Key takeaways
- There are over 30 Australian private health insurance funds.
- The largest private health funds in Australia include Medibank, ahm, Bupa, hbf, HCF and nib.
- Australian health insurance providers are subject to regulations set by the government to ensure they provide fair and affordable coverage.
List of Australian health funds
This chonky table lists all the health funds in Australia.
Fund name | Restricted or open | Profit or not for profit |
---|---|---|
AAMI Health Insurance | Open | For profit |
ACA Health | Restricted | For profit |
ahm | Open | For profit |
AIA Health Insurance | Open | For profit |
Apia | Open | For profit |
Astute Simplicity Health | Open | Not for profit |
Australian Unity | Open | For profit |
Bupa | Open | For profit |
CBHS | Restricted | Not for profit |
Defence Health | Restricted | Not for profit |
Doctors Health Fund | Restricted | Not for profit |
Emergency Services Health | Restricted | Not for profit |
Frank Health Insurance | Open | Not for profit |
GMHBA | Open | Not for profit |
GU Health | Open | For profit |
HBF | Open | Not for profit |
HCF | Open | Not for profit |
Health Partners | Open | Not for profit |
HealthCare Insurance | Open | Not for profit |
HIF | Open | Not for profit |
Hunter Health Insurance | Open | Not for profit |
ING Health Insurance | Open | For profit |
Latrobe | Open | Not for profit |
Medibank | Open | For profit |
Mildura Health Fund | Open | Not for profit |
Navy Health | Restricted | Not for profit |
nib | Open | For profit |
Nurses & Midwives | Restricted | Not for profit |
onemedifund | Open | For profit |
Peoplecare | Open | Not for profit |
Phoenix Health Fund | Open | Not for profit |
Police Health | Restricted | Not for profit |
Priceline Health Insurance | Open | For profit |
Qantas Insurance | Open | For profit |
Queensland Country Health Fund | Open | Not for profit |
Real Health Insurance | Open | For profit |
Reserve Bank Health Society | Restricted | Not for profit |
RT Health | Restricted | Not for profit |
See-U | Open | Not for profit |
Seniors Health Insurance | Open | For profit |
St. Lukes Health | Open | Not for profit |
Suncorp Health Insurance | Open | For profit |
Teachers Health Fund | Restricted | Not for profit |
TUH | Restricted | Not for profit |
UniHealth | Restricted | Not for profit |
Union Health | Restricted | Not for profit |
Westfund Health | Open | Not for profit |
For profit vs not for profit funds
There are a tonne of not-for-profit health funds in the Aussie health insurance industry. In fact, there are more not-for-profit funds than for-profit funds. Although more Australians overall are enrolled with a for-profit fund. For now, anyway.
Not-for-profit funds don't have shareholders, so ostensibly return all their profits back to their members, either through more benefits or lower premiums. This generally seems to play out in the real world - the Finder 2024 health insurance awards were all won by not-for-profit funds.
However, we generally see for-profit funds with more generous sign-up deals, thanks to their bigger marketing budget. That's not a hard and fast rule - the bigger not-for-profit funds like HBF and HCF often have pretty competitive sign-up offers for example. But that's something to consider if you want to switch health funds every year or two and take advantage of these deals.
Restricted vs open health funds
A restricted health fund is one that's only available to join by certain people. Her are some examples of what that looks like:
- Teacher's Health Fund limits membership to teachers and their families.
- CBHA Health will only insure people that work for the Commonwealth Bank.
- Union Health restricts memberships to members of labour unions.
All Australian restricted funds are currently not-for-profit (you could maybe argue that corporate health funds are for profit restricted). Restricted funds are subject to the same rules and requirements that open funds are, so it's debatable whether or not there's a particular advantage to them.
Australian health funds descriptions and stats

AAMI Health Insurance
A long-trusted Australian brand, AAMI offers health insurance through nib, itself a leading health insurance company.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

ACA Health
ACA Health Benefits Fund is a not-for-profit health fund for employees of the Seventh-Day Adventist Church and their families.
Member retention: 91.4%
Market share: 0.1%
No-gap services: 92.8%
Benefits as % of contributions: 75.6%
Underwriter:

ahm
ahm is a part of Medibank Private Ltd and trades as ahm Health Insurance.
Member retention: 86.9%
Market share: 27.1%
No-gap services: 83.8%
Benefits as % of contributions: 83.4%
Underwriter: Medibank

