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.
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
This table compares this health insurer's performance on a range of factors. Some of this information has previously been published in the Private Health Insurance Ombudsman's State of the Health Funds report, available from the Ombudsman's website (www.ombudsman.gov.au). Please note information is not provided for some insurers in some states, as there are insufficient numbers reported for states in which the insurer does not have a large membership.
| Ombudsman complaints compared to market share | ||
|---|---|---|
| All complaints | 0.5% | 0.6% market share |
| Investigated complaints | 1.6% | |
| Health Insurer Retention and Finances | Industry result | |
|---|---|---|
| Member retention (hospital cover) | 89.4% | 86.5% |
| Benefits as % of contributions | 83.6% | 81.1% |
| Management expenses % of contribution income | 12.7% | 10.8% |
| Management expenses per average policy | $595 | $413 |
| Coverage | ACT | NSW | VIC | QLD | SA | WA | TAS | NT | Australia |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Related Charges Covered | 82.7% | 89.5% | 90.9% | 87.8% | 90.5% | 90.5% | 92.2% | 78.5% | 91.9% |
| Industry Result | 81.8% | 88.7% | 90.5% | 88.9% | 92.6% | 92.4% | 92.4% | 88.6% | 89.9% |
| Medical Services with No Gaps | 55.2% | 80.2% | 82.4% | 81.7% | 77.6% | 80.2% | 90.0% | 71.4% | 88.9% |
| Industry Result | 75.6% | 89.3% | 87.3% | 87.8% | 89.0% | 88.9% | 91.2% | 86.7% | 88.3% |
| Medical Services with No or Known Gaps | 91.3% | 92.7% | 96.9% | 94.8% | 93.6% | 91.3% | 98.8% | 85.7% | 98.3% |
| Industry Result | 91.2% | 96.4% | 97.8% | 96.8% | 99.3% | 98.0% | 98.8% | 95.9% | 97.2% |
| General Treatment (extras) Covered | 49.6% | 57.5% | 55.4% | 57.2% | 61.9% | 57.5% | 56.2% | 55.1% | 56.3% |
| Industry Result | 46.4% | 48.4% | 50.5% | 51.4% | 55.2% | 55.9% | 51.8% | 57.7% | 51.1% |
| Private Hospital Agreements | 5 | 77 | 71 | 47 | 18 | 18 | 7 | 1 | - |
| Industry Maximum | 8 | 98 | 72 | 58 | 24 | 24 | 8 | 2 | - |
| Day Hospital Agreements | 6 | 59 | 67 | 37 | 19 | 16 | 9 | 1 | - |
| Industry Maximum | 9 | 104 | 79 | 54 | 30 | 29 | 9 | 2 | - |
Launceston
TAS 7250