Details of insurer

Health Partners (SPS)

Health Partners is South Australia’s largest not-for-profit health fund. We’re all about Generous Health Insurance, that looks after you with Big Benefits.
• Big Benefits. Enjoy generous limits on a range of services.
• Not for profit. Our profits are invested back into the fund to benefit members.
• Happy members that stay. 100% owned by members.

This information is provided by the insurer

Health Partners 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.

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 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	87.7%	86%
Management expenses (% cont)	10%	9.1%
Management expenses (average policy)	$381	$350
Surplus	2.3%	4.9%
Member retention (%)	88%	82%

Coverage	ACT	NSW	VIC	QLD	SA	WA	TAS	NT
Hospital Related Charges Covered	75.1%	89.7%	89.7%	90.3%	95.4%	86.1%	92.0%	93.6%
Industry Result	83.8%	90.4%	92.2%	90.8%	94.6%	93.0%	93.9%	90.2%
Medical Services with No Gaps	74.7%	88.1%	86.8%	92.4%	93.0%	86.5%	91.5%	93.8%
Industry Result	78.5%	88.9%	85.6%	88.4%	87.3%	85.0%	88.6%	84.2%
Medical Services with No or Known Gaps	90.8%	96.2%	97.5%	96.9%	99.7%	93.6%	99.4%	100%
Industry Result	91.0%	95.5%	94.7%	94.5%	95.1%	96.4%	96.0%	94.0%
General Treatment (extras) Covered	50.3%	49.2%	46.6%	42.8%	57.4%	44.6%	45.5%	46.6%
Industry Result	48.1%	50.7%	52.4%	54.3%	57.4%	57.5%	54.3%	59.1%
Private Hospital Agreements	5	98	78	52	24	22	5	2
Industry Maximum	9	110	83	61	33	31	8	2
Day Hospital Agreements	8	90	69	49	28	22	4	1
Industry Maximum	6	98	78	57	29	23	5	2

Share of PHIO complaints		Compared to insurer's market share
Benefit Complaints	0.4%	0.7%
Service Complaints	0.2%
All Complaints	0.5%
Investigations	0.8%

Health Partners (SPS)

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