website to navigate in terms of picking exactly what I wanted and seeing what I was getting, which was my number one reason for picking them. The fact that they were also the most competitive in terms of price for my level of cover was icing on the cake. The sign up process was a breeze, the customer service so far has been excellent, and the blog on their site has some great articles.
Happy to recommend HIF to friends and family.
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Whitney,
Thank you for your review, that’s wonderful to hear! I really appreciate you taking the time to share such terrific feedback; and as HIF’s Digital Manager, your comments about our webs... Read more
ite were particularly great to read. I’m so glad that you’re enjoying our blog too. :)
Similar opinion? Write a review on ieatwords.com.au!
qswhMelbourne, VIC
- Verified customer
Unethical company causing clients' death.
They denied the claim when my mom, as their client, was facing death in hospital.
Their claim process is slow and tedious. And they'll find any excuse to deny the claim. In my parent's case, pre-existing rule. They just say my mom's stomach-ache, controlled by medicine, 9 months earlier when my mom was diagnosed as gastric cancer, ignoring the fact that there were nearly half an year during this period that my mom didn't have any discomfort of her stomach. Their initial assessment contains various incorrect facts that I found out later. Howe...Read more
ver, they insist on their initial conclusion regardlessly, which is, having stomach ache 2 weeks before the policy started is the first sign of gastric cancer 9 months after. To all their clients, imagine if you have headache, cough, body sore, any kind of discomfort in your medical record before you're with HIF, you might be rejected claim when you desperately need it in the end. And if you think you can dispute, you're wrong. I asked HIF to provide specific medical evidence for the association between stomach ache and cancer, HIF just responded that they have followed correct process for assessment and will provide no further assistance. And if you think PHIO might help you out, you're wrong again. PHIO won't even bother to have an independent medical review for you. They'll just ask HIF to assess again. So at last, you think you can sue HIF? Sorry mate, I was told my total legal cost might end up $60-80k if I lost, so the lawyer suggested me to just give up for a $20k claim.4 comments
HIF A.HIF (Health Insurance Fund)
Dear qswh,
As discussed in length both on the phone and by email, we are deeply sympathetic to your situation. However, we have already conducted a full investigation into this matter, as did our ind... Read more
ependent medical assessor and the Private Health Insurance Ombudsman (PHIO); both of whom confirmed that your mother's condition existed prior to her joining HIF."while we understand that not everyone who purchases health cover is knowingly unwell (or intentionally plans to make a claim and then leave), there's simply no way for us to know. That's why the PEC ... Read more
rule is applied to private hospital insurance policies for the first 12 months of cover, and it applies to all members equally." ----Exactly right, that's why I want to warn any of your new members or members who need to upgrade. Because you guys apply PEC for my mom's case to the earliest minor stomach ache (stopped for nearly half an year) she had as sign of her stomach cancer 9 months later. With no other medical evidence, you just concluded to reject claim based on that. I have my sympathy on your ongoing 'loyal' members to be honest. They might be bullied the same way as my mom in the name of your protection to other 'loyal' members.HIF A.HIF (Health Insurance Fund)
I’m sorry, qswh, but we have already provided you with all the information we can.
I do understand that you are frustrated by this outcome and I truly sympathise with your situation; but as discusse... Read more
d on multiple occasions now, there’s no further action we can take.Similar opinion? Write a review on ieatwords.com.au!
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KelsPerth
Worst health fund in Australia!!
I joined this health fund on the recommendation of my husband. However since joining we have had nothing but issues. Our payments aren't allocated even though they are sitting in HIF's account meaning that each time we try to claim it has been declined. Disgraceful!!
Worst health insurance fund I've ever had to deal with! If looking for a fund this would have to be the last one you should choose! My biggest regret would have to be leaving my previous fund, HIF are terrible!!!
