Health Partners

What Health Partners does

Health Partners Limited (ABN 4312828904) is a private, not-for-profit health fund headquartered in Adelaide, South Australia, serving over 95,000 individual and family members across the state. Founded approximately in 1940 and operating for over 85 years, the fund generates the majority of its revenue through subscription-based private health insurance premiums charged across weekly, fortnightly, monthly, quarterly, half-yearly, or annual billing cadences. Its product portfolio spans six Hospital Cover tiers (Basic Accident Hospital through Gold Hospital Advantage, ranging from AUD $18.54 to $67.35 per week for a baseline profile) and six Extras Cover tiers (Base Extras through Best Extras, from $4.99 to $23.08 per week), with premiums varying by age, income-based government rebate eligibility, location within South Australia, excess level, and family composition. As a not-for-profit, the fund reinvests surplus into member benefits rather than distributing profit.

Name

Health Partners

Legal name

Health Partners Limited ABN 4312828904

Website

https://healthpartners.com.au

Company type

Private

Founded year

1940

Operating status

Operating

Headcount range

251–500 employees

Short description

Health Partners is a not-for-profit private health fund based in Adelaide, South Australia, serving over 95,000 members with Hospital and Extras cover, owned dental and optical networks, and participating pharmacy and physio provider networks across the state.

Ownership category

akta.pro rank

Product category

Private Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Offices of Other Health Practitioners (6213)

SIC

Services-Health Services (8000), Ophthalmic Goods (3851)

akta.pro primary industry

Combined Dental & Vision Insurance (FSAIAHAC)

akta.pro secondary industry

Membership/Subscription & Direct-Pay General Dentistry Practices (HLABAAAI)

Keywords

• Private health insurance
• Hospital cover
• Extras cover
• Dental services
• Optical services

Headquarters

HQ city

Adelaide

HQ country

Australia

HQ region

Oceania

Offices7 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Health Insurance Premiums: Health Partners generates revenue through subscription-based health insurance premiums charged weekly, fortnightly, monthly, quarterly, half-yearly, or annually. Premiums are calculated based on coverage type (hospital, extras, or combined), age, income-based government rebate eligibility, excess level, and policy type. The company is structured as a not-for-profit fund where premiums are set to cover claims costs and operational expenses, with profits reinvested into member benefits.
2. Out-of-Pocket Gap Payments: When specialists charge fees above the Medicare Benefits Schedule (MBS) fee, members may pay gap payments. The Access Gap Scheme helps reduce these costs by arranging fixed-fee structures with participating specialists.

Pricing tiers

Go-to-market motion2 records

Distribution channels8 records

Marketing channels7 records

Core offering

Health Partners sells subscription-based private health insurance to South Australian individuals and families, comprising tiered Hospital Cover (accident-only through to gold-tier inclusive of pregnancy) and tiered Extras Cover (general dental, optical, physio, pharmacy, ambulance). It complements insurance with owned-and-operated dental clinics (7 Adelaide locations + Gawler partner) and optical retail stores, supported by participating pharmacy and physiotherapy networks. Members access their cover, lodge claims, and view benefits through a unified Your Health mobile app and member portal with real-time HICAPS on-the-spot claiming integration.

Product overview

Health Partners is a not-for-profit health fund operating in South Australia for over 85 years, offering a portfolio of private health insurance products comprising Hospital Cover (Basic Accident Hospital, Basic Hospital Plus, Bronze Hospital Plus, Silver Hospital Plus Lite, Silver Hospital Plus Advantage, and Gold Hospital Advantage) and Extras Cover (Base, Good, Growing Family, Better, Active Family, and Best). The company differentiates through owned healthcare networks — Health Partners Dental (7 Adelaide locations + 1 Gawler partner) and Health Partners Optical — as well as a participating physiotherapy network (60+ providers) and pharmacy network (50+ locations). These owned and participating provider networks enable members to claim higher benefits and exclusive discounts. Members manage their cover through the Health Partners app (Your Health, available on iOS and Android) and a unified web portal, with on-the-spot claiming via HICAPS and Health Point at participating providers. The Access Gap Scheme further reduces out-of-pocket specialist costs for in-hospital procedures.

Differentiator

Problem solved

Functional benefit

Products and services

• Hospital Cover Tiered private hospital insurance offered in six levels — Basic Accident Hospital (accident-only with $750 excess), Basic Hospital Plus, Bronze Hospital Plus, Silver Hospital Plus Lite, Silver Hospital Plus Advantage, and Gold Hospital Advantage (full coverage including pregnancy and birth). Cover provides choice of specialist, private hospital accommodation and reduced public waiting lists, with Access Gap Scheme reducing specialist out-of-pocket costs. Pricing varies by age, income (rebate), location, family type and excess.
• Extras Cover Tiered ancillary insurance offered in six levels — Base Extras, Good Extras, Growing Family Extras, Better Extras, Active Family Extras, and Best Extras — covering dental (general and major), optical, physiotherapy, pharmacy, podiatry, psychology, speech therapy, ambulance, and other therapies with annual limits and percentage-back benefits. Higher benefits are delivered at owned and participating providers.
• Health Partners Dental Owned and operated dental practice network with 7 locations across metropolitan Adelaide (Adelaide Pirie Street, Flinders Park, Highgate, Modbury, Morphett Vale, Mount Barker) plus a partnered clinic in Gawler. Services include general dentistry, hygiene, oral health therapy, and specialist dental services; all sites are ADA-accredited by QIP. Eligible members receive 100% back on check-ups and a 20% discount on dental products.
• Health Partners Optical Owned and operated optical retail chain offering 30-minute bulk billed eye tests (eligible Medicare holders), prescription eyewear, sunglasses, and contact lