MyOwn Health Insurance (MO Health Pty Ltd) Review
Overview
MyOwn health Insurance is owned by the health fund GMHBA, insurance company AIA Australia, and the financial service group Discovery.
MO offers up to 100% back on your optical care and has no limits on preventative dental treatments, along with many other great benefits.
The fund, established in 2017, is already making a name for itself with its unique approach to private health insurance. MyOwn’s main focus is its AIA Vitality program, where it promotes preventative healthcare and healthy lifestyle habits through their rewards program. This wellness program incentivises members to nurture healthy habits and choices with rewards such as discounted tickets and shopping vouchers for big brand names like Myer, Woolworths, Hoyts, iTunes, Virgin Active and many more!
MyOwn Health Insurance Key Facts
Founded: 2017
For-Profit or Not-For-Profit? For-Profit
Private Hospital Agreements Nationwide: 281
Day Hospital Agreements Nationwide: 264
Health Deal Represented? Yes
Headquarters: Melbourne, VIC
MyOwn Health Hospital Cover
MyOwn has a broad range of hospital covers to suit all needs and ages. These range from Basic Hospital all the way up to Gold Hospital. Here are the hospital covers currently available from MyOwn Health:
- Basic Hospital 500
- Bronze Hospital 500
- Bronze Plus Hospital 750
- Gold Hospital 500
- Silver Hospital 500
- Silver Plus Hospital 750
MyOwn Health Extras Cover
Extras Cover takes care of the everyday healthcare service expenses that are not generally covered under Medicare such as dental services, prescription glasses, and physiotherapy. Here is a list of some of the current extras covers available:
- Minimum 50 Extras (available on combined cover only)
- Lite 60 Extras (available on combined cover only)
- Lite 70 Extras (available on combined cover only)
- Everyday 55 Extras (available on combined cover only)
MyOwn Heath Waiting Periods
MyOwn Health recognises the waiting periods you have already served with a previous health fund if you switch, this is called “portability”. For first-timers taking out a hospital cover, members who may have lapsed in hospital coverage and those upgrading their level of cover, the waiting periods below will have to be served before members can claim on services:
Hospital waiting periods
- Ambulance services: 1 day
- Accidental Injury: 1 day
- New Conditions: 2 Months
- Pregnancy and birth-related services: 12 months
- Pre-existing conditions: 12 months
- Rehabilitation & Palliative care: 2 months
- Weight Loss Surgery: 2 months
How Do You Claim Extras with MyOwn Health?
MyOwn’s claiming process is quick and simple. Here are the 3 ways you can claim your extras with MO:
On the spot: Swipe your membership card at a health provider that uses the HICAPS system to have your claim processed immediately.
Online: You can log into your online account through the member portal and lodge your claim by providing the details on your receipt.
By Mail: You can lodge your claim by posting a completed claims form along with your relevant accounts and receipts to:
MyOwn Health Insurance
P O BOX 7302
Melbourne, VIC
3004
MyOwn Health Gap Cover
MyOwn’s gap cover is called the Access Gap Cover Program. If your doctor charges you more than the standard MBS fee, this is known as the ‘gap’ and can leave you with an out-of-pocket expense. Access Gap Cover can help to minimise or eliminate personal expense but it is the choice of the physician to participate in any given gap scheme.
Gap Cover Ratings By State
To determine how beneficial a gap scheme will be, we suggest comparing health funds in the same state or territory to show which of the funds offer a greater proportion of medical services covered with no gap. While it is more likely that a medical service covered under your health fund can be utilized at no personal cost to you, it is entirely the choice of the physician whether or not to participate in the gap cover scheme.
Medical Services with No Gaps — The percentage of claims that were fully refunded.
Medical Services with No or Known Gaps — The percentage of claims that were fully refunded, or where the policy holder knew the cost before the surgery was performed. The information below outlines the percentages of services covered under no-gap and known-gap.
The information below outlines the percentages of services covered under no-gap and known-gap.
MyOwn Health medical services with No Gap: 75%
Industry Average: 79.1%
MyOwn Health medical Services with No or Known Gap: 95%
Industry Average: 90.5%
MyOwn Health medical services with No Gap: 84.8%
Industry Average: 89.5%
MyOwn Health medical Services with No or Known Gap: 94.9%
Industry Average: 95.7%
MyOwn Health medical services with No Gap: 85.4%
Industry Average: 86.7%
MyOwn Health medical Services with No or Known Gap: 97%
Industry Average: 95.1%
MyOwn Health medical services with No Gap: 91.7%
Industry Average: 89.2%
MyOwn Health medical Services with No or Known Gap: 100%
Industry Average: 94.5%
MyOwn Health medical services with No Gap: 93.8%
Industry Average: 89.5%
MyOwn Health medical Services with No or Known Gap: 93.8%
Industry Average: 96.6%
MyOwn Health medical services with No Gap: 75.8%
Industry Average: 84.4%
MyOwn Health medical Services with No or Known Gap: 93.7%
Industry Average: 96.2%
MyOwn Health medical services with No Gap: 14.3%
Industry Average: 90.2%
MyOwn Health medical Services with No or Known Gap: 100%
Industry Average: 96.7%
MyOwn Heath medical services with No Gap: –
Industry Average: 84.2%
MyOwn Health medical Services with No or Known Gap: –
Industry Average: 93.8%
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