Medibank Private Limited (MBP) Review

Overview

Medibank is Australia’s second largest private health insurer in Australia with over 3.6 million members.

Medibank Private was established by the federal government in 1976 as a non-profit organization but changed to a for-profit body in 2009. In that same year Medibank purchased the health fund ‘ahm Insurance’.  In 2014, the Australian Government privatised Medibank and they continue to meet the ever-changing health needs of its members with their purpose being ‘Better Health for Better Lives’.

Medibank Private Key Facts

Founded: 1976

For-Profit or Not-For-Profit? For-Profit

Private Hospitals Agreements Nationwide: 263

Day Hospitals Agreements Nationwide: 222

Headquarters: Melbourne, Australia

Health Deal Represented: No

Medibank Hospital Cover

Medibank Private has 8 hospital policies to suit all individual and family needs. These range from Basic and Accident Hospital Cover all the way up to Gold Complete Hospital Cover. Here is a list of the hospital covers currently available from Medibank Private:

  • Basic Accident and Ambulance
  • Basic Plus Healthy Start
  • Bronze Everyday
  • Bronze Plus Progress
  • Silver Everyday
  • Silver Plus Assured
  • Silver Plus Security
  • Gold Complete Hospital

Medibank Extras Cover

Extras Cover takes care of the everyday healthcare service expenses that are not generally covered under Medicare such as dental services, prescription glasses, and physiotherapy. Here is a list of some of the current extras covers available:

  • Essential Extras 55
  • Growing Family 60
  • Growing Family 70
  • Healthy Start Extras
  • Top Extras 55
  • Top Extras 70

Medibank Combined Cover

Medibank Private currently offer 3 combined policies, ranging from Basic Everyday Starter all the way up to Gold Ultra Health Cover. Here is a list of the current Medibank Private combined covers:

  • Medibank Basic Everyday Starter
  • Medibank Silver Plus Families
  • Medibank Gold Ultra Health Cover

Medibank Waiting Periods

Medibank recognises the waiting periods you have already served with a previous health fund if you switch; this is called “portability”. For first-timers taking out a hospital cover, members who may have lapsed in hospital coverage and those upgrading their level of cover, the waiting periods below will have to be served before members can claim on services:

Hospital waiting periods

  • Ambulance services: None
  • Accidental Injury: None
  • New Conditions: 2 Months
  • Pregnancy and birth-related services: 12 months
  • Pre-existing conditions: 12 months
  • Rehabilitation & Palliative care: 2 months
  • Weight Loss Surgery: 12 months

How do you Claim Extras with Medibank Private?

Claiming on your extras is quick and easy with Medibank. Here are the 4 ways that you can get this done:

On the spot: Swipe your membership card at a health provider that uses the HICAPS system to have your claim processed immediately.

Via a mobile app: You can lodge a claim using the My Medibank App by submitting a photo of your receipt.

Online: You can log into your online account and lodge your claim by providing the details on your receipt.

By Mail:  You can lodge your claim by posting a completed claim form with the relevant accounts and receipts to:

Medibank Private Limited

GPO BOX 2984

MELBOURNE VIC 3001

Medibank Private Gap Cover

Medibank’s gap policy is called GapCover. If your doctor charges you more than the standard MBS fee, this is known as the ‘gap’ and can leave you with an out-of-pocket expense.  GapCover can help to minimise or eliminate personal expense but it is the choice of the physician to participate in any given gap scheme.

Gap Cover Ratings By State

To determine how beneficial a gap scheme will be, we suggest comparing health funds in the same state or territory to show which of the funds offer a greater proportion of medical services covered with no gap. While it is more likely that a medical service covered under your health fund can be utilized at no personal cost to you, it is entirely the choice of the physician whether or not to participate in the gap cover scheme. 

Medical Services with No Gaps — The percentage of claims that were fully refunded.

Medical Services with No or Known Gaps — The percentage of claims that were fully refunded, or where the policy holder knew the cost before the surgery was performed. The information below outlines the percentages of services covered under no-gap and known-gap.

The information below outlines the percentages of services covered under no-gap and known-gap.

