Onemedifund Review

Onemedifund stands out in the Australian private health insurance market because it focuses on comprehensive hospital and extra cover. Onemedifund offers an Android app to help make claiming faster and easier. There are over 540 private hospitals in OneMedifund’s network.

 

🔎 Date Established2007
📌 HeadquarteredWollongong, New South Wales, Australia
📍 Registration NumberABN 67 122 255 396
🫶 The average number of membersUnpublished
🤝 Number of Employees11 - 50
🛡️ APRA-Regulated✅Yes
📉 The most recent Market Cap reportedNot published
📈 Average Customer RatingLimited customer reviews and ratings
📊 Average Number of ReviewsLimited
💹 Market ShareLimited; <0.1%
💱 Number of plans offered1 Plan with extras
🎉 SponsorshipsNone
📲 Is a Mobile App offeredAndroid (requires version 5.0 and up).
📌 Social Media Platforms and LinksLinkedIn
🖥️ Medical Claims Portal✅Yes
⏰ Customer Support Operating HoursNot published; business hours
📚 Information Hub and Blog✅Yes
🧑‍⚕️ Chronic Illness BenefitsOffers chronic disease management and Access Gap scheme for costs
🩺 Screening and Prevention offeredIncludes health management and preventative screenings
🍼 Maternity BenefitCovered under Gold Hospital plan after a waiting period
💊 Health Insurance Premium Range (AUD)Not published on the website: personalised quotes
🚨 Average Waiting PeriodVaries; immediate for some services, up to 12 months for maternity/pre-existing conditions
🅰️ Is International Medical Cover OfferedNone
🅱️ International Travel BenefitNone

 

Onemedifund

 

Onemedifund Plan Overview

 

🔎 Plan💴 Premium Range AUD🪫 Exclusions❤️ Ideal For↪️ Gap Cover📌 Rebate Percentage📍 Average Waiting Period⭐ Key Features
Gold Hospital $250 Excess & Comprehensive ExtrasVaries per region, age, income, and other factorsNon-medically necessary services, non-recognised providers, and over-the-counter items.All member categoriesYes, Access GapUp to 24.6% per income and age0 – 12 monthsComprehensive hospital cover, dental, optical, physiotherapy, complementary therapies, pharmaceuticals, and health management programs

 

Onemedifund Plan Overview

 

Onemedifund Plans – Features and Benefits

The Gold Hospital $250 Excess & Comprehensive Extras plan from Onemedifund gives Australians a practical way to handle their healthcare requirements.

This plan is perfect for all member categories, regardless of whether you’re a family with young kids, a senior needing joint replacements, or someone who requires ongoing treatments like physiotherapy.

It offers comprehensive hospital cover, extensive extra benefits, and practical support to address these diverse requirements. This plan offers access to more than 540 private hospitals across Australia and includes essential services such as ambulance transport and dental care.

 

Key Features and Benefits of the Gold Hospital 250 USD Excess and Comprehensive Extras Plan

This plan provides comprehensive coverage for hospital services as well as additional benefits. Hospital cover encompasses significant surgeries and vital services such as rehabilitation and maternity care. Moreover, the plan includes coverage for dental, optical, physiotherapy, and other complementary therapies as additional benefits.

 

Member Category Suitability

This plan offers comprehensive coverage tailored to meet the diverse needs of individuals and families, ensuring essential care at every stage of life.

 

Expecting Mothers

The plan includes comprehensive coverage for pregnancy, childbirth, and midwifery services, guaranteeing that mothers-to-be receive essential care throughout their prenatal and postnatal journeys.

 

Individuals with Pre-existing Conditions

Although there is a waiting period for pre-existing conditions, the plan covers various services essential for ongoing health management, including physiotherapy, cancer treatments, and psychological support.

 

This plan offers extensive coverage for families, including paediatric care, pregnancy and birth services, dental treatments, and general health services, along with emergency ambulance transport and essential hospital stays.

