Health Partners (SPS)

Health Partners has been looking after the private health care needs of South Australians since 1937 – and we’ve never been in better shape. We are the largest South Australian open health fund providing hospital and extras cover to over 88,000 members.
As a not-for-profit, mutual organisation we are committed to providing quality, value-for-money health insurance, but we offer more than that.
We have strong expertise in both dental and optical care and we own and operate Health Partners Dental, SA’s largest private dental practice, and Health Partners Optical offering the best in eye care, alongside exceptional benefits and discounts.
Our members also have access to a growing network of quality health care professionals, including partner pharmacies and affiliated physiotherapists.
Whether you are looking for comprehensive cover or simply the basics, we have a range of options to suit singles, couples and families.
Our contact details can be found at Fund Contact above. Please call or email us if you would like find out more.
This information is provided by the fund

Health Partners provide further information regarding Gap cover doctors, Agreement hospitals, Preferred providers and Ambulance cover information .

Agreement Hospitals

This fund has agreements with some private hospitals or day surgeries to provide services at low or no out-of-pocket costs. You can view Agreement Hospitals for this fund in your region and further details are available from the fund.

Business Structure

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

Health Partners operates in all states and territories.

Performance

The Private Health Insurance Ombudsman prepares an annual report on the service delivery and performance of Australian health funds. The following is a selection of statistics about this health fund - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some funds in some states, as there are insufficient numbers reported to APRA for states in which the fund does not have a large membership.

Performance Fund Industry
Benefits as a % of contributions 92.5% 87.1%
Management expenses (% cont) 9.9% 8.5%
Management expenses (average policy) $325 $276
Surplus -2.5% 4.4%
Member retention (%) 89.4% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 78.3% 93.9% 91.7% 94.4% 95.5% 90.9% 94.8% 81.7%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 78.5% 91.7% 95.0% 91.8% 94.0% 87.6% 92.4% 86.2%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 91.1% 95.2% 98.5% 95.8% 99.3% 93.6% 98.0% 94.4%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 41.0% 40.0% 45.4% 42.9% 54.9% 44.5% 42.2% 45.1%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 4 81 74 51 28 19 5 1
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 6 78 61 41 23 12 2 0
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 0% 0.6%
Service Complaints 0%
All Complaints 0.1%
Investigations 0.3%
Address
Level 3101 Pirie Street
Adelaide
SA  5000


Phone: 1300 113 113
Email: ask@healthpartners.com.au
Website: http://www.healthpartners.com.au
Branches: http://www.healthpartners.com.au/Contact-us

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Policies

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