AIA Health Insurance
AIA Australia, the local wing of the Asian insurance giant, offeres health insurance to Aussies with a focus on supporting members stay healthy and well. AIA Vitality is one of the best benefits and rewards programs for Aussies that stay fit and active.
Member retention: 76.1%
Market share: 0.4%
No-gap services: 84.3%
Benefits as % of contributions: 83.2%
Underwriter:

Apia
Apia specialises in providing health insurance cover for over 50s and seniors. Underwritten by Suncorp
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

Astute Simplicity Health
Astute Simplicity Health is an arm of Astute Financial, which provides general financial services. While Astute Financial is a privately owned, for-profit company, Astute Simplicity Health Insurance is underwritten by St Lukes, a Tasmanian not-for-profit health fund.
Member retention: 89.4%
Market share: 0.6%
No-gap services: 88.9%
Benefits as % of contributions: 83.6%
Underwriter: St. Lukes

Australian Unity
Australian Unity is a health care, financial services and retirement living organisation that provides services to over half a million Australians.
Member retention: 79.0%
Market share: 2.2%
No-gap services: 91.4%
Benefits as % of contributions: 70.0%
Underwriter:

Bupa
Formerly known as HBA, MBF and Mutual Community, Bupa has been around for more than 60 years.
Member retention: 87.7%
Market share: 24.9%
No-gap services: 91.1%
Benefits as % of contributions: 80.9%
Underwriter:

CBHS
CBHS Health Fund is a restricted not-for-profit fund for current and former employees of the Commonwealth Bank of Australia Group and their eligible families.
Member retention: 92.4%
Market share: 1.5%
No-gap services: 85.3%
Benefits as % of contributions: 84.2%
Underwriter:
CBHS Corporate
Member retention: 71.1%
Market share: No-gap services: 82.1%
Benefits as % of contributions: 84.0%
Underwriter: 0>

Defence Health
Defence Health offers its suite of private health cover options to more than 235,000 members with connections to the Australian Defence Force.
Member retention: 91.0%
Market share: 2.0%
No-gap services: 89.7%
Benefits as % of contributions: 76.4%
Underwriter:

Doctors Health Fund
Doctors Health Fund provides a range of private health care solutions for health professionals and their families.
Member retention: 90.2%
Market share: 0.5%
No-gap services: 93.0%
Benefits as % of contributions: 80.4%
Underwriter:

Emergency Services Health
Emergency Services Health is a not-for-profit health fund for Australia's emergency services community.
Member retention: 91.2%
Market share: 0.5%
No-gap services: 87.3%
Benefits as % of contributions: 86.9%
Underwriter: Police Health

Frank Health Insurance
Frank Private Health Insurance Australia is a not-for-profit health fund that is part of GMHBA (Geelong Medical and Hospital Benefits Association)
Member retention: 78.9%
Market share: 2.2%
No-gap services: 86.7%
Benefits as % of contributions: 78.9%
Underwriter: GMHBA

GMHBA
Geelong Medical and Hospital Benefits Association (GMHBA) is a regionally-based not-for-profit member-based health fund.
Member retention: 78.9%
Market share: 2.2%
No-gap services: 86.7%
Benefits as % of contributions: 78.9%
Underwriter:

GU Health
GU Health, also known as Grand United Corporate Health, is a specialist corporate health fund that services more than 300 companies. It's owned and operated by nib.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

HBF
HBF is a not-for-profit health fund and one of the five largest health funds in Australia. Based in Western Australia, it's been looking after the cover needs of its members for more than 70 years.
Member retention: 89.9%
Market share: 7.7%
No-gap services: 92.5%
Benefits as % of contributions: 87.9%
Underwriter:

HCF
The Hospitals Contribution Fund of Australia Limited (HCF) is one of the Big Four health funds and is the largest not-for-profit health fund in Australia.
Member retention: 88.2%
Market share: 12.5%
No-gap services: 86.7%
Benefits as % of contributions: 87.7%
Underwriter:

Health Partners
Health Partners is a Members Own Health Fund.
Member retention: 90.2%
Market share: 0.7%
No-gap services: 91.0%
Benefits as % of contributions: 81.9%
Underwriter:

HealthCare Insurance
Founded in 1938, Health Care Insurance (HCI) aims to offer quality cover and value for money to its members.
Member retention: 88.2%
Market share: 0.1%
No-gap services: 91.5%
Benefits as % of contributions: 74.7%
Underwriter:

HIF
Health Insurance Fund of Australia (HIF), a not-for-profit member-based health fund.
Member retention: 75.9%
Market share: 0.7%
No-gap services: 89.6%
Benefits as % of contributions: 78.8%
Underwriter:

