Details of insurer

Medibank Private Limited (MBP)

Medibank Private is Australia's leading private health fund, committed to providing our members with affordable and high quality care. We offer a range of tailored hospital and extras covers to suit all kinds of individuals and families. You can also mix and match our hospital and extras covers, or choose a package cover, which is a combination of both. As a Medibank member you can access our Members’ Choice network, one of the largest health provider networks in Australia.

This information is provided by the insurer

Medibank Private Limited provide further information regarding:

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 see Agreement Hospitals for this insurer and further details are available from the insurer.

Business Structure

This insurer is a shareholder owned company that operates on a for-profit basis.

Medibank Private Limited 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 insurers. The following is a selection of statistics about this health insurer - the full report and an explanation of these figures is available from the Ombudsman's website. Please note information is not provided for some insurers in some states, as there are insufficient numbers reported to APRA for states in which the insurer does not have a large membership.

Performance	Insurer	Industry
Benefits as a % of contributions	85.7%	88%
Management expenses (% cont)	8%	9.2%
Management expenses (average policy)	$284	$343
Surplus	6.3%	2.7%
Member retention (%)	75%	81%

Coverage	ACT	NSW	VIC	QLD	SA	WA	TAS	NT
Hospital Related Charges Covered	84.3%	90.1%	92.7%	90.7%	93.1%	90.7%	93.7%	90.9%
Industry Result	84.7%	90.8%	92.4%	91.1%	94.6%	93.5%	93.7%	91.2%
Medical Services with No Gaps	77.3%	86.9%	87.0%	86.6%	86.2%	74.8%	90.6%	87.7%
Industry Result	79.6%	90.5%	89.0%	90.8%	92.0%	87.5%	91.3%	88.9%
Medical Services with No or Known Gaps	94.0%	96.8%	97.4%	95.2%	99.4%	89.9%	98.5%	96.6%
Industry Result	92.8%	97.0%	98.0%	97.0%	99.5%	97.2%	98.6%	97.0%
General Treatment (extras) Covered	48.5%	51.7%	54.0%	55.6%	59.6%	58.8%	53.9%	60.7%
Industry Result	48.0%	50.7%	52.3%	54.1%	57.6%	57.1%	54.3%	59.5%
Private Hospital Agreements	5	91	70	50	25	21	8	1
Industry Maximum	8	79	77	57	28	25	8	2
Day Hospital Agreements	5	76	52	44	22	20	5	1
Industry Maximum	9	109	83	61	33	25	9	2

Share of PHIO complaints compared to insurer market share
Benefit Complaints	23.4%
Service Complaints	27.4%
All Complaints	22.8%
Investigations	16.5%
Market share	26.9%

Medibank Private Limited (MBP)

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