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Kels,
Thank you for providing this feedback and please accept my apologies for your experience so far, this is certainly not how we want our members to feel.... Read more
I'd like to investigate this further if I may, so please email your member number to [email protected] and I'll review your membership immediately. Thanks and kind regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
No help as soon as you have a real issue
Been with them for years. First time I had a policy issue basically said too bad can't help you and then try to pretend the govt rebate is a discount from them
1 comment
HIF A.HIF (Health Insurance Fund)
Hi John.
I'm very sorry to learn that you've had a policy issue recently, and I'd like to investigate this further if I may. Please email your HIF member number to [email protected], then I can disc... Read more
uss your review with our Customer Experience Manager and ensure they get in touch with you to follow up.Similar opinion? Write a review on ieatwords.com.au!
Real people and compassionate decision making
Just wanted to share a recent positive experience. I had a accident and I needed to go in for follow up surgery 9 months down the track. The emergency side of things was sorted in the public system but the wait time for for the follow up in the public system was 12 months plus. Private was 4 weeks.
HIF rang me after the private hospital contacted them for some more info. The person on the phone indicated that the level of cover I had may not cover the procedure at all and she would check with her manager. I franticly downloaded the PDS to f...Read more
ormulate an argument if they denied the claim. The PDS was clear and in plain language and it was clear that the procedure would not be covered (fair enough as I had the cheapest, crappiest cover available). To my surprise they rang back and had made the decision to cover the operation. In my experience this is unheard of and I deeply appreciate the decision. This shows to me that they see their customers as people and not policies. I will be a HIF customer for life and will be recommending. Thanks1 comment
HIF A.HIF (Health Insurance Fund)
Hello Nick,
Thank you for taking the time to share this review! I was very sorry to learn of your accident, but I'm delighted that HIF was able to help you get back on your feet. ... Read more
As a not-for-profit, member-owned health fund, we always strive to provide the very best service to our customers; and I'm glad that in your case, we were able to make the experience less painful in the financial sense. I hope you're recovering well now, Nick, and if I can ever be of assistance in the future please don't hesitate to get in touch. You can email me any time on [email protected]. Thanks and best wishes, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
FastbossSouth East Queensland, QLD
- 3 reviews
- 4 likes
- Verified customer
Very difficult claims procedure
We have had to claim three times with HIF and each time the process was difficult and they required extra forms and information that had in some cases already been provided. We had to make a separate trip to the GP that referred my wife to the hospital and have the GP sign forms and we had to go back to the hospital and have them sign other forms. Now on the 3rd time claiming they need more forms from the hospital that we have to get ourselves and forward to them. I would not recommend HIF.
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Fastboss,
Thanks for getting in touch and providing this feedback today. It's disappointing to learn that you've not had a great claiming experience so far, and I'd like to investigate this further if I may. ... Read more
Please can you email your name and member number to [email protected], then I can review your recent claims with our Customer Experience Manager and find out what has been causing the additional legwork for you. You are also welcome to contact me directly if you have other queries or need assistance in the future. Thanks and warm regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
- Verified customer
Excellent Customer Service
I'm still yet to use their services if I ever need to. But during the signing up process, there was a little hiccup which needed to be resolved asap to complete my 457 Visa Application. Their Customer Service dealt with it fast and effectively.
That is the kind or service you look for when moving to a new country and search for a health insurance cover. And in the midst of some bad reviews I read here, which were left as is even after the matter was resolved. I just wanted to provide my input.
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Antonio,
Thank you for sharing this wonderful review! I'm delighted to welcome you as a new HIF member, and I hope you have a brilliant time 'Down Under'.... Read more
If I can ever be of assistance in the future, please don't hesitate to ask. You can contact me directly by emailing [email protected] Warm regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
MincoSydney
- 2 reviews
- 1 like
- Verified customer
Absolutely terrible service!
They debited the premium from my bank account but they denied it, and no refund is made after membership cancellation.
3 comments
HIF A.HIF (Health Insurance Fund)
Hello Minco,
I've never heard of this happening before as our system automatically refunds any monies owing to a member as soon as their policy is cancelled. ... Read more
I'd like to investigate this matter for you so please email your full name and HIF member number to [email protected]. As soon as I have that information, I’ll review your concerns with our Customer Service Manager and then we’ll get in touch with you again to follow up. Thanks and kind regards, Nikki Dale (Digital Manager)Name: Minh Cong Hoang
Receipt number: HIF3950800
HIF A.HIF (Health Insurance Fund)
Hello Minh.