Older adults benefit from hospital services focused on heart and vascular treatments, joint replacements, and cancer care, along with physiotherapy and ongoing health management. Individuals and partners enjoy a range of medical services, including dental and optical cover, plus helpful additions like chiropractic services, physiotherapy, and speech therapy to support daily health needs.

 

Plan Features and Comparison

 

🔎 FeatureGold Hospital 250 USD Excess and Comprehensive Extras
↪️ Hospital CoverAccess to 540+ private hospitals and all public hospitals nationwide

Covers surgeries to rehabilitation, maternity, and cancer care
💴 Excess$250 per person / $500 per family (annually)

Day admissions have half the standard excess
🚨 Ambulance100% of costs, no annual limit, covers both emergency and non-emergency services nationwide
➡️ Access Gap CoverReducing out-of-pocket costs for doctor’s bills during hospital stays

Over 37,000 doctors participate in this scheme
🪥 Dental (General)Unlimited general dental, set benefits per item for services like fillings and extractions
🦷 High-Cost DentalCrowns, bridges, and orthodontics covered with set limits (e.g., $1,000 for crowns, $2,100 for lifetime orthodontics)
🤓 OpticalGlasses and frames up to $275 per year

Laser eye surgery up to $500 per eye every two years
🦴 Physiotherapy and TherapiesPhysiotherapy is up to $550 per person, with coverage for occupational therapy, hydrotherapy, and other therapies
🧡 Complementary TherapiesChiropractic, acupuncture, and remedial massage covered up to $435 per person, with additional benefits for osteopathy and dietetics
📍 PsychologyUp to $120 for initial consultations and $500 per person for annual claims
⚙️ Hearing Aids80% of costs covered, up to $1,500 every 5 years
💊 Health Management Programs100% coverage, with a $150 limit for singles and $300 for families per year
💷 Travel Expenses20c per km for travel over 200km to hospital, up to $200 for families and $100 for singles

 

What’s Not Covered?

 

Non-Essential Services

The plan does not cover services like non-prescription glasses, recreational goods, or services like Pilates, reflexology, and yoga.

 

Out-of-Country Services

Any medical services or treatments outside Australia are not covered.

 

Certain High-Cost Treatments

Some high-cost treatments, such as specific dental services, may have exclusions or require pre-approval.

 

Sports or Recreation

Services primarily used for sport or recreation are excluded from coverage.

 

The Gold Hospital $250 Excess & Comprehensive Extras plan from Onemedifund offers both hospital cover and extra benefits in a single plan. It includes pediatric care, maternity support, and comprehensive coverage for seniors, including joint replacements and chronic conditions.

Pregnant members and their partners receive pregnancy-related treatment support, while those with pre-existing conditions can access ongoing care after completing the relevant waiting periods.

 

Onemedifund Plans - Features and Benefits

 

Onemedifund Recent User Reviews

 

🥇 Great Discounts with Comprehensive Extras

With the Comprehensive Extras package, I got substantial discounts on hearing aids, extensive dental treatment, and speech therapy. – Emma

 

🥈 Efficient Customer Support

When I contact their customer support, I don’t get caught in endless menus or transferred around. I can genuinely speak with someone quickly, which is great. – Lucas

 

🥉 User-friendly digital Tools

I like how easy it is to manage my coverage and file claims with the mobile app and the user-friendly website. I have saved a lot of time and work because of the digital tools that have made my contact with Onemedifund much easier. – Mia

 

Onemedifund Recent User Reviews

 

Onemedifund vs Qantas Health Insurance vs AAMI Health Insurance – A Comparison

 

