1 For services provided through Medical Gap Schemes, Bupa covered 90.2% of in-hospital medical services with no out-of-pocket costs vs 81.8% covered by Medibank Group from 2024 to 2025. All statistics shown are as outlined in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25, which summarises the average coverage of each insurer's policies across Australia.
2 For hospital admissions, Bupa covered 89.0% of hospital-related charges on average vs 85.8% covered by NIB, from 2024 to 2025. All statistics shown are as outlined in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25, which summarises the average coverage of each insurer's policies across Australia.
3 For services provided through Medical Gap Schemes, Bupa covered 90.2% of in-hospital medical services with no out-of-pocket costs vs 85.4% covered by HCF from 2024 to 2025. All statistics shown are as outlined in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25, which summarises the average coverage of each insurer's policies across Australia.
4 Bupa held 25.5% market share of the private health insurance industry vs 7.9% held by HBF, as at 2024 to 2025. All statistics shown are as outlined in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25, which summarises fund membership share across Australia.
5 For services provided through Medical Gap Schemes, Bupa covered 90.2% of in-hospital medical services with no out-of-pocket costs vs 86.3% covered by GMHBA from 2024 to 2025. All statistics shown are as outlined in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25, which summarises the average coverage of each insurer's policies across Australia.
6 For extras services like dental, optical and physio, Bupa covered 51.3% of costs on average vs 42.8% covered by Teachers Health, from 2024 to 2025. All statistics shown are as outlined in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25, which summarises the average coverage of each insurer's policies across Australia.
7 Depending on your level of cover for most services at our Members First Providers covering dental, physiotherapy, chiropractic and podiatry consultations. Bupa has Members First providers for these services. Not available in all areas. Yearly limits, benefit claiming restrictions, waiting periods, fund and policy rules apply.
8 Subject to availability, you may be covered for a private room if you request one at any Bupa agreement hospital for services included with your hospital cover (excluding services with restricted cover). Excludes ‘nursing home type patients’, emergency care, same day stays or where a private room is clinically inappropriate. For upcoming treatments, call us on 134 135 to check whether you may be eligible to have a private room.
9 You should ask your doctor whether they’ll use the Medical Gap Scheme for your treatment.
** You can receive 100% back on dental check-up and cleans (select dental items only) once every 6 months at Members First Ultimate Providers. Waiting periods, benefit claiming restrictions, policy and fund rules apply. Excludes orthodontics and in-hospital treatments. Available on all eligible extras products which includes General Dental (excluding FLEXtras and Your Choice Extras 60 where General Dental is not included). If you choose or require any additional dental services, any health insurance benefits will also be subject to your yearly limits. Not available in all areas.
^ Offer available in-store and online at Bupa Optical. Buy any pair of prescription glasses or prescription sunglasses from the Designer range and receive 50% off RRP of any second prescription pair from the Designer range of equal or lesser value. You will also receive 50% off RRP for any lens type upgrades (not including lens add-ons) on the second pair from the Designer range. Alternatively, if you wish to purchase your second pair from the ‘Value Package’ range, you will only pay the 'Value Package' second pair price with 50% off lens type upgrades (not include lens add ons). Lens add-ons are always at an additional cost. Second pair in this offer must either be purchased in the same transaction, or if you are purchasing in-store it can also be within 30 days of collection of an eligible first pair. Offer not available to goods supplied pursuant to any agreement between Bupa and any commonwealth government or associated entity. Bupa Optical Pty Ltd ABN 24 126 819 154.
Å“ When switching to Bupa on an equivalent or lower level of cover within 60 days of cover end date with old health fund, provided you already served your waiting period and pending receipt of your clearance certificate. We will apply portability once we receive it.