The Finance Algorithm

ahm

40 open policies in the October 2026 data. Anyone can join.

Registered as ahm health insurance.

This insurer operates on a for-profit basis and is owned by Medibank

ahm.com.au, phone 134 246

Hospital
16
Hospital and extras
5
Extras
19
Closed to new members
22

How its premiums compare in NSW & ACT

ahm's cheapest single hospital policy in each tier against every other insurer's cheapest, counting policies anyone can buy, from October 2026 data.

  1. BasicHospital only$102.60Cheapest of 20
    $102.60$158.45
  2. BronzeHospital only$124.403rd cheapest of 21
    $121.79$163.20
  3. SilverHospital only$157.30Cheapest of 21
    $157.30$257.13
  4. GoldHospital only$399.954th cheapest of 10
    $248.55$458.42
ahmEvery other insurer's cheapest
  • Basic. Its cheapest single Basic hospital policy in NSW & ACT is ambulance hospital (basic), at $102.60 a month before the rebate with a $750 excess: the cheapest of 20 insurers. See every insurer
  • Bronze. Its cheapest single Bronze hospital policy in NSW & ACT is bronze no fuss, at $124.40 a month before the rebate with a $750 excess: 3rd cheapest of 21 insurers. See every insurer
  • Silver. Its cheapest single Silver hospital policy in NSW & ACT is essentials silver plus, at $157.30 a month before the rebate with a $750 excess: the cheapest of 21 insurers. See every insurer
  • Gold. Its cheapest single Gold hospital policy in NSW & ACT is elite gold copay, at $399.95 a month before the rebate with no excess: 4th cheapest of 10 insurers. See every insurer

What a single pays each month, cheapest to dearest policy

Monthly, before the rebate, across every excess option.

  1. NSW & ACT
    $102.60 to $514.55
  2. VIC
    $102.10 to $553.15
  3. QLD
    $106.15 to $534.85
  4. SA
    $99.50 to $476.95
  5. WA
    $79.60 to $430.80
  6. TAS
    $105.15 to $515.05
  7. NT
    $39.30 to $282.35
Cheapest to dearest policy
Show the figures
ahm's single premiums by state and policy type
StateHospitalHospital and extrasExtras
NSW & ACT$102.60 to $514.55$158.05 to $381.35$11.50 to $134.95
VIC$102.10 to $553.15$154.85 to $380.65$17.50 to $136.10
QLD$106.15 to $534.85$154.75 to $391.30$17.50 to $133.20
SA$99.50 to $476.95$149.25 to $359.85$17.50 to $140.15
WA$79.60 to $430.80$118.30 to $324.30$17.45 to $122.15
TAS$105.15 to $515.05$154.85 to $377.20$17.35 to $132.25
NT$39.30 to $282.35$68.75 to $214.10$17.35 to $104.25

What ahm covers, and what it pays back

Hospital

Its 21 hospital policies come with no excess or one of $500 or $750. 18 of the 21 drop the excess for children on the policy, and eight of the 21 if you're admitted after an accident. All 21 offer the youth discount: up to 10% off for people who join between 18 and 29.

Waiting periods are the standard ones: 12 months for pre-existing conditions and pregnancy, and two months for everything else, psychiatric, rehab and palliative care included. That's the most the law lets a fund make you wait. All 21 cover emergency ambulance trips only.

Extras

Ahm has 23 policies with extras, covering anywhere from 3 to 24 of the 27 services insurers report on. Here's the most any of them pays back on common claims, and the highest yearly limits, next to the typical policy among the 708 on the market.

The most it pays back on common claims

  1. Periodic oral exam (item 012)on Super Extras
    $39.75typical policy $35.20
  2. Scale and clean (item 114)on Super Extras
    $78.50typical policy $66.85
  3. Full crown, veneered (item 615)on Super Extras
    $685.95typical policy $773.80
  4. Single vision lenses and frameson Family Extras
    $220.00typical policy $220.00
  5. Physiotherapy, first visiton Super Extras
    $44.00typical policy $42.00
  6. Psychology, first visiton Super Extras
    $81.00typical policy $75.00
Pays up toTypical policy

Its highest yearly limits for a single

  1. General dental
    No yearly limittypical policy $800
  2. Major dental
    $1,100typical policy $1,000
  3. Optical
    $300typical policy $220
  4. Physiotherapy
    $1,100typical policy $450
  5. Chiropractic
    $1,100typical policy $400
  6. Psychology
    $800typical policy $400
Highest limitTypical policy

Benefits are what you'd get back from a provider outside the fund's preferred network, using the national figure or NSW's where a policy pays differently by state. Items paid as a percentage of the fee aren't included. Limits are per person per year on a single policy, and some funds pool several services under one limit. Corporate policies aren't counted. See how every fund compares in what extras pay back, or every policy side by side in the extras explorer.