As promised, I have followed this up now and can confirm that your refund has been processed.... Read more
A member of our team tried to phone you today to reassure you that the money is on its way, but there was no answer unfortunately so they've sent you an email instead. I hope that helps, but if you need further assistance please don't hesitate to email me any time on [email protected]. Thanks, NikkiSimilar opinion? Write a review on ieatwords.com.au!
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Andrew McPerth, Western Australia
- 2 reviews
Quick and No Fuss
April 2015, had a leg infection sprung on me while holidaying in Queensland. Now very recently been slugged a $1,100 bill by the Queensland Ambos, but however, due to some demonstration of incompetence by QLD government, they stuffed up my postal address and given that I never received an account from them, deferred me to the debit collectors.
While the debit collectors had also used the incorrect postal address, was by pure luck had a postie who had some brains and sent it to my actual address, and while after some choice words were yelled...Read more
out while recovering from a case of bill-shock, sourced the bill and paid the debit collectors after complaining in writing that some idiot stuffed my postal address up. Any who, sent the whole lot to HIF to get the money reimbursed, 5 days later the money is sitting in my bank account. No kicking and screaming, no incorrect address used saga, no filing cabinets worth of documents like other insurance would've (like that travel insurer that I used). I would strongly recommend HIF to anybody.1 comment
HIF A.HIF (Health Insurance Fund)
Hello Andrew,
Thank you so much for taking the time to share this review. I hope your leg is all better now, and I'm delighted that we could ease the pain regarding your ambulance claim! ... Read more
If you ever have membership queries or need assistance in the future please don't hesitate to get in touch. You can contact me any time on [email protected]. Warm regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
John BarkerMelbourne
- 3 reviews
- 1 like
- Verified customer
Once again First Class Service
I have been with HIF for around 18 months, my first claim was for my Wife who spent 13 days in a Private Hospital
and we could not have had a better quick resolution. This time, off overseas. we had numerous injections and HIF picked up the bill for over half of the cost, sent in the receipts and 4 days later received a cheque, service does not get any better. Excellent Service.
1 comment
HIF A.HIF (Health Insurance Fund)
Hello John,
Thank you very much for sharing this review, we really appreciate your feedback and I'll be sure to share your wonderful comments with our Claims Department. ... Read more
I hope you had a fantastic trip overseas, and all the best for 2016. Warm regards, Nikki Dale (HIF Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
Jen M
- 2 reviews
Wonderful Customer Service and no fuss hospital claim
In December 2015 I broke my hand and had to have surgery. I only joined HIF in July 2015 and was worried about the claims process etc. It was so simple and all of the surgeons accounts were paid directly and I had no surprise out of pocket costs just the excess which i was told about beforehand. I very happy as i changed over from Medibank which was a large fund. I dealt with Wendy in the claims, she was very efficient and lovely to deal with!
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Jen,
Thank you for taking the time to share this wonderful feedback! I will ensure a copy is passed on to Wendy in a moment, and also to her manager for commendation.... Read more
I hope your hand is recovering well, and if you ever have membership queries or need assistance in the future please don't hesitate to get in touch. You can contact me any time on [email protected]. Kindest regards, Nikki Dale (HIF Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
Peace of mind!
I have needed to be hospitalised 3 times within a 12 month period as a result of surgery & complications. It was peace of mind knowing HIF took care of the related costs involved with ease & friendly customer service. Thanks HIF.
1 comment
HIF A.HIF (Health Insurance Fund)
Hi Helen,
What lovely feedback to receive - thank you! I'm sorry to hear that you've spent so much time in hospital this year though, I hope you're recovering well and feeling much better now.... Read more
If you ever have queries or need assistance with your HIF policy in the future, please don't hesitate to chat with me directly. You can email me any time on [email protected]. In the meantime, I will share your message with the whole team here as they love to read positive reviews like this. :) Thanks and warm regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
great service
Very good service provider. Great communication with customers and great value. Staff are very helpful and website is easy to use and informative.
