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 fund

Medibank Private Limited provide further information regarding Gap cover doctors, Agreement hospitals, Preferred providers, Overseas visitors and Overseas students .

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 view Agreement Hospitals for this fund in your region and further details are available from the fund.

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

Performance Fund Industry
Benefits as a % of contributions 86.4% 87.1%
Management expenses (% cont) 8.2% 8.5%
Management expenses (average policy) $260 $276
Surplus 5.4% 4.4%
Member retention (%) 83.8% 84.8%
Coverage ACT NSW VIC QLD SA WA TAS NT
Hospital Related Charges Covered 83.0% 89.6% 93.3% 90.4% 94.0% 91.2% 93.5% 87.8%
Industry Result 82.4% 89.9% 93.0% 90.7% 95.1% 93.7% 93.8% 88.4%
Medical Services with No Gaps 76.0% 87.2% 86.7% 84.2% 88.9% 75.0% 88.4% 74.5%
Industry Result 77.6% 89.6% 89.5% 86.9% 90.8% 83.4% 89.3% 77.5%
Medical Services with No or Known Gaps 86.7% 91.5% 92.9% 88.9% 98.6% 84.0% 93.5% 91.4%
Industry Result 84.8% 91.7% 94.0% 90.2% 95.9% 94.2% 94.1% 87.9%
General Treatment (extras) Covered 47.6% 53.7% 54.1% 55.9% 59.1% 57.8% 55.3% 59.5%
Industry Result 47.5% 51.2% 52.5% 54.4% 56.1% 56.1% 53.5% 56.3%
Private Hospital Agreements 5 86 66 52 27 20 5 1
Industry Maximum 6 97 78 53 29 21 6 2
Day Hospital Agreements 4 74 54 35 19 16 3 1
Industry Maximum 9 91 73 47 25 24 7 1
Share of PHIO complaints Compared to fund's market share
Benefit Complaints 29.6% 28.6%
Service Complaints 35.2%
All Complaints 27.8%
Investigations 27.8%
Address
GPO Box 9999
Melbourne
VIC  3001


Phone: 132331
Email: ask_us@medibank.com.au
Website: http://medibank.com.au
Branches: http://www.medibank.com.au/client/staticpages/Find-Your-Nearest-Store-Agent.aspx

To view a list of Medibank Private Limited products, please complete the following:

Policies

  1.  
  2.  

* All items marked with an asterisk are compulsory