St.Lukes Health (SLM)

St.LukesHealth has been providing private health cover to Australians since 1952. Over this time, St.LukesHealth has built a strong reputation on its expertise and ability to supply top quality health cover and to provide exceptional service to its members. Established in Tasmania, St.LukesHealth has a loyal membership base across all States and Territories of Australia. St.LukesHealth has a range of hospital covers, extras covers and combined hospital and extras packages that are easy to undertsand and specifically designed to provide you with choices to meet your needs. Our friendly customer care consultants are trained to provide a personalised service to assist you in choosing the level of cover you require. With no call centres you'll always get to speak to a trained customer care consultant. We have a comprehensive range of payment and claiming options including direct debit and point of service electronic claiming. Regardless of where you live, doing business with St.LukesHealth is easy.

This information is provided by the insurer

St.Lukes Health 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 mutual organisation that operates on a not-for-profit basis.

St.Lukes Health operates in all states and territories.

St.Lukes Health polices are sold under a number of different brands, including:

  • Astute Simplicity Health

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 0.7% 0.6% market share
Investigated complaints 0%
Health Insurer Retention and Finances Industry result
Member retention (hospital cover) 88% 86%
Benefits as % of contributions 88.4% 85.4%
Management expenses % of contribution income 11% 9.5%
Management expenses per average policy $484 $358
Coverage ACT NSW VIC QLD SA WA TAS NT Australia
Hospital Related Charges Covered 86.7% 91.2% 91.7% 90.9% 93.3% 90.8% 93.4% 91.1% 93.1%
Industry Result 83.1% 89.7% 91.9% 90.3% 93.9% 93.0% 93.4% 90.0% 91.0%
Medical Services with No Gaps 69.4% 80.2% 85.2% 75.9% 83.2% 68.5% 90.2% 100% 88.9%
Industry Result 78.1% 89.8% 88.8% 89.7% 90.7% 87.6% 91.6% 88.5% 89.3%
Medical Services with No or Known Gaps 95.3% 88.8% 94.2% 85.9% 96.2% 95.1% 97.9% 100% 97.0%
Industry Result 92.7% 96.5% 97.6% 96.8% 99.1% 97.0% 98.2% 96.2% 97.1%
General Treatment (extras) Covered 56.8% 60.7% 58.9% 59.3% 65.1% 60.5% 59.4% 59.1% 59.0%
Industry Result 47.7% 50.1% 51.7% 53.4% 56.7% 56.6% 54.1% 58.8% 52.6%
Private Hospital Agreements 5 78 74 47 18 18 9 1 -
Industry Maximum 6 99 84 61 27 28 9 2 -
Day Hospital Agreements 6 54 62 36 17 13 8 1 -
Industry Maximum 11 108 94 64 35 39 9 2 -