🔎 Provider🥇 onemedifund🥈 Qantas Health Insurance🥉 AAMI Health Insurance
📌 Years in Operation2007Since 2016 (as Qantas Assure)54 years
👤 Average Number of MembersNot PublishedNot specified; under NIB umbrella, 9.6% market shareNot publicly disclosed
🛡️ APRA Regulation✅Yes✅Yes✅Yes
👥 Number of Employees10 – 5026,000+ (including partnerships and subsidiaries under NIB)Approximately 1,559
📉 Market Share<0.1%Operates under Nib Holdings (with a 9.6% market share), has a 52.5% market share (more or less)Not disclosed separately from Suncorp Group
📈 Market CoverAustraliaNationwide with a focus on digital tools like the Wellbeing AppAustralia
📊 Customer RatingLimited customer reviews and ratingsAverage rating of 4.11/53.96/5
💹 Number of reviewsLimitedThousands1,000+
📲 Mobile AppOnly for AndroidQantas Wellbeing AppThe AAMI App
💶 Premium Range (AUD)VariesAUD 19.83 per week to AUD 3,057.11 annually, depending on the planFrom $20.08 to $62.76 per week
🌎 International Travel BenefitNoneLimited coverage for medical emergencies while abroadOffers travel insurance separately, not covered directly under health plans
🅰️ Market CapitalisationNone publishedUnder Nib Holdings (Nib reported solid market position)Aggregated under Suncorp Group’s financial data
🅱️ Unique FeaturesComprehensive hospital coverage, dental, optical, physiotherapy, complementary therapies, pharmaceuticals, and health management programs.Qantas Points Earning, Accidental Injury Cover, 24/7 Assistance via Wellbeing AppTailored health coverage options, emergency ambulance cover, flexible rebate options, partnerships for community and resilience initiatives

 

Onemedifund vs Qantas Health Insurance vs AAMI Health Insurance - A Comparison

 

Onemedifund’s Customer-Focused Approach

Onemedifund prioritizes the well-being of its members by reinvesting in services instead of focusing on profits. This customer-centric approach allows them to offer benefits that genuinely improve the health insurance experience for individuals and families.

 

Key Benefits of Onemedifund Coverage

 

Comprehensive Ambulance Services

Onemedifund provides complete coverage for all air, land, and sea ambulance services across Australia, ensuring protection during emergencies and medically necessary transport, with no annual limits.

 

Long-Term Loyalty Rewards

Members who stay with Onemedifund for five consecutive years enjoy higher extra limits, acknowledging and rewarding their loyalty. This benefit increases the value of health coverage over time.

 

Efficient Customer Support

When contacting Onemedifund, you’ll speak with a real person right away—no frustrating menus or long waits. This commitment to direct communication ensures issues are handled quickly and efficiently.

 

Fast Claims Processing

Claims are processed within two days, ensuring prompt reimbursement and minimizing delays.

 

Access to Healthcare Providers

Members have access to over 540 private hospitals and day surgeries, plus a network of 37,000 doctors across Australia, making it easy to find quality care wherever you are.

 

Onemedifund's Customer-Focused Approach

 

Access Gap Cover from Onemedifund

Onemedifund’s Access Gap Cover helps bridge the gap between the fees charged by specialists and the reimbursements provided by Medicare and Onemedifund. This feature ensures that members can manage healthcare costs more effectively and with greater transparency.

 

Key Benefits of Access Gap Cover

 

No Unexpected Expenses

Access Gap removes the worry of surprise expenses from specialist fees, allowing for more predictable healthcare finances.

 

Clear Expense Management

With a cap of $500 for general treatments and up to $800 for pregnancy-related care, Access Gap ensures that specialist fees remain manageable.

 

No Non-Clinical Fees

Specialists participating in Access Gap cannot charge non-clinical fees (e.g., booking or administration fees), ensuring there are no hidden costs.

 

Flexible Specialist Choice

Members can choose any specialist within the same area of expertise, even if their GP recommends a different physician.

 

Informed Financial Consent

Members are provided with information about gap costs before treatment, helping them plan their finances with confidence.

 

Complete Ambulance Coverage

Both emergency and non-emergency ambulance services are fully covered, with no annual cap for members.

 

Access Gap provides clear, upfront information to help manage medical costs, offering peace of mind and financial control when seeking specialist care.