Medibank medical services with No Gap: 80%

Industry Average: 79.1%

Medibank medical services with No or Known Gap: 92.4%

Industry Average: 90.5%

Medibank medical services with No Gap: 88.4%

Industry Average: 89.5%

Medibank medical services with No or Known Gap: 96.3%

Industry Average: 95.7%

Medibank medical services with No Gap: 85.1%

Industry Average: 86.7%

Medibank medical services with No or Known Gap: 93.8%

Industry Average: 95.1%

Medibank medical services with No Gap: 88.6%

Industry Average: 89.2%

Medibank medical services with No or Known Gap: 94.8%

Industry Average: 94.5%

Medibank medical services with No Gap: 89.9%

Industry Average: 89.5%

Medibank medical services with No or Known Gap: 99%

Industry Average: 96.6%

Medibank medical services with No Gap: 72.1%

Industry Average: 84.4%

Medibank medical services with No or Known Gap: 87.7%

Industry Average: 96.2%

Medibank medical services with No Gap: 92.1%

Industry Average: 90.2%

Medibank medical services with No or Known Gap: 98.3%

Industry Average: 96.7%

Medibank medical services with No Gap: 82.9%

Industry Average: 84.2%

Medibank medical services with No or Known Gap: 94.2%

Industry Average: 93.8%

Continue Reading...

health partners Review
Health Fund Bios

Westfund Health Insurance Review

Westfund health insurance is a regional, Not-For-Profit health fund that was established 60 years ago for miners in the heart of regional Australia

Read More →
health partners Review
Health Fund Bios

TUH Health Fund

TUH was established over 45 years ago by a group of Queensland teachers to provide quality and affordable health care to educators in that state.

Read More →
health partners Review
Health Fund Bios

Transport Health Insurance Review

Transport Health was established over 130 years ago to provide quality and accessible health care to the Melbourne Tramway workers

Read More →
health partners Review
Health Fund Bios

Teacher’s Health Review

Teacher’s Health is a restricted health fund exclusively for current and former members of the Australian education industry and their families.

Read More →
health partners Review
Health Fund Bios

rt health Insurance (Railway and Transport Health Fund) Review

The Railway and Transport Health Fund was established over 130 years ago as an industrial fund by a group of employees

Read More →
health partners Review
Health Fund Bios

Reserve Bank Health Society (RBHS) Review

RBHS is a closed fund for current and former employees of the Reserve Bank of Australia (RBA) and Note Printing Australia (NPA) and their families

Read More →
health partners Review
Health Fund Bios

St. Luke’s Health Insurance Review

The St. Luke’s Health fund was established over 65 years ago by a group of Launceston businessmen who saw the need for a regional health fund in the state of Tasmania

Read More →
health partners Review
Health Fund Bios

Peoplecare Health Insurance Review

Peoplecare Health Insurance Review Overview Peoplecare Health Insurance began as an industry-based health fund in 1952 as the health fund for John Lysaght Australia Ltd. …

Read More →
NIB Health Insurance Review
Health Fund Bios

NIB Health Insurance Review

NIB Health Insurance Review Overview The Newcastle Industrial Benefits (NIB) health fund was established 60 years ago for BHP Steelwork employees in the NSW Hunter …

Read More →
health partners Review
Health Fund Bios

Nurse and Midwives Health Review

Nurse and Midwives Health Review Overview Nurses and Midwives Health is a not-for-profit, industry-based fund open to the public and private nursing and midwifery community …

Read More →
health partners Review
Health Fund Bios

Health Partners Review

Health Partners Review Overview Health Partners is 80 years old and South Australia’s largest open health fund. Health Partners is not-for-profit and invests its dividends …

Read More →
health partners Review
Health Fund Bios

Latrobe Health Services Review

Latrobe Health Services Review Overview Latrobe Health has been providing quality, member-focused health cover to its customers for almost 70 years.  Latrobe Health is a …

Read More →
health partners Review
Health Fund Bios

Hunter Health Insurance (CDH Benefits Fund) Review

Hunter Health Insurance (CDH Benefits Fund) Review Overview CDH Benefits Fund (Cessnock District Health Benefits Fund) was established as a regional health fund over 65 …

