Who is the best health insurance funds in Australia?
With so many health insurance companies and brands available in Australia, choosing the right one can be daunting. Selecting a health fund that offers reputable hospital coverage, fair extras rebates, flexible policy options, and excellent customer service is essential.
In this article, we’ll explore the top five health funds in Australia for 2025 based on key performance data extracted from the most recent annual State of the Health Funds Report conducted by the Commonwealth Ombudsman for private health insurance.
The Short Version

Despite the great funds we recognize in this article, it is general statistics only. Any fund can have any number of poor-performing policies and great-value policies alike. The best health insurance in Australia is a policy that is accurately matched to your needs and/or your family’s health needs – an exercise that requires helpful advice from a Fair Health Care Alliance adviser.
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What Makes the Best Health Insurance in Australia?
- Gap-Cover performance in private hospitals,
- Hospital-related charges covered,
- Extras benefits covered,
- Total benefits returned to the member vs premiums paid,
- Member retention (how happy customers are)
- Share of total complaints vs market share

Best Health Insurance for Member Retention
Who is the best health insurance for Benefits vs Premiums paid
Top 5 Health Insurance Companies for Benefits % (Open vs Restricted)
Percentage of Total Complaints Vs Market Share
Top 5 Health Funds for Quality Score (Complaints vs Market Share)
Who is the best health insurance in Australia for hospital related charges covered?
Best health funds covering the most hospital-related charges (Australia wide)
Charges Covered
Which health insurance companies performed best for No Gap Cover in Hospital?
Overall best health insurance for Gap-Cover in Private Hospital (Australia-wide)
Which health funds pay the most back in total on Extras claims?
Which health funds paid the most back on Extras last year?
Conclusion
We’ve learned today that different health insurance companies excel in different areas. The best health insurance in Australia is not dictated by the great numbers we’ve shared above, however, comes to down knowing how to match a great policy with excellent benefits to the unqiue health needs of the person applying.
The health requirements of the applicant, the frequency of visit on extras, the state or region they reside, and the health practices they choose to attend for treatment all have a significant bearing on which health insurance might be best at any one time.
This is why getting clear and trustworthy health insurance advice is of paramount importance. Contact us for a 100% free health insurance comparison and we’ll take the time to help you find an excellently matched policy.