 

Access Gap Cover from Onemedifund

 

Onemedifund App Features

The Onemedifund app gives you convenient access to essential services and tools right from your phone. The Android app lets you submit claims, check claims history, update your details, and access a secure inbox for important messages. Here are some key features:

 

  • You can update your contact details on the app so Onemedifund can always reach you with the latest information when needed.
  • Stay updated on essential Onemedifund communications in one safe place so you never overlook an update or crucial information regarding your health coverage.
  • If you’ve misplaced your card or require an extra one, you can use the app to request a new Onemedifund card.
  • Easily submit your claims right away with photos or PDFs. This feature simplifies claiming your extras and medical treatments, cutting down on submission time and speeding up reimbursements.
  • Review your previous claims to monitor your reimbursements and handle your finances by providing a clear view of your claims.

 

Access your benefits, cover limits, and payment information in the app, giving you a straightforward view of what’s included and what you’re eligible for.

 

Onemedifund App Features

 

How to Apply for Health Insurance with Onemedifund

Getting health insurance with Onemedifund is straightforward and involves just a few simple steps:

 

Choose Your Health Insurance Plan

Select the health insurance plan that best fits your needs.

 

Download or Request the Application Form

You can download the application form from Onemedifund’s website or request it via email or phone. Provide your personal information and select your preferred cover type. Don’t forget to include any dependents, like a spouse or children, and choose your policy’s start date.

 

Select a Payment Option

Onemedifund offers flexible payment options, including direct debit, BPAY, and other recurring methods. If you choose direct debit, be sure to complete the bank details section.

 

Submit Your Application

Once the form is complete, submit it via:

 

  • Email
  • Fax
  • Postal mail


Alternatively, you can start the process by calling Onemedifund’s customer service.

 

Australian Government Rebate

If eligible, complete the section on the form for the Australian Government Rebate on Private Health Insurance. Your premium may be reduced based on factors like income and age.

 

Application Processing

After submission, Onemedifund will process your application and confirm your coverage. If you’re switching from another provider, they’ll help carry over any waiting periods.

 

Once your application is submitted, Onemedifund will handle the rest, ensuring a smooth transition and providing the coverage you need.

 

How to Apply for Health Insurance with Onemedifund

 

How to apply for Gap Cover with Onemedifund

Here is the step-by-step process for applying for Access Gap Cover:

 

  • Ensure your Onemedifund hospital cover includes Access Gap benefits.
  • Before any hospital visit or procedure, speak with your doctor or specialist to confirm whether they participate in the Access Gap scheme. If they do, they will let you know whether they can fully cover the gap (No Gap) or partially cover it (Known Gap). You will receive a written estimate of the costs involved.
  • Inform Onemedifund that you intend to apply Access Gap for your procedure. This ensures that Onemedifund processes your claim under the Access Gap rules if your doctor participates in the scheme.

 

After your treatment, the doctor typically bills Onemedifund directly for the procedure. Onemedifund then processes the claim according to the Access Gap rules. If a Known Gap applies, you will only be responsible for the agreed-upon gap portion, which will be disclosed beforehand.

 

How to apply for Gap Cover with Onemedifund

 

Methods for Submitting Claims with Onemedifund

Onemedifund provides multiple convenient methods for submitting claims, ensuring flexibility and ease for all members.

 

HICAPS Providers

If you receive treatment from a provider with HICAPS (e.g., dental, physiotherapy, or optical services), simply swipe your Onemedifund membership card at the provider’s terminal after your appointment. The claim will be processed instantly.

 

Mobile App

Download the Onemedifund mobile app from your device’s app store. Log in, follow the prompts, and upload your receipts to submit your claim quickly.

 

Online Portal

You can also submit claims directly from your browser through Onemedifund’s online portal, making the process fast and efficient.

 

Mail

For traditional methods or claims from non-HICAPS providers, complete the claim form, attach original receipts, and mail them to:
Locked Bag 25, Wollongong NSW 2500.
Be sure to keep copies of all documents for your records.

 

Fax or Email

If mailing is inconvenient, you can fax your completed claim form and receipts to 1300 673 406 or email them to [email protected].
Ensure that all documents are clear and readable to avoid any delays.