Read More →
health partners Review
Health Fund Bios

health.com.au Review

health.com.au Review Overview health.com.au was established in 2012 and is the first new private health insurer in Australia since 1976. They are an online-only health …

Read More →
health partners Review
Health Fund Bios

Medibank Private Review

Medibank Private Limited (MBP) Review Overview Medibank is Australia’s second largest private health insurer in Australia with over 3.6 million members. Medibank Private was established by …

Read More →
Health Fund Bios

MyOwn Health Insurance Review

MyOwn Health Insurance (MO Health Pty Ltd) Review Overview MyOwn health Insurance is owned by the health fund GMHBA, insurance company AIA Australia, and the …

Read More →
health partners Review
Health Fund Bios

Mildura Health Fund Review

Mildura Health Fund Review Overview Mildura Health is a regional health fund that has been operating in Mildura, Victoria for 90 years. Mildura Health Fund is …

Read More →
health partners Review
Health Fund Bios

CBHS Health Fund Review

CBHS Health Fund Review Overview CBHS Health is a private, member-owned health fund founded by the Commonwealth Bank of Australia Group over 65 years ago …

Read More →
health partners Review
Health Fund Bios

Emergency Services Health Review

Emergency Services Health Review Overview Emergency Services Health is a restricted, not-for-profit health fund for employees and volunteers in the emergency services, such as ambulance …

Read More →
health partners Review
Health Fund Bios

Grand United Corporate Health Review

Grand United Corporate Health Review Overview Grand United Health is the only health fund in Australia that caters to corporate bodies, with over 260 corporate …

Read More →
Renee Tan made the process simple.
Renee Tan made the process simple.
Tanya 17/10/2019
Read More
Renee Tan made the process simple. She very clearly explained all the options and changes and how that would and could impact our health insurance. Renee gave great service, which makes me want to recommend your services to my family and friends.
Responded very quickly to my email for…
Responded very quickly to my email for…
Shirley 17/10/2019
Read More
Responded very quickly to my email for help on finding a medical fund. Mark that I spoke to was great at helping and explaining everything to me that I needed to know. went through every step in detail and always asked if I had any question during the course of our conversation
Excellent service
Excellent service
Kristine 16/10/2019
Read More
Excellent service. Daniel is really good in explaining everything and very patient.
Daniel listened to what I wanted
Daniel listened to what I wanted
Lorraine 16/10/2019
Read More
Daniel listened to what I wanted , sent me email to review and called back when he said he would , also saved me $50+ per month , and kept adult kids on policy for a bit longer .
Wasn’t pushy
Wasn’t pushy
Shaylee 01/10/2019
Read More
Wasn’t pushy, asked what I required gave me adequate thinking time and I got off the phone a happy customer
This team and in particular Daniel
This team and in particular Daniel
Peter 20/09/2019
Read More
This team and in particular , Daniel was very helpful , took the time to explain in detail all aspects , and was very understanding and patient Highly recommend them
Previous
Next
health partners Review
Health Fund Bios

Westfund Health Insurance Review

Westfund health insurance is a regional, Not-For-Profit health fund that was established 60 years ago for miners in the heart of regional Australia

Read More →
health partners Review
Health Fund Bios

TUH Health Fund

TUH was established over 45 years ago by a group of Queensland teachers to provide quality and affordable health care to educators in that state.

Read More →
health partners Review
Health Fund Bios

Transport Health Insurance Review

Transport Health was established over 130 years ago to provide quality and accessible health care to the Melbourne Tramway workers

Read More →
health partners Review
Health Fund Bios

Teacher’s Health Review

Teacher’s Health is a restricted health fund exclusively for current and former members of the Australian education industry and their families.

