Your COVID-19 Payment

In 2020, our industry regulator, APRA, asked all health funds to set aside a provision of funding incase the COVID-19 pandemic had disastrous impacts on our health system. 

We gave our word that HIF would not profit from the COVID-19 pandemic, and we are honouring our commitment to members.

It’s why we’re giving back $3 million in COVID-19 claims savings to eligible members who held Hospital and/or Extras cover (Domestic and Overseas) between 1 July 2021 and 30 June 2022 and were still a member as of September 2022.

Frequently Asked Questions

 

Why is HIF returning money to members?

In 2020, when it became clear that COVID-19 would prevent our members from accessing and claiming for Hospital or Extras services, we made a promise not to profit from the pandemic. 

And we've stayed true to our word. 

This year we will be giving back a further $3 million (to members in premium refunds) in recognition of continued reduced access to services during the pandemic. In December 2021, we returned $2.78 million (to members in premium refunds). 

Will each person on my policy receive a COVID-19 payment?

You'll receive one payment for the policy, as opposed to a payment for each person covered by your policy.

Will you be communicating with me just how much I'm getting back?

You will be notified of the exact amount you will receive via email or letter from the 5 December before payment is made. You will also receive a remittance advice your payment has gone through.

I have top-level Hospital and Extras cover. Do I get more money back?

No, your level of cover isn’t a factor in calculating COVID-19 payments. Your payment is calculated on your membership (single, couple, or family) and type of cover (Hospital, Extras, or both).

How will I receive my COVID-19 payment?

If we have your bank account details and you get your benefits paid into your bank account, you’ll receive your COVID-19 benefit paid into this account. You’ll receive a remittance notice (either by post or email, depending on your chosen preferred method of communication) that we’ve made the payment. 

If we are unable to electronically transfer the payment, or if your membership has been terminated or is lapsed, you will receive a cheque in the post.

Can you use my COVID-19 payment to reduce my health insurance premium? Or can you donate it to a charity on my behalf?

Unfortunately, we can’t. It’s just too complicated and costly to arrange, so we’re making COVID-19 payments via bank transfer or cheque. You can then choose to use it however you wish.

My premiums went up this year. Couldn't you use this money to keep premiums the same?

Unfortunately, annual premium increases are unavoidable – all health funds have to increase their premiums to cover the rising cost of healthcare services. These increases are calculated to ensure we can pay future claims. So, this year’s increase covers claims from 1 April 2022 onwards.

On the other hand, our COVID-19 payments are effectively unclaimed benefits from the 2021/22 financial year. Your COVID-19 payment is in lieu of benefits you could have claimed but were unable to when healthcare services were suspended across the country.

I downgraded my cover during this time, will this impact my payment?

The payment is calculated on your level of cover as of the 30 June 2022.

Who is eligible for a COVID-19 payment?

If you're a current or former policyholder and you held Hospital and/or Extras cover (Domestic and Overseas) between 1 July 2021 and 30 June 2022, and were still a member as of 30 September 2022, you're eligible for a COVID-19 payment.

What do you mean by 'were' a member?

'Were a member' means a membership is not terminated or lapsed as of 30 September 2022.

It includes memberships currently suspended. 

It excludes memberships that were suspended for the full financial year (1 July 2021 - 30 June 2022).

How much will I get back?

Our COVID-19 payments will range from $17.50 (for a single person with Extras only cover) to $120 (for a couple or family with both Hospital and Extras cover). You will be notified of the exact amount you will receive in direct communications from us.

How did HIF calculate COVID-19 payments?

We took a number of factors into account when calculating COVID-19 payments, including:

  •  the total amount to be disbursed
  • the total number of eligible policies
  • membership type (single, couple, or family)
  • type of cover (Hospital, Extras, or both)
  • your State of residency.

When will I get my COVID-19 payment?

We’ll be making COVID-19 payments from 12 December up to Christmas.

Will my COVID-19 payment affect my health insurance rebate or taxable income?

Not at all. Your COVID-19 payment isn’t a refund on your premiums – it’s a payment in lieu of health insurance benefits you could have claimed but were unable to due to the pandemic. As an ‘in lieu’ payment, it is not taxable income.

I made a claim during this period, am I still eligible?

Yes, if you made a claim during this period, and match the criteria specified, you will receive a COVID-19 payment.

What if I joined HIF after 30 June 2022?

If you joined HIF after the 30 June, you are ineligible for the payment as you weren’t covered with us during the deferred claims period of 1 July 2021 and 30 June 2022.

I've upgraded my level of cover during that period, will I receive more money?

The payment is calculated on your level of cover as of the 30 June 2022.

I'm based in a state where restrictions were in place for a longer period of time, i.e. NSW/VIC. Does this mean I will get a larger payment?

We recognise members in some States have been more impacted by the pandemic than others and not had the same level of access to services. Our COVID-19 payments will reflect this.

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