 

With these various options, Onemedifund makes submitting claims as simple and efficient as possible.

 

Methods for Submitting Claims with Onemedifund

 

How to Upgrade or Downgrade Your Plan with Onemedifund

Onemedifund offers flexibility for members to adjust their health insurance plan based on available options. Currently, there is a single hospital plan with extras, but should more plans become available, follow these steps:

Contact Customer Service

To explore available cover options, reach out to Onemedifund’s customer service team via:

 

  • Phone: 1800 148 626
  • Email: [email protected]
  • Online Portal: Log in to your Onemedifund member account for assistance.

 

Review Waiting Periods and Benefits

 

  • Upgrading: New waiting periods may apply for additional benefits not covered under your previous plan.
  • Downgrading: No new waiting periods are required when downgrading, but some higher-level benefits from your original plan may no longer be available.

 

Request Confirmation

Onemedifund may require an official request form to confirm your change. You will need to provide your details, membership number, and the effective date for your new plan. Submit the form via:

 

  • Mail: Locked Bag 25, Wollongong NSW 2500
  • Email: Scan and email to [email protected]
  • Fax: Send to 1300 673 406

 

Premium Adjustments

Changes to your plan will affect your premium. Upgrading will increase your premium, while downgrading will lower it. Ensure the correct premium is confirmed, especially if you pay via direct debit.

 

Once processed, Onemedifund will confirm the effective date for your new cover and send

 

How to Upgrade or Downgrade Your Plan with Onemedifund

 

How to Add a Beneficiary to Onemedifund

Adding a beneficiary to your Onemedifund health insurance ensures that your dependents, such as children, full-time students, or partners, are covered under your policy. Here are the steps to follow:

 

Determine Eligibility

Children: Typically covered until the age of 18, but can remain on the policy until age 25 if they are full-time students.

Full-Time Students: Dependents aged 18 to 24 who are full-time students must verify their student status. The student cannot be in a de facto relationship to remain eligible.

Partners: You can add your partner through Onemedifund’s Online Services by following the steps in the member portal.

 

Complete the Registration Form

For children under 18 or full-time students up to 25, use the Dependent Registration Form. This form requires the dependent’s name, birth date, and, if applicable, details of their previous insurer.

For full-time students, use the Student Dependent Registration Form, which asks for the educational institution’s name, course of study, and full-time enrollment status.

 

Submit Supporting Information

For full-time student dependents, provide proof of enrollment, including the institution’s name, course of study, and student ID number.

 

Submit the Form

Once completed, submit the form and supporting documents via one of the following methods:

 

  • Mail: Locked Bag 25, Wollongong NSW 2500
  • Email: Send to [email protected]
  • Fax: Send to 1300 673 406

 

Once Onemedifund processes your request, they will confirm the addition of your beneficiary to your policy.

 

How to Add a Beneficiary to Onemedifund

 

How to Submit a Compliment or Complaint with Onemedifund

Submitting feedback, whether a compliment or complaint, is an important way for Onemedifund members to share their experiences. Here’s how you can submit your feedback:

 

Contact Customer Service

 

  • Phone: Call 1800 148 626 to speak with a Customer Service Consultant. Be ready to explain the issue.
  • Email: Send a detailed description to [email protected].
  • Mail: Send feedback to Locked Bag 25, Wollongong DC NSW 2500.
  • Fax: Fax your complaint to 1300 673 406.

 

Escalation Process

If your concern isn’t resolved at the first point of contact, Onemedifund follows a structured escalation process:

 

  • Grievance: The customer service consultant reviews the issue. No further steps are required if resolved at this stage.
  • Problem: If unresolved, the issue is escalated to a team leader or manager.
  • Dispute: For further unresolved matters, the issue will be escalated to a senior executive or CEO.

 

External Escalation

If the internal process doesn’t resolve your complaint, you can escalate it to the Private Health Insurance Ombudsman:

 

 

Onemedifund values your feedback and is committed to resolving your concerns efficiently.