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Lisa,
Thank you for taking the time to share this wonderful feedback. We love to hear from happy HIF members and I'll ensure your comments are passed on to our whole team here.... Read more
If you ever need assistance in the future or you have a query about your HIF policy, please don't hesitate to get in touch. You can contact me directly on [email protected]. Kind regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
Beendoneperth
Very Dissappointing and confusing
Have been HIF member for over 15 years. I recently received a flyer from them re their optical benefits.
One simple optical limit
We have done away with all those confusing sublimits for optical benefits. Instead there's just one annual limit per person so you can claim 100% of eligible optical fees up to that limit
Sounds good don't it?
My husbands glasses came to $275.71
My came to $275.71
Great I thought $325 was our limit each so we should not have any out of pocket expenses.
Unfortunately this was not the case.
I had a gap of $44 for muticoating and UV coating and my husband had a gap of $102 for muticoating.
...Read more
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Beendone,
Thank you for sharing this feedback and please accept my sincerest apologies for your experience on this occasion, it's certainly not how we like our members to feel.... Read more
Regarding optical multi-coating and UV coating, unfortunately we cannot pay a benefit on that as it isn't part of the prescription, and therefore isn't included in what HIF considers to be an "eligible optical fee" (as stated on the flyer you received). These conditions are also reiterated on the Optical Benefits page on our website (hif.com.au/optical) and in our Product Disclosure Statement (hif.com.au/pds), where we state: "Benefits are paid on the supply of frames and/or lenses, by a registered optometrist or optical provider, recognised by HIF. Benefits are not paid on non-prescription safety glasses, protective glasses, sunglasses, cosmetic glasses or cosmetic contact lenses, lens additions such as tinting or coating, fitting and adjustment fees (such as the fitting of new lenses to existing frames), or frames not purchased via a registered Australian optical provider." I’m sorry if you feel the details weren’t clear enough on the leaflet though, and I hope you'll reconsider leaving HIF as a result of this incident. On that note, I would like to investigate this further for you if possible, and also refer it on to our Member Experience Manager for review and follow up, so please could email your full name and member number to me on [email protected] In the meantime, please rest assured that our SmartClaim app can definitely be used on an iPad. Again, sincere apologies for the vague response you received to that query, I'll ensure that is clarified with all staff immediately. Thanks and kind regards, Nikki Dale (Digital Manager).Similar opinion? Write a review on ieatwords.com.au!
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MG
- 4 reviews
- 6 likes
Great Fund that I am happy to recommend!
Since I became a member in March thoughI have nothing but positive things to say about HIF...I submit claims using their app and a week later the refund is in my bank! I have also been very impressed with the amount they reimburse which seems to be significantly higher than other funds. I have been telling everyone I know to make the switch to HIF :)
2 comments
HIF A.HIF (Health Insurance Fund)
Hello MG,
Thank you for sharing this wonderful feedback. It's always lovely to hear from happy members and I'm delighted to hear that you're encouraging others to join HIF too. Please also remind the... Read more
m to put your name down as the referrer if they do choose to sign up, as we can then send you a $70 Eftpos reward card for each new member you send our way. :)That's great to know about the reward card, thanks Nikki!
Similar opinion? Write a review on ieatwords.com.au!
Super easy mobile app claiming
I couldn't be happier with how easy it was to claim on my recent glasses purchase. Click, click, click to take some photos of the receipt with my phone, and a few days later the rebate is in my account with no fuss. Thanks :)
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Emma,
Thank you very much for taking the time to share this feedback, I'm delighted to hear that you've enjoyed using our SmartClaim mobile app. I hope your were happy with your optical rebate too. :)... Read more
If you ever have a query regarding your HIF policy, please don't hesitate to get in touch. You can contact me directly any time by emailing [email protected]. Thanks and warm regards, Nikki Dale (Digital Manager)Similar opinion? Write a review on ieatwords.com.au!