Read More →
health partners Review
Health Fund Bios

rt health Insurance (Railway and Transport Health Fund) Review

The Railway and Transport Health Fund was established over 130 years ago as an industrial fund by a group of employees

Read More →
health partners Review
Health Fund Bios

Reserve Bank Health Society (RBHS) Review

RBHS is a closed fund for current and former employees of the Reserve Bank of Australia (RBA) and Note Printing Australia (NPA) and their families

Read More →
health partners Review
Health Fund Bios

St. Luke’s Health Insurance Review

The St. Luke’s Health fund was established over 65 years ago by a group of Launceston businessmen who saw the need for a regional health fund in the state of Tasmania

Read More →
health partners Review
Health Fund Bios

Peoplecare Health Insurance Review

Peoplecare Health Insurance Review Overview Peoplecare Health Insurance began as an industry-based health fund in 1952 as the health fund for John Lysaght Australia Ltd. …

Read More →
NIB Health Insurance Review
Health Fund Bios

NIB Health Insurance Review

NIB Health Insurance Review Overview The Newcastle Industrial Benefits (NIB) health fund was established 60 years ago for BHP Steelwork employees in the NSW Hunter …

Read More →
health partners Review
Health Fund Bios

Nurse and Midwives Health Review

Nurse and Midwives Health Review Overview Nurses and Midwives Health is a not-for-profit, industry-based fund open to the public and private nursing and midwifery community …

Read More →
health partners Review
Health Fund Bios

Health Partners Review

Health Partners Review Overview Health Partners is 80 years old and South Australia’s largest open health fund. Health Partners is not-for-profit and invests its dividends …

Read More →
health partners Review
Health Fund Bios

Latrobe Health Services Review

Latrobe Health Services Review Overview Latrobe Health has been providing quality, member-focused health cover to its customers for almost 70 years.  Latrobe Health is a …

Read More →
health partners Review
Health Fund Bios

Hunter Health Insurance (CDH Benefits Fund) Review

Hunter Health Insurance (CDH Benefits Fund) Review Overview CDH Benefits Fund (Cessnock District Health Benefits Fund) was established as a regional health fund over 65 …

Read More →
health partners Review
Health Fund Bios

health.com.au Review

health.com.au Review Overview health.com.au was established in 2012 and is the first new private health insurer in Australia since 1976. They are an online-only health …

Read More →
health partners Review
Health Fund Bios

Medibank Private Review

Medibank Private Limited (MBP) Review Overview Medibank is Australia’s second largest private health insurer in Australia with over 3.6 million members. Medibank Private was established by …

Read More →
Health Fund Bios

MyOwn Health Insurance Review

MyOwn Health Insurance (MO Health Pty Ltd) Review Overview MyOwn health Insurance is owned by the health fund GMHBA, insurance company AIA Australia, and the …

Read More →
health partners Review
Health Fund Bios

Mildura Health Fund Review

Mildura Health Fund Review Overview Mildura Health is a regional health fund that has been operating in Mildura, Victoria for 90 years. Mildura Health Fund is …

Read More →
health partners Review
Health Fund Bios

CBHS Health Fund Review

CBHS Health Fund Review Overview CBHS Health is a private, member-owned health fund founded by the Commonwealth Bank of Australia Group over 65 years ago …

Read More →
health partners Review
Health Fund Bios

Emergency Services Health Review

Emergency Services Health Review Overview Emergency Services Health is a restricted, not-for-profit health fund for employees and volunteers in the emergency services, such as ambulance …

Read More →
health partners Review
Health Fund Bios

Grand United Corporate Health Review

Grand United Corporate Health Review Overview Grand United Health is the only health fund in Australia that caters to corporate bodies, with over 260 corporate …

Read More →
prostate cancer awareness man holding blue ribbon and moustache
Articles

Prostate Cancer : public vs private care

The Australian Institute of Health and Welfare estimates that the risk of a male being diagnosed with prostate cancer by his 85th birthday will be 1 in 6.

Read More →
Articles

Everything You Need To Know About Joint Replacements

When joint damage or pain limits even the simplest of activities such as sitting or standing, a joint replacement may be the answer. But what is a joint replacement, how is it done, and how to find a policy that suits your needs? Find out here.

Read More →
youth camping outdoors
Articles

Health check-ups you should be having in your 20s

Ah, the 20s. There’s no age quite like it. While you’re out there living your best life, health checks may not be a glaring priority. But it can’t hurt to start getting into the habit of screening the condition of your health regularly.