 

How to Submit a Compliment or Complaint with Onemedifund

 

How to Switch Your Health Insurance to Onemedifund

Switching to Onemedifund is a simple process. Follow these steps:

 

Review Onemedifund’s Plans

Determine which Onemedifund plan best suits your needs, including those of your spouse, life partner, and children.

 

Transfer Waiting Periods

To transfer any waiting periods from your previous insurer, Onemedifund will request a Transfer Certificate. This confirms your cover history and allows Onemedifund to apply completed waiting periods if the new cover is equivalent to or lower than your previous level.

 

Select a Start Date

Choose a start date for your Onemedifund policy that aligns with the cancellation of your previous insurance.

 

Complete the Application Form

Fill out the Onemedifund application form, providing necessary personal details, Medicare eligibility, and payment preferences. Submit your form through one of the following:

 

  • Mail: Locked Bag 25, Wollongong NSW 2500
  • Email: [email protected]
  • Phone: 1800 148 626
  • Fax: 1300 673 406

 

Apply for the Australian Government Rebate

If eligible, apply for the Australian Government Rebate on Private Health Insurance to potentially reduce your premiums. This can be done on the application form or by contacting customer service.

 

Confirmation from Onemedifund

Onemedifund will confirm the start of your new cover and provide details on any waiting periods. Be aware that if you’ve used certain annual limits with your previous insurer, those limits may not reset until the next financial year with Onemedifund.

 

Switching to Onemedifund is straightforward, and their team is ready to assist throughout the process.

 

How to Switch Your Health Insurance to Onemedifund

 

Onemedifund Regulation

Onemedifund must comply with regulatory standards in Australia, including meeting solvency criteria, holding enough funds reserves to cover claims, and ensuring transparency in its financial operations.

 

🔎 Regulation Area📌 OneMedifund’s Compliance
🔒 Solvency RequirementsOnemedifund must maintain financial stability to ensure it can meet its claims obligations
🔏 Member ProtectionOnemedifund complies with standards to protect members, including transparency in policy terms
🔐 Financial Health and ReservesOnemedifund is required to maintain sufficient reserves to ensure it can cover future claims
🔓 Regulatory OversightOnemedifund operates under the oversight of the Private Health Insurance Administration Council (PHIAC) to ensure compliance

 

The oversight of these regulations falls to organisations like the Private Health Insurance Administration Council (PHIAC), which guarantees that health insurers adhere to the financial and operational standards essential for consumer protection.

 

Onemedifund Regulation

 

Onemedifund Customer Support and Contact Details

Onemedifund provides multiple contact methods to ensure you can get the help you need.

 

🔎 Contact Method❤️ Best For📌 Details
☎️ PhoneImmediate assistance with urgent queriesCall 1800 148 626 for prompt support
💌 EmailGeneral inquiries or non-urgent questionsEmail [email protected]
📇 FaxSubmitting documents or claims formsFax to 1300 673 406
📍 MailOfficial correspondence or claim submissionsSend to Locked Bag 25, Wollongong NSW 2500

 

Onemedifund Customer Support and Contact Details

 

Onemedifund Rebates and Discounts

Onemedifund offers rebates and discounts to its members. The Australian Government Rebate helps eligible members lower their premiums. The rebate amount is income-based and varies according to the policyholder’s age and household income.

Onemedifund also provides attractive optical discounts through well-known retailers like Specsavers and OPSM.

 

🔎 Rebate/Discount🅰️ Eligibility🅱️ Details
📉 Australian Government RebateIncome-based, with various tiers based on household incomeHelps reduce premiums; varies by income and age. Members can apply it directly to premiums or claim it as a tax offset
📈 Specsavers DiscountOnemedifund members with extras cover25% off glasses from the $149 range and above, 20% off optical extras, free contact lens assessment, and bulk-billed eye tests
📊 Laubman & Pank DiscountOnemedifund members with extras cover20% off lenses, 20% off lens extras, 15% off non-prescription sunglasses, and 10% off contact lenses purchased in-store
💹 OPSM In-Store DiscountOnemedifund members with extras cover20% off lenses, 20% off lens extras, 15% off non-prescription sunglasses, and 10% off contact lenses purchased in-store
💱 OPSM Direct DiscountOnemedifund members with extras cover5% off contact lenses purchased online using the promo code ONEC5
📉 Q Optical Network OfferOnemedifund members with extras coverNo Gap or free second pair offers for glasses, plus discounts on contact lenses. Offers depend on the cover type (Comprehensive or Extras)

