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For services provided through Medical Gap Schemes, Bupa members experienced a higher percentage of in-hospital medical services covered with no gap (no out-of-pocket costs) or a known gap (agreed out-of-pocket costs up to $500) than Medibank or ahm members.
More Bupa members held on to their hospital cover for 2 years or more compared with Medibank Group.
Build your own extras cover with FLEXtras. Choose 4 or 6 services, then customise your benefits and limits to suit your budget.
Link your Bupa and Everyday Rewards accounts and receive 3x Everyday Rewards points on fresh fruit, veggies and macro wholefood products when you shop at Woolworths.
An excess is a one-off payment made when a policy member is admitted to hospital. The excess applies once per person, per calendar year. Depending on the health insurer, you may be able to choose a higher hospital excess in return for a lower premium.
If you consider yourself to be fairly healthy, a higher excess can be a good option to keep your premiums down.
Many health insurers have special agreements in place with select hospitals and specialists to reduce out-of-pocket costs for members. If you have a preference for a particular hospital or specialist, it’s worth researching which health insurers they have agreements with.
The Bupa Medical Gap Scheme helps reduce your medical costs for treatment when you’re admitted to hospital you’ll never pay more than $500 per doctor. Use the Find a Provider tool to check if your specialists are part of the network.
Always read the Policy Information when choosing hospital or extras cover.
When you join, we’ll ask about your previous health cover. We’ll let your old health insurer know you're switching, and cancel your old cover.
If you’ve already served waiting periods, you won’t need to serve them again if you’re switching to the same or lower level of cover.œ
When comparing health funds, it pays to look through some of the finer details. Here are some statistics from the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25 to keep in mind when comparing Bupa and Medibank Group (Medibank and ahm).
For services provided through Medical Gap Schemes, Bupa members experienced a higher percentage of in-hospital medical services covered with no gap (no out-of-pocket costs) than Medibank or ahm members.
All statistics shown are from 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.
Simply join online & stay on eligible combined hospital and extras products. We’ll even waive the 2 & 6 month waiting periods on extras!* Offer ends 14 October 2026.
Use promo code 12WEEKSFREE
*T&Cs and exclusions apply. New direct website joins only. 12 weeks free applied over 2 years (3 years for annual payers).
Bupa has you covered with a large provider network and flexible health insurance options.
If you need a visit to hospital, our aim is to make it as comfy as possible. Enjoy a bunch of benefits including a healthier wallet through our agreements with hospitals and specialists.
Year after year, we’ve been recognised by Canstar for the value of our cover. We’re proud of that, and even prouder of what it means for our members.
The statistics in this comparison can be found in the Private Health Insurance Ombudsman State of the Health Funds Report 2024–25.
Here are our top tips for comparing cover.
Each level of hospital cover includes a different number of included services (also known as clinical categories). The higher your cover, the more services are included. Hospital cover is standardised by a set of tiers that can help you compare similar levels of cover across health insurers.
To choose the services you need cover for, make a list of your pre-existing or genetic conditions, lifestyle (e.g. sport and hobbies), and future plans like growing your family. If you’re unsure, researching common health concerns for your age group is a good place to start.
Look for cover that includes services that match your lifestyle and health needs. For example, do you need a new pair of glasses or contacts every year? Do you play sports that might increase your risk of needing physio? Having a list of services that are important to you can help you shortlist cover options.
Extras services have limits (the total amount you can claim on a service). At Bupa, there are three different types of limits that can apply to an extras service:
A yearly limit (sometimes referred to as an ‘annual maximum’) is the total amount you can claim on a service in a calendar year. Yearly limits generally reset each year on 1 January.
A combined yearly limit is a shared yearly limit across multiple extras services. Combined yearly limits generally reset each year on 1 January.
A lifetime limit is the total amount you can claim on a service in your lifetime.
Generally the higher your extras cover, the higher your limits. When comparing covers, keep an eye out for the limits on services you use regularly. For example, if you visit the physio regularly you’ll want to look for a cover that has high yearly limits for physiotherapy.
A benefit is the amount you get back when you claim on a covered service, up to limits. The benefit will be either a set dollar amount, or a percentage back. Generally the higher your extras cover, the higher your benefits.
You could get 50% or more back on selected extras services at Members First providers, up to yearly limits.4 Use the Find a Provider tool to check if your providers are part of the network.
Compare and choose the cover that suits you. If you need help, select the chat button or call us on 134 135.
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.
2 For services provided through Medical Gap Schemes, Bupa covered 97.8% of in-hospital medical services with no gap or known gap vs 96.2% covered by Medibank Group from 2024 to 2025.
3 Bupa's member retention (hospital cover) was 86.1%, and Medibank’s was 85.4% as at 30 June 2025.
4 Percentage back may vary depending on your level of cover, and benefit claiming restrictions. 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. Waiting periods, yearly limits, policy and fund rules apply. Applies to included services only.
œ 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 their clearance certificate. We will apply portability once we receive it.
