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.

Ombudsman complaints compared to market share
All complaints 19.3% 27.4% market share
Investigated complaints 15.6%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 87.6% 88.6%
Benefits as % of contributions 83.7% 83.1%
Management expenses % of contribution income 7.5% 9.9%
Management expenses per average policy $262 $375
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 84.0% 89.5% 92.1% 89.7% 91.9% 90.6% 93.2% 90.1% 90.6%
Industry Result 82.9% 89.4% 91.5% 89.7% 93.4% 92.7% 92.9% 89.3% 90.6%
Medical Services with No Gaps 76.1% 86.8% 85.7% 84.2% 82.7% 75.5% 91.3% 85.2% 84.6%
Industry Result 76.9% 89.7% 88.0% 88.8% 89.7% 88.5% 91.4% 87.5% 88.8%
Medical Services with No or Known Gaps 94.9% 97.0% 97.7% 95.9% 99.2% 91.3% 98.8% 96.4% 96.6%
Industry Result 92.3% 96.7% 97.9% 97.2% 99.3% 97.5% 98.8% 96.5% 97.4%
General Treatment (extras) Covered 48.0% 50.4% 52.7% 54.4% 58.0% 57.6% 53.4% 59.8% 53.4%
Industry Result 47.0% 49.1% 50.8% 52.5% 56.4% 56.6% 52.6% 58.4% 52.0%
Private Hospital Agreements 5 92 65 50 20 21 9 1 -
Industry Maximum 6 98 76 60 23 24 9 2 -
Day Hospital Agreements 6 77 53 44 21 20 6 1 -
Industry Maximum 9 103 79 57 30 24 8 2 -