The Finance Algorithm

Defence Health

31 open policies in the October 2026 data. Membership is restricted.

Registered as Defence Health Limited.

Who can join, as the fund puts it: current or former members of the ADF and the Defence community and their families.

This insurer is a mutual organisation that operates on a not-for-profit basis.

defencehealth.com.au, phone 1800 335 425

Hospital
20
Hospital and extras
2
Extras
9
Closed to new members
4

How its premiums compare in NSW & ACT

Defence Health's cheapest single hospital policy in each tier against every other insurer's cheapest, restricted funds included, from October 2026 data.

  1. BasicHospital only$110.009th cheapest of 27
    $102.15$163.82
  2. BronzeHospital only$122.002nd cheapest of 29
    $121.79$163.41
  3. SilverHospital only$161.299th cheapest of 28
    $141.25$223.64
  4. GoldHospital only$196.344th cheapest of 24
    $186.21$548.15
Defence HealthEvery other insurer's cheapest
  • Basic. Its cheapest single Basic hospital policy in NSW & ACT is Starter Hospital Basic Plus, at $110.00 a month before the rebate with a $750 excess: 9th cheapest of 27 insurers. See every insurer
  • Bronze. Its cheapest single Bronze hospital policy in NSW & ACT is Saver Hospital Bronze Plus, at $122.00 a month before the rebate with a $750 excess: 2nd cheapest of 29 insurers. See every insurer
  • Silver. Its cheapest single Silver hospital policy in NSW & ACT is Defence Hospital Silver Plus, at $161.29 a month before the rebate with a $750 excess: 9th cheapest of 28 insurers. See every insurer
  • Gold. Its cheapest single Gold hospital policy in NSW & ACT is ADF Top Hospital Gold, at $196.34 a month before the rebate with a $400 excess: 4th cheapest of 24 insurers. See every insurer

What a single pays each month, cheapest to dearest policy

Monthly, before the rebate, across every excess option. 9 corporate policies are included; they are sold through employers and associations.

  1. NSW & ACT
    $110.00 to $406.46
  2. VIC
    $111.00 to $438.78
  3. QLD
    $118.00 to $437.53
  4. SA
    $109.00 to $374.13
  5. WA
    $85.00 to $363.10
  6. TAS
    $114.00 to $402.08
  7. NT
    $58.00 to $233.98
Cheapest to dearest policy
Show the figures
Defence Health's single premiums by state and policy type
StateHospitalHospital and extrasExtras
NSW & ACT$110.00 to $406.46$141.52 to $337.01$18.10 to $121.23
VIC$111.00 to $438.78$140.59 to $329.45$19.10 to $125.76
QLD$118.00 to $437.53$144.79 to $350.77$21.10 to $123.96
SA$109.00 to $374.13$142.00 to $339.11$21.10 to $129.09
WA$85.00 to $363.10$114.08 to $325.42$15.10 to $121.23
TAS$114.00 to $402.08$138.76 to $335.92$18.10 to $112.66
NT$58.00 to $233.98$79.65 to $201.35$12.10 to $105.98

What Defence Health covers, and what it pays back

Hospital

Leaving out the nine it sells through employers, Defence Health has 13 policies with hospital cover. They come with no excess or one of $250, $300, $400, $500, $750 or $800. 11 of the 13 drop the excess for children on the policy. Six of the 13 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 13 cover emergency and non-emergency ambulance trips.

Extras

Not counting the two it sells through employers, Defence Health has nine policies with extras, covering anywhere from 4 to 26 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. $45.00typical policy $35.20
  2. $84.00typical policy $66.85
  3. $1,071.90typical policy $773.80
  4. $108.00typical policy $42.00
  5. $253.00typical 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
    $850typical policy $450
  5. Chiropractic
    $750typical policy $400
  6. Psychology
    $1,300typical 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 20

PolicyTierFromSold inExcess options
Starter Hospital Basic PlusBasic Plus$58.00NTAll$750
Defence Hospital Basic PlusCorporateBasic Plus$59.11NTAll$500, $750
Essentials Hospital Basic PlusBasic Plus$61.20NTAll$250, $750
ADF Public Hospital Basic PlusCorporateBasic Plus$125.12All statesAll$0
Public Hospital Basic PlusBasic Plus$131.91WANSW & ACT, VIC, QLD, SA, WA, TAS$0
Saver Hospital Bronze PlusBronze Plus$68.00NTAll$500, $750
Everyday Hospital Bronze PlusBronze Plus$68.71NTAll$500, $750
Defence Hospital Bronze PlusCorporateBronze Plus$69.80NTAll$500, $750
Advanced Hospital Bronze PlusBronze Plus$76.16NTAll$500, $750
Defence Hospital Silver PlusCorporateSilver Plus$84.82NTAll$500, $750
Core Hospital Silver PlusSilver Plus$86.95NTAll$500, $750
Value Hospital Silver PlusSilver Plus$98.33NTAll$250, $500
Defence Hospital Advantage Silver PlusCorporateSilver Plus$110.29NTAll$500, $750
Advantage Hospital Silver PlusSilver Plus$110.82NTAll$500, $750
Top Hospital GoldGold$118.21NTAll$0, $250, $300, $400, $500, $800
Premier Hospital GoldGold$130.23NTAll$0, $250, $500
Ultimate Hospital GoldGold$143.81NTAll$0, $250, $500
Defence Hospital GoldCorporateOnly sold with particular other policiesGold$189.84NTAll$750
ADF Top Hospital GoldCorporateGold$196.34All statesAll$0, $250, $300, $400, $500, $800
Connections Hospital GoldOnly sold with particular other policiesGold$212.26NTAll$750

Hospital and extras policies 2

PolicyTierFromSold inExcess options
ADF Essentials Package Basic PlusCorporateBasic Plus$79.65NTAll$250
ADF Total Package GoldCorporateGold$162.46NTAll$0, $250, $500

Extras policies 9

PolicyFromSold inServices
Starter Extras$12.10NTAll4
Saver Extras$26.70NTAll9
Essentials Extras$27.68NTAll9
Standard ExtrasOnly sold with particular other policies$32.16All statesAll13
Flex Extras$50.00WAAll13
Top Extras$60.91NTAll26
Value Extras$65.22NTAll24
Lifestyle Extras$72.00NSW & ACTAll25
Premier Extras$105.98NTAll25

Defence Health also has 4 older policies (105 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 Defence Health

Who can join Defence Health?
It's a restricted fund. Who can join, as Defence Health puts it: current or former members of the ADF and the Defence community and their families. Defence Health sells 31 policies to new members (20 hospital-only, 2 combined and 9 extras-only), going by the October 2026 data.
How much does Defence Health pay for a dental check-up?
Up to $45.00 for a check-up (dental item 012) on its Premier Extras policy, at a dentist outside its preferred network. The typical extras policy across the market pays $35.20.