With a Members Own health fund, you can expect more. Much more.

The quality of customer service is proven

The Members Own funds have a superb record of delivering excellent customer service to their members:

  • 7 of the top 10 health funds that “make members feel like an individual” are Members Own funds. Both Bupa and Medibank rank below the industry average.
  • Members Own funds run 6 of the top 7 highest ranked call centres in terms of service. Bupa ranked just above the industry average and Medibank ranked last.

Source: IPSOS Health Care and Insurance Australia 2015

The Members Own funds can achieve these levels of service because they are run solely to benefit their members, not generate profits for investors or overseas owners.

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On average, Members Own funds cover you in more private hospitals

What your hospital cover covers you for depends mostly on the policy you choose, but another factor that impacts how much you get back is whether your fund has an agreement with your private hospital.

Private hospital agreements are important for members because when an agreement exists, you will either have no out-of-pocket expenses or you will be provided with details of your out-of-pocket expenses.

Despite their relative size, most Members Own funds have just as many, and in some cases more private hospital agreements than Medibank/ahm, Bupa and nib.

Private hospital agreements chart

Source: http://privatehealth.gov.au, 5 Jan 2017.


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As secure financially as the household name funds

In principle there’s nothing wrong with being a member of a big, well-known fund, but a fund’s size or perceived security shouldn’t be the reason you choose to join or stay with them.

All health funds are run according to the same strict solvency, capital adequacy and governance standards set out by the Australian Government, so a bigger fund isn’t necessarily safer, more likely to pay your claim, or more able to protect your family than any other fund.

In fact, more and more Australians are discovering that collectively the well-known for-profit funds often don’t perform as well as the Members Own funds on the most important elements of health insurance value: the amount of benefit you get back, hospital coverage and customer service. The market share of the Members Own funds has grown every year since 2009, unlike the group comprising Medibank/ahm, Bupa and nib, which has started to decline.

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Not for profit means more benefits for members

There are more than 30 brands in the Australian health insurance marketplace, but despite this, the industry is dominated by a listed company (Medibank/ahm) and an overseas-based multinational (Bupa). Many Australians aren't aware that there are other alternatives out there worth considering.

The Members Own funds believe passionately that health insurance is about protecting the health of members, not making profits for others. They put their members first: instead of operating their business around how they can profit from you, they are thinking about how they can help you, now and for generations to come.

The Members Own funds are committed to returning more to members – providing more appropriate products, better service and returning more of your premium dollar back to you in benefits.

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On average, the research shows members are happier year after year

Occasional complaints about service or product are a fact of life for almost all businesses, but as a group the Members Own funds receive fewer than their fair share of complaints than other funds.

Complaints chart

5 of the top 6 funds in the 2015 IPSOS Net Promoter Score rankings were Members Own funds. Net Promoter Score is an indicator of a person’s likelihood of recommending a product or service to another person. Both Bupa and Medibank ranked below the industry average.

As a group the Members Own fund members stay with their fund longer, too. This is another indicator of satisfaction.

Member retention rate+
The Members Own health funds (average) Medibank/ahm, Bupa and nib (average)
88.7% 85.6%

+Percentage of fund members with hospital cover who have remained with the fund for two years or more (5 year average to 30 June 2015). Source: Private Health Insurance Ombudsman.

Remember, the Members Own funds exist to benefit their members, not generate profits for investors or overseas owners.

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The Members Own group of funds gives more premiums back to members in benefits

Australian Government data shows that on average over the past 5 years, the Members Own funds collectively gave a higher percentage of premium contributions back to members in benefits than the group comprising Medibank/ahm, Bupa and nib.

Benefits paid as a percentage of contributions^
The Members Own health funds Medibank/ahm, Bupa and nib (average)
86.8% 84.6%

^Average of cumulative 2011-2015 financial years

This gets interesting when put into dollar terms. The combined contribution revenue of Medibank/ahm, Bupa and nib over the 2011-2015 period was $57.1billion. If those funds had matched the 86.8% average paid out by the Members Own group over the same period they would have paid an additional $1.25billion in benefits to their members.

But that didn’t happen. Where did that $1.25billion go?

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Compare online and find great health insurance

Our comparison service makes it easy to compare between 100s of health insurance options from most of the Members Own funds. You can browse for cover that suits your needs and budget, create a shortlist of policies you want to compare side-by-side, and save your search.

It’s quick and easy to join online and you get the same great price as buying direct.


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