Hunter Health Insurance
Hunter Health Insurance is the new name of Cessnock District Health Fund, which has been offering cost-effective private health cover for its members for more than 60 years. Hunter now offer coverage nationwide.
Member retention: 88.4%
Market share: No-gap services: 83.5%
Benefits as % of contributions: 70.9%
Underwriter: 0>

ING Health Insurance
ING has a huge range of savings accounts and financial products. It now offers health insurance, thanks to its partnership with nib health insurance.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

Latrobe
Established in 1951, Latrobe is a member-focused health fund, providing cover to more than 78,000 Australians.
Member retention: 77.8%
Market share: 0.7%
No-gap services: 75.3%
Benefits as % of contributions: 79.0%
Underwriter:

Medibank
Medibank's core business is the underwriting of private health insurance policies through Medibank and ahm. Headquartered in Melbourne, they have operations throughout Australia.
Member retention: 86.9%
Market share: 27.1%
No-gap services: 83.8%
Benefits as % of contributions: 83.4%
Underwriter:

Mildura Health Fund
Mildura Health Fund, also known as Mildura District Hospital Fund, has been offering health cover to its members since 1929. It has agreements in place with hundreds of hospitals around the country.
Member retention: 91.5%
Market share: 0.3%
No-gap services: 81.2%
Benefits as % of contributions: 82.4%
Underwriter:

Navy Health
Offering competitive policies to suit the cover needs of Australian Defence Force members and their families, Navy Health is a not-for-profit fund and was founded in 1955.
Member retention: 89.4%
Market share: 0.4%
No-gap services: 90.0%
Benefits as % of contributions: 83.4%
Underwriter:

nib
nib is one of Australia's fastest growing health funds and began life as Newcastle Industrial Benefits (nib) Hospital Fund and Medical Fund, established by workers at BHP Steelworks in Mayfield.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter:

Nurses & Midwives
Nurses & Midwives Health is exclusively for the needs of the Australian nursing and midwifery community.
Member retention: 96.8%
Market share: 2.6%
No-gap services: 90.3%
Benefits as % of contributions: 86.0%
Underwriter: Teacher's Health

onemedifund
With a focus on providing private health insurance that is straightforward and easy to understand, onemedifund offers a wide range of hospital cover, extras cover and combined cover packages.
Member retention: 93.8%
Market share: 0.1%
No-gap services: 89.6%
Benefits as % of contributions: 73.7%
Underwriter:

Peoplecare
A not-for-profit health fund with a focus on providing value-for-money cover, Peoplecare was named the number-one open health fund in Australia by Australian Financial Review's Smart Investor magazine in 2014.
Member retention: 85.9%
Market share: 0.5%
No-gap services: 90.9%
Benefits as % of contributions: 83.3%
Underwriter:

Phoenix Health Fund
Founded in 1953 to meet the health cover needs of Stewarts and Lloyds employees, Phoenix Health Fund now offers competitive private health insurance to anyone in Australia who wants to join.
Member retention: 85.0%
Market share: 0.2%
No-gap services: 91.4%
Benefits as % of contributions: 77.7%
Underwriter:

Police Health
Run by police for police, Police Health is a not-for-profit fund that offers value-for-money cover.
Member retention: 91.2%
Market share: 0.5%
No-gap services: 87.3%
Benefits as % of contributions: 86.9%
Underwriter:

Priceline Health Insurance
Priceline offers health insurance through nib - if you're a member of the Priceline sister club, health cover will let you earn extra rewards when you shop.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

Qantas Insurance
Qantas Insurance is issued by NIB and made available by Qantas.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

Queensland Country Health Fund
Based in regional Queensland, Queensland Country Health Fund aims to offer top-quality cover to Queenslanders. It has more than 35,000 members.
Member retention: 87.6%
Market share: 0.4%
No-gap services: 89.3%
Benefits as % of contributions: 79.8%
Underwriter:

Real Health Insurance
Real Insurance is the retail arm of Hollard, which is one of the biggest underwriters of Aussie insurance brands. Despite offering mostly Hollard insurance products, Real Insurance offers health insurance underwritten by nib.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

Reserve Bank Health Society
Reserve Bank Health Society is a restricted health fund for current and former employees of the Reserve Bank of Australia or Note Printing Australia and their families.
Member retention: 91.3%
Market share: No-gap services: 90.3%
Benefits as % of contributions: 74.9%
Underwriter: 0>