Read More →
pregnant woman holding her belly
Articles

Preparing for a baby

There is nothing more exciting and fulfilling than waiting for your baby to arrive. It is a highly emotional time for all involved and you’ll no doubt be finding yourself smiling fondly at a pair of fluffy booties and cute onesies.

Read More →
filling out a health insurance claim form
Articles

How Your Private Health Insurance Claims gets processed

If you’re new to private health insurance or have never submitted a health insurance claim, the process can seem confusing.
Not to worry, insurers have given you several quick and easy ways to claim on your extras health insurance

Read More →
gold, silver, bronze
Articles

Private health insurance changes 2019

As of April last year (2019), Australian private health insurance underwent various policy reforms. The main reason behind these changes was to make private health insurance less confusing and encourage people to take up health cover.

Read More →
2%
Articles

Medicare Levy and Medicare Levy Surcharge: What’s the Difference?

The Medicare Levy and the Medicare Levy Surcharge can be a source of confusion as they are two very similarly-sounding taxes. However, they are completely different levies.

Read More →
plate of healthy food with knife and fork depicting hands of a clock
Articles

Your Ultimate Guide to Intermittent Fasting

Intermittent fasting is the current trending method for improving health and losing weight because of its simplicity and affordability

Read More →
piggy bank with Australian dollar notes
Articles

What is the Private Health Insurance Excess?

When discussing private health insurance, you will often come across the term ‘Excess.’ We explain what this means, how excess affects your health insurance premiums and how you can save on the cost of your hospital cover.

Read More →
yellow road sign showing health insurance increases ahead
Articles

How to Beat the Premium Hike

No one is happy about this coming April’s premium rise.
Customers do not want to spend more on health insurance premiums, private health insurance funds do not want to lose members, and the public health system cannot add further stress to its over-crowded lobbies.

Read More →
Compare Health Insurance
I understand and accept Packleader Group's Privacy Policy. I agree that Health Deal may call me during call centre opening hours, and email or SMS me, about the services it provides.
man vaping
News

#VapeTricks leaves vaping under fire again

The great vaping debate has momentarily sparked up again, thanks to #VapeTricks on TikTok.

Read More →
10 million people died from cancer in 2018
News

Equal cancer care for all: WHO’s steps to save 7 million lives from cancer

Every year on the 4th of February, World Cancer Day is observed to raise awareness of the disease and encourage early detection through screenings and prevention through healthy life choices

Read More →
Australian Bushfire
News

Air quality rendered unsafe following bush fires

Air quality rendered unsafe following bush fires Residents of New South Wales and the east coast have been advised to avoid venturing outdoors as much …

Read More →
Health Insurance Premiums
News

Australian Private Health Insurance Premiums Expected to Surge

Australian Private Health Insurance Premiums Expected to Surge Promises fall through Health Minister Greg Hunt’s avowal to tackle private health insurance premiums has gone belly …

Read More →
Private Healthcare Australia
News

PHA proposal for employers to pay for private health insurance

PHA proposal for employers to pay for private health insurance The Private Health Insurance sector is speaking up about concerning trends relating to young people …

Read More →
Measles Outbreak spurs vaccinations
News

Measles Outbreak spurs vaccinations

Measles Outbreak spurs vaccinations A new outbreak of measles has prompted health officials to issue travel vaccination warnings to those leaving the country. One-hundred and …

Read More →
Australian obesity
News

Where you live affects your weight

Where you live affects your weight 1 in 3 Australians are overweight and where you live is the major contributing factor. While you may think …

Read More →
dental news
News

New Multi-Million Dollar Investment Into A Vaccine For Periodontal Gum Disease

New Muti-Million Dollar Investment Into A Vaccine For Periodontal Gum Disease The 14 million dollar investment into a vaccine for periodontal gum disease has come …

Read More →
gastro health insurance
News

100 Train Passengers Fall Ill From Gastro Outbreak

Over 100 passengers Fall Ill From Gastro Outbreak on Indian Pacific Train Over 100 passengers who boarded the Indian Pacific train left with more than …

Read More →

Leave a Comment

Your email address will not be published. Required fields are marked *

Scroll to Top