 

Onemedifund Rebates and Discounts

 

OneMedifund’s Tailored Health Programs

Onemedifund offers a range of tailored programs to help members manage their health beyond standard coverage. These programs are designed to support members in various aspects of their well-being:

 

Rehab at Home

Receive rehabilitation treatment at home, ensuring a more comfortable and personalized recovery process.

 

Chemo at Home

Undergo chemotherapy treatments at home, allowing members to remain close to family and support during treatment.

 

Mental Health Support

Access programs for managing mental health issues like anxiety and depression, including psychology services through Extra benefits.

 

Joint Health Support

Resources to help manage osteoarthritis and joint pain, improving mobility and quality of life.

 

Weight Loss Programs

Supports members in achieving healthier weight outcomes with programs and fitness support, partially covered by Extras.

 

Diabetes Management Program

Helps members manage diabetes, including support for maintaining healthy glucose levels, with certain aspects covered by Extras.

 

Heart Health Support

Offers guidance and support for individuals with heart conditions to improve cardiovascular health and prevent complications.

 

Complete Cancer Support

Specialized services to help manage cancer symptoms and improve quality of life during treatment, focusing on holistic care.

 

Hospital at Home

Allows members to receive certain hospital treatments in the comfort of their home, promoting faster recovery and reducing hospital stays.

 

These programs offer Onemedifund members the opportunity to manage their health in a more flexible and supportive way, ensuring they receive the care they need in a comfortable environment.

 

OneMedifund’s Tailored Health Programs

 

Pros and Cons

 

✅ Pros❌ Cons
Access to 540+ private hospitals nationwide.Limited selection of health plans.
Unlimited emergency and non-emergency ambulance coverage.No travel insurance offered.
Programs for chronic conditions like diabetes and weight loss.Onemedifund app is only available for Android users.
Discounts on eyewear at leading optical retailers.Some specialised treatments may not be fully covered.
Easy claim submission and tracking via the mobile app.Upgrade/downgrade options are limited to one plan.

 

In Conclusion

Onemedifund offers flexible health insurance with a wide network of hospitals across Australia and low out-of-pocket costs. Their extra services, like weight loss support, diabetes management, and mental health programs, show a commitment to overall well-being. Members with extras can also enjoy optical discounts.

However, Onemedifund has some limitations. There’s only one plan option, no travel insurance, and the mobile app is available only for Android users, excluding Apple users. Despite these drawbacks, it remains a solid choice for comprehensive coverage.

 

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Frequently Asked Questions

 

Does Onemedifund provide hospital-only plans?

No, onemedifund currently doesn’t offer hospital-only plans. The only plan available currently is the Gold Hospital $250 Excess & Comprehensive Extras.

 

How can I claim with Onemedifund?

Claims can be submitted via the Onemedifund mobile app or website. Members can upload documents and check the status of their claims online.

 

What types of additional health services does Onemedifund offer?

Onemedifund has diabetes management programs, heart health support, mental health services, and weight loss aid.

 

Who can join Onemedifund?

Onemedifund is available to all Australian residents. There are no specified qualifying requirements for membership.

 

Does Onemedifund cover mental health services?

Yes, Onemedifund offers mental health support programs to help patients manage illnesses such as anxiety and depression.

 

Does Onemedifund cover pre-existing conditions?

Yes, but Pre-existing conditions involve waiting periods before benefits can be claimed.

 

How can I apply for Onemedifund health insurance?

You can apply online, via phone, or by completing an application form that can be sent via email or post. Regardless of how you apply, you must provide personal information and pre-existing condition info, and submit supporting documentation.