Health Partners (SPS)
Health Partners has been looking after the health and wellbeing of South Aussies for over 85 years.
While a lot has changed in this time, our values have remained the same. We’re proudly not-for-profit, we put our members first and are dedicated to providing quality, value-for-money private health cover.
We support the health journeys of over 95,000 individuals, not just with Private Health Insurance, but with our versatile network of participating providers who offer our members generous benefits on a range of services including physiotherapy, podiatry and even pharmacy. We also own and operate Health Partners dental practices and optical stores across South Australia – giving our members the choice to be looked after by our team of clinical experts or pick their own provider.
While we offer cover Australia-wide, our heart is in South Australia where we’re creating a better state of health for our members and the local community. To be a Health Partners member is to know you’ve got someone on your side – no matter what your health and wellbeing journey looks like.
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
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 | 0.7% | 0.7% market share |
| Investigated complaints | 0.5% | |
| Health Insurer Retention and Finances | Industry result | |
|---|---|---|
| Member retention (hospital cover) | 90.2% | 86.5% |
| Benefits as % of contributions | 81.9% | 81.1% |
| Management expenses % of contribution income | 10.0% | 10.8% |
| Management expenses per average policy | $419 | $413 |
| Coverage | ACT | NSW | VIC | QLD | SA | WA | TAS | NT | Australia |
|---|---|---|---|---|---|---|---|---|---|
| Hospital Related Charges Covered | 79.8% | 86.2% | 89.5% | 90.6% | 94.2% | 88.7% | 90.0% | 91.1% | 93.2% |
| 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 | 76.9% | 90.7% | 87.9% | 92.5% | 91.2% | 86.0% | 92.0% | 86.4% | 91.0% |
| 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 | 91.4% | 97.3% | 98.3% | 98.4% | 99.7% | 98.5% | 98.7% | 97.6% | 99.4% |
| Industry Result | 91.2% | 96.4% | 97.8% | 96.8% | 99.3% | 98.0% | 98.8% | 95.9% | 97.2% |
| General Treatment (extras) Covered | 56.3% | 53.1% | 46.3% | 42.7% | 57.4% | 43.0% | 45.9% | 43.1% | 56.8% |
| Industry Result | 46.4% | 48.4% | 50.5% | 51.4% | 55.2% | 55.9% | 51.8% | 57.7% | 51.1% |
| Private Hospital Agreements | 5 | 92 | 71 | 50 | 20 | 21 | 5 | 1 | - |
| Industry Maximum | 8 | 98 | 72 | 58 | 24 | 24 | 8 | 2 | - |
| Day Hospital Agreements | 8 | 93 | 71 | 48 | 24 | 20 | 6 | 2 | - |
| Industry Maximum | 9 | 104 | 79 | 54 | 30 | 29 | 9 | 2 | - |
Adelaide
SA 5000