Why join Doctors’ Health Fund

We are the health fund created exclusively for the medical community and provide our members with high-performing health insurance cover and personalised service.

Our unique Top Cover Gold hospital has the highest level of protection against out-of-pocket costs and pays up to the AMA list of medical services and fees.

We don’t have restrictive preferred provider networks, so you choose the best extras provider for you. Our Top Cover Gold hospital gap scheme does not require doctors to agree to participate, so you choose your preferred doctor.

We don’t pay benefits for non-proven therapies.

We have an overall member satisfaction rating of 94%¹. Member calls are answered swiftly (98% within 30 seconds during business hours²) and by a person not a machine.

Starting as the AMA health fund and now part of Avant Mutual, we are owned by our members, the doctors.

There are many reasons why our members rate Doctors’ Health Fund so highly, including:

• fast, easy and efficient payment of claims with the increasing use of the new mobile claims app
• positive service experience following hospitalisation or serious illness
• excellent customer service with polite, helpful and knowledgeable staff

We offer a range of hospital and extras cover to suit the needs of people at different stages in their lives and with different financial requirements.

Our extras cover options offer great benefits across a range of services, including:

• no-gap general dental check-ups once a year for Starter Extras, twice a year for Essential Extras and unlimited for Total Extras
• optical limit of $600 over a fixed 2 year period on Total Extras, $500 over a fixed 2 year period on Essential Extras, and $300 over a fixed 2 year period on Starter Extras (The year that your limit resets is based on whether your membership began in an odd or even year.)
• 85% benefit for eligible pharmacy items above our co-payment (currently $40.30 per prescription item) up to your Extras limit

Our members with extras cover also receive discounts at a number of optical retailers including OPSM, Laubman & Pank and Specsavers.

The age-based premium discount introduced by the Australian Government allows insurers to offer a discount on hospital policies to members under the age of 30. The introduction of this initiative recognises the importance of private health cover for young people and aims to provide people within this age bracket cover that is more affordable. We are supporting this new initiative and will be passing on the full discount to eligible members. 

The discount allowable is between 2% and 10% per annum; depending on when a person purchases health insurance between the age of 18 and 30. The age discount applies until the member turns 41, after which it reduces at 2% per annum until they are 45 years old.

The table below outlines the discount applicable based on your age. It is determined by the age you are on 1 April 2019 or your age when you take out cover for the first time after 1 April 2019.

For more information, visit doctorshealthfund.com.au/youth-discount

We want our members to enjoy the best of health, so when your doctor recommends a health management program to treat a specific health condition; we support it by providing benefits under our Total Extras cover.

Whether it's an exercise physiology program, gym membership, weight loss program, acupuncture or a quit smoking program, Doctors' Health Fund will provide a 50% benefit towards the program recommended by your doctor when you choose Total Extras, up to $200 per person or $400 for family policies.

Claims for Extras benefits from some allied health professionals can be made instantly via the online HICAPS system with no need to submit a claim to us.

For all other claims, we have a mobile claims app that is free to download. You simply take a picture of your claim receipt and submit it through the app. It typically takes less than three working days to reimburse your expenses once we receive the claim.

Alternatively, you can scan and email your receipt and claim form to info@doctorshealthfund.com.au or mail it to us. Claims forms are available here.

If you need to talk to an expert about your claim, call our friendly Member Service Team on 1800 226 126.