RT Health
With a history dating back more than 126 years, RT Health Fund is a not-for-profit fund that offers a large variety of hospital and extras cover options for its members.
Member retention:
Market share:
No-gap services: 85.2%
Benefits as % of contributions: 79.5%
Underwriter:

See-U
see-u is part of popular non profit insurer HBF. Previous known as CUA, see-u offers a simple, no nonsense set of products aimed at younger Aussies.
Member retention: 89.9%
Market share: 7.7%
No-gap services: 92.5%
Benefits as % of contributions: 87.9%
Underwriter: hbf

Seniors Health Insurance
Aimed primarily at older Australians, Seniors Health Insurance is offer via nib, one of the largest health insurers in the country.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

St. Lukes Health
St.LukesHealth was founded in Tasmania in 1952. It offers affordable hospital and extras cover to members in every Australian state and territory.
Member retention: 89.4%
Market share: 0.6%
No-gap services: 88.9%
Benefits as % of contributions: 83.6%
Underwriter:

Suncorp Health Insurance
True to its name, Suncorp is based out of the sunny city of Brisbane - it offers health insurance via nib.
Member retention: 82.7%
Market share: 9.6%
No-gap services: 91.7%
Benefits as % of contributions: 79.0%
Underwriter: nib

Teachers Health Fund
Teachers Health Fund is a restricted access, not-for-profit health fund for those in the education community and their families.
Member retention: 96.8%
Market share: 2.6%
No-gap services: 90.3%
Benefits as % of contributions: 86.0%
Underwriter:

TUH
Established in 1972 by the Queensland Teachers' Union, TUH offers quality health cover to members of the union and their families. It provides private health insurance cover for more than 70,000 Australians.
Member retention: 90.6%
Market share: 0.6%
No-gap services: 91.8%
Benefits as % of contributions: 82.6%
Underwriter:

UniHealth
UniHealth is created exclusively for the higher education community and their families.
Member retention: 96.8%
Market share: 2.6%
No-gap services: 90.3%
Benefits as % of contributions: 86.0%
Underwriter: Teacher's Health

Union Health
Offering cover to union members and their families, Union Health is a relaitvely new not-fot-profit fund. It's a restricted fund, but anyone in a union can join. If you haven't joined your union, maybe you should?
Member retention: 90.6%
Market share: 0.6%
No-gap services: 91.8%
Benefits as % of contributions: 82.6%
Underwriter: TUH

Westfund Health
Westfund is a member-owned health fund that was established in 1929. It aims to offer top-quality health cover to a wide variety of Australians.
Member retention: 87.1%
Market share: 0.9%
No-gap services: 90.3%
Benefits as % of contributions: 83.3%
Underwriter:
Health insurance tips
Finding the right health cover is like taking out any form of insurance. You need to compare policies and identify the one that is the fit for you and represents the value for money. The following are some things to bear in mind when doing so.
- Review your cover regularly (at least once a year), as circumstances change (both your fund’s and your own)
- If you find a better deal, switch fund, as it is easier than you think and your current benefits and status are fully transferable under law
- Consider having your hospital cover and extras cover with separate funds if you find good independent offers on each
- Select a higher excess if you can afford it, to reduce the cost of your premium
- Be wary of policies that have both an excess and a co-payment, as you could end up paying both
- Look for policies that offer full ambulance cover, not just emergency cover
- Make sure your fund has agreements with your doctor and local hospital to avoid paying a gap.
How are health funds regulated?
When looking for health cover, it’s important to look at the fund as well as the policy to make sure they would be able to fulfil their part of the bargain if you make a claim. You can learn something about a fund’s industry standing, claims record and customer service levels from their online presence and also through industry forums on social media.
The health insurance industry in Australia is regulated by the Private Health Insurance Administration Council (PHIAC), which conducts quarterly reviews of health funds to ensure compliance. The Private Health Insurance Act 2007 gives the PHIAC the power to issue directives and enforce compliance if necessary, so consumers can be fairly confident that, in Australia at least, our private health insurance industry is well regulated and financially sound.
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My wife is on a 461 visa (NZ family) which does not include medicare. Which insurance company provides the best value private insurance which covers the same/similar things as medicare?
Hi David,
Thanks for reaching out. finder.com.au is a comparison service and we are not permitted to provide personalised financial advice. If you would like to compare your options, please check the list of overseas visitors health cover (OVHC) on our website.
On this page, you’ll find out useful information about this type of cover, along with a comparison table of the products available through the funds in our panel.
All the best,
Richard