RonSydney
- 17 reviews
Get real HIF! Can only claim $240 out of $1400 limit?!
My mother requires a new denture. We’ve been told she can’t claim as she’s already claimed $240 to repair the old one within the last 2 years (despite the fact that the actual limit is set at $1400) you can only claim once per 2 years for denture regardless of the amount claim! That sounds absolutely ridiculous to me. What if you need to go back for more repair or adjustment or even a new one?! You need to wait for another 2 years?! Get real HIF!
1 comment
HIF A.HIF (Health Insurance Fund)
Hello Ron,
Thank you for sharing this feedback, and please accept my sincere apologies for your experience on this occasion. Member claims for Extras services (like optical) are usually paid within f... Read more
ive working days, so I'm not sure what's happened in this instance but I'd like to investigate further if possible, just to ensure it doesn't happen again.Similar opinion? Write a review on ieatwords.com.au!
AntsPerth, WA
- 5 reviews
No GAP cover on Specialits/Surgeons
Low premium = Huge out of pockets. The dentist cover and low $200 hospital excess may rope you in.
Mortified to be refunded $640 by HIF after a $9,500 Rhinoplasty Surgery that was not elective surgury!
In my instance Medicare will pay you out to their Schedulde and then HIF will ONLY pay out the balance of the capped Medicare Schedule amount (Which appears to be undercut on some items in my claim too). There was absolutely no GAP cover for the additional amount my Surgeon charged on top of the Medicare schedule.
To add insult to in...Read more
jury it took HIF 7 weeks to pay. Phone call not returned on follow up. I find their website very misleading, it has a page which states "Find a AccessGap Specialist" with a search tool. So you search your Specialist and bingo they come up - success. BUT the terms below the box says "Even if your Dr appears that doesn't guarantee they participate". What's the point of the search box?http://www.hif.com.au/health-insurance/hospital-cover/accessgap-specialists.aspx?fullwebsite=11 comment
HIF A.HIF (Health Insurance Fund)
Hi Ants,
Thank you for your review, and please accept my sincerest apologies for the disappointment caused on this occasion.... Read more
With regards to your Rhinoplasty Surgery, I completely understand your frustration; however it is important to note that the out of pocket expenses incurred are primarily due to the charge raised by your surgeon as opposed to HIF. To clarify, the $640 paid is based on the Government’s Medicare Benefit Schedule (MBS), which is used to determine the amounts that Medicare define to be a fair charge by a doctor or specialist. Based on the MBS, Medicare pay 75% of the doctors’ fee up to the pre-defined limit, then your HIF hospital insurance policy will cover the rest (which HIF did). In this instance, it appears that your specialist has charged above the MBS, which is why you have incurred these out of pocket expenses. In terms of Gap Cover, HIF’s AccessGap arrangement is designed to minimise or eliminate out of pocket expenses; however like most gap cover arrangements surgeons can nominate to opt in or out depending on the patient they’re treating. For this reason, we always advise our members to send an itemised estimate from your doctor to us, so we can provide an accurate estimate on the amount that HIF can contribute prior to having any surgery. I understand that you did attempt to contact HIF to obtain this, so I can only offer my heartfelt apologises for this and assure you that I will investigate this further. To do this, please can you send your name and membership number direct to me on [email protected] and I’ll ensure our phone records are followed up for review? With regards to the “Find an AccessGap Doctor or Specialist” page on our website, this search functionality is provided to HIF by the Australian Health Service Alliance (AHSA) and is there to inform our members of doctors who have previously participated or have indicated their intention to participate in Access Gap Cover, as well as those who have agreed to alternative no gap arrangements. As I mentioned above though, Doctors can opt in and out of Access Gap on a patient by patient basis. I am truly sorry that this has caused such confusion; however this information is detailed on the webpage as well as the “Ask your doctor” questions below: 1. Would you treat me under my fund's Access Gap Cover arrangements? 2. Will I incur any personal out of pocket expenses for my treatment and if so, can you give me a written estimate of how much? 3. Will any assisting doctors also use Access Gap Cover? 4. Are you prepared to send the bill to my fund directly, so that they can claim my Medicare benefit on my behalf and send the payment back to you? Once again Ants, I sincerely regret the negative experience you’ve encountered; however I hope I’ve helped to provide some clarification above. I’ll wait to receive your membership details to follow up on your phone call, however if you’d like to speak to our Customer Experience Manager in the interim, please let me know and I’ll happily arrange for him to call you at a time that suits. Warm regards, Molly (Digital Consultant)Similar opinion? Write a review on ieatwords.com.au!