Hospital policies 16

PolicyTierFromSold inExcess options
ambulance hospital (basic)Basic$39.30NTAll$750
ambulance & accident hospital (basic)Basic$44.80NTAll$500, $750
core hospital (basic+)Basic Plus$56.95NTAll$500, $750
bronze no fussBronze$63.10NTAll$500, $750
bronze plus everydayBronze Plus$65.20NTAll$500, $750
bronze plus loadedBronze Plus$80.80NTAll$500, $750
bronze plus supportBronze Plus$81.70NTAll$500, $750
silver supportSilver$97.45NTAll$500, $750
essentials silver plusSilver Plus$79.35NTAll$500, $750
evolve silver plusSilver Plus$102.80NTAll$500, $750
core silver plusSilver Plus$119.00NTAll$500, $750
deluxe saver silver plusSilver Plus$129.25NTAll$750
saver silver plus supportSilver Plus$129.25NTAll$500
super silver plusSilver Plus$136.05NTAll$500, $750
elite gold copayGold$185.90NTAll$0
advanced hospital goldGold$244.80NTAll$0, $500, $750

Hospital and extras policies 5

PolicyTierFromSold inExcess options
starter flexi basicBasic$68.75NTAll$500, $750
essentials flexi basic plusBasic Plus$105.05NTAll$0, $750
lite flexi bronze plusBronze Plus$149.10NTAll$500, $750
classic flexi silver plusSilver Plus$156.50NTAll$500, $750
deluxe flexi silver plusSilver Plus$208.75NTAll$500, $750

Extras policies 19

PolicyFromSold inServices
Ambulance only$11.50NSW & ACTNSW & ACTAmbulance only
choosable 50 – teeth$17.35TASAll3
black 50 saver$21.25NSW & ACTAll4
black 50$28.10WAAll4
value extras$36.70VICAll13
choosable 60 – teeth / eyes$44.10NTAll5
choosable 60 – teeth / wellbeing$46.50NTAll12
choosable 60 – teeth / muscle & bone$46.65NTAll8
classic extras$46.70NTAll11
black 60$47.50WAAll8
Lifestyle Extras$57.10NTAll16
choosable 60 – teeth / eyes / muscle & bone$57.65WAAll9
choosable 60 – teeth / eyes / wellbeing$57.90WAAll13
choosable 60 – teeth / wellbeing / muscle & bone$61.55WAAll16
Family Extras$63.15NTAll22
black 70$64.00NTAll9
choosable 60 – teeth / eyes / wellbeing / muscle & bone$68.40WAAll17
black 70 boost$98.25NTAll16
Super Extras$104.25NTAll24

ahm also has 22 older policies (1,246 priced variants) closed to new members, which existing members can keep. They are counted here but not listed. Compare its hospital cover with every other insurer's in the hospital explorer.

Source: PrivateHealth.gov.au data (Private Health Insurance Ombudsman) via data.gov.au, licensed CC BY 3.0 AU. Normalised by The Finance Algorithm from the extract dated 1 Oct 2026, read on 23 Oct 2026.

Premiums are monthly and shown before the Australian Government rebate and any Lifetime Health Cover loading or age-based discount. Confirm the price and the cover with the insurer before you buy; the official statement for every policy is on PrivateHealth.gov.au. This is general information, not advice, and no insurer pays to be listed or ranked here.

Questions about ahm

Who can join ahm?
Anyone can join. ahm sells 40 policies to new members (16 hospital-only, 5 combined and 19 extras-only), going by the October 2026 data.
How much is ahm hospital cover?
Its cheapest hospital policy for a single is $39.30 a month before the government rebate (October 2026 figures). What you'd pay depends on your state, the tier and the excess you pick; the chart of premiums by state above has the range for each state.
How much does ahm pay for a dental check-up?
Up to $39.75 for a check-up (dental item 012) on its Super Extras policy, at a dentist outside its preferred network. The typical extras policy across the market pays $35.20.