This can be found on your policy certificate or renewal notice
Policy Number
Apia Health Insurance
Get 4 weeks free & skip the 2 & 6 month wait on Extras*
When you take out a combined Hospital and Extras cover by 13 January 2025.
*Available to eligible, new members. Offer fulfilled in month 3 of membership.
T&Cs apply.
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Start with Hospital Cover
Select or combine Hospital cover and extras to suit you
All Hospital options include...
What's not included?
Tailor your Extras...
Select or combine Hospital cover and extras to suit you
More Information
Everything else you will need to know.
In Australia, Medicare provides health care for citizens and permanent residents. By taking out private health insurance you can get more health care options, peace of mind and it may even help avoid tax.
Hospital & Extras
Hospital cover gives you access to private hospitals and choice of doctor, while Extras cover helps with the costs of services not normally covered by Medicare, such as dental and physiotherapy.
Lifetime health cover
Under Lifetime Health Cover (LHC), you'll pay a 2% loading on top of the normal premiums for each year you don't have hospital cover by July 1 following your 31st birthday.
LHC increases by 2% for every year you don't join, up to a maximum of 70%, and can only be removed after 10 years of continuous hospital cover. This isn't just with Apia health insurance, but every health fund.
For more information, call us on 13 50 50 or visit the ATO website at www.ato.gov.au
Medicare Levy Surcharge
The Medicare levy surcharge (MLS) is levied on Australian taxpayers who do not have an appropriate level of private hospital cover and earn above a certain income.
The base income threshold (under which you are not liable to pay the MLS) is $97,000 for singles and $194,000 for families.
If your taxable income is above the MLS thresholds and you don't have an appropriate level of private hospital cover, you may have to pay the MLS.
Find more information, including how to calculate your income for MLS purposes, visit the ATO website at www.ato.gov.au
* This Offer is only available to new members who are Australian citizens, permanent residents of Australia, or those who are entitled to full reciprocal rights under Medicare, registered for Medicare and listed on an active Medicare card, and join an eligible combined Apia Health Insurance Hospital & Extras policy by 11:59pm (AEDT) 13 January 2025. Not available to existing health insurance policy holders with nib Health Insurance, nib Overseas Students Health Insurance, nib International Workers Health Insurance, nib Corporate Private Health Insurance, GU Health Insurance, AAMI Health Insurance, Apia Health Insurance, Suncorp Health Insurance, ING Health Insurance, Priceline Health Insurance, Real Health Insurance, Seniors Health Insurance, Qantas Health Insurance, or to previous policyholders who have held health insurance with any of these brands and cancelled their policy 6 months before or during the Offer Period.
The Offer consists of adjusting the “paid to” date on the qualifying policy to reflect the reduction off the premium payable for an amount equating 4 weeks (calculated as 28 days) of the annual premium. The Eligible Member must maintain the Eligible Product up to the date of the Offer being applied to the active policy, being 29 January 2025 for policies purchased between 01 November 2024 and 30 November 2024, 26 February 2025 for policies purchased between 01 December 2024 and 31 December 2024, and 26 March 2025 for policies purchased between 01 January 2025 and 13 January 2025. The Offer will be forfeited if the Eligible Member is not an active policyholder on this date.
2 & 6 month waiting periods will be waived for Eligible Members on all Extras services that normally require a 2 or 6 month waiting period under the Eligible Product. The Waiver will be fulfilled at the time the Eligible Member takes out the Eligible Product. Longer waiting periods may apply for some services. See full terms and conditions.
Apia Health Insurance is issued by nib health funds limited ABN 83 000 124 381 (nib), a registered private health insurer, and is marketed by Platform CoVentures Pty Ltd ABN 82 626 829 623 (PC), a Suncorp Group company. PC is an authorised agent of nib and receives commission from nib. nib is not a part of the Suncorp Group. Read the policy booklet before buying this insurance. Click here for a copy.
The telehealth services that we introduced during the pandemic to help access a range of Extras services are here to stay. For more information please call 13 50 50.
Apia Health insurance HICAPS claims using an Apple Wallet is currently not available. Customers can continue to swipe their Apia Health Insurance Member Card through a HICAPS terminal to automatically process claims. Alternatively, claims can be made through Apia Health Online Services.