Great!
I've been with hif for many years and found them to be very helpful and have never had a problem with the staff.
Sure sometimes things take time ie claims but what about other companies I'm sure they would be the same if not worse
I've had lots of surgeries and never had any problems when dealing with hif and have recommended them with highest regard to all my friends. Some doctors in perth over charge that's why you end up with a bill you just have to check before you commit and that's not hif fault. So far I'm delighted with their customer service and intend staying with them
2 comments
HIF A.HIF (Health Insurance Fund)
Hello Natalie,
Thank you very much for this wonderful feedback! I'm delighted to hear that you're a happy HIF member and I'll share your review with our whole team in a moment.... Read more
When you chance, please could you email your member number to me on [email protected], as I'd love your input on something if possible. Warm regards, Nikki Dale HIF Digital ManagerThanks I emailed you the details and would be happy to assist
Similar opinion? Write a review on ieatwords.com.au!
Questions & Answers
glenvilleasked
I am currently a member of HIF on Goldstar basic. I suffer from sleep apnea. If I buy a Cpap Machine, can I claim something from the fund? [email protected]. Thank you.
2 answers
HIF A.HIF (Health Insurance Fund)
Hello Glenville,
Thanks for your question. We certainly do pay a rebate on CPAP machines however it’s included on our Super or Premium Options Extras Covers (not Hospital cover) within the External Prosthesis / Medical Appliance category. Here's a quick overview of what can be claimed:
One machine can be claimed every 5 years from the previous supply (per person) and the benefit will be deducted from the Prosthesis annual limit of $1,500. The benefits payable are:
$300 for Members who've held Super or Premium Options for 3-5 years.
$600 for Members who've held Super or Premium Options for 5+ years.
It’s important to note though, that a 3-year waiting period would apply for this service should you wish to add Extras cover to your existing hospital cover. I hope this helps, however, if you have any further questions, or would like to speak with one of our Product Experts, feel free to email me directly at [email protected] and I can arrange this for you.
Take care, Lisa.
Thanks, i also rang and found out same info.
Tina R.asked
Can I claim for a back support brace from HIF
1 answer
HIF A.HIF (Health Insurance Fund)
Hi Tina, thanks for getting in touch. If you’re an HIF Member and hold Super or Premium Options Extras Cover you will be eligible to claim a rebate for a back support brace under your prosthesis benefits. To do so, we’d simply need a letter of recommendation from your treating practitioner (along with your paid invoice) and you’d also need to have served the applicable 12-month waiting period. I hope that helps, but if you have any further queries please don't hesitate to get in touch with me directly. You can reach me on [email protected]. Thanks, Molly.
Tania Bezuidenhoutasked
I am an HIF customer, I want to pay only for extras (Dental, Cardio and Eyes) what would the disadvantages be?
1 answer
HIF A.HIF (Health Insurance Fund)
Hi Tania, thanks for your question. I believe you've just spoken to my colleague Sharon who was able to answer your queries regarding your HIF Membership. If I can ever be of assistance in the future though, please don't hesitate to contact us directly on [email protected]. Thanks, Molly.
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HIF A.HIF (Health Insurance Fund)
Hello Ian,
Thank you very much for sharing this wonderful feedback! It's great to hear from a long term member and we really appreciate you taking the time to post this review.... Read more
Warmest regards, Nikki Dale (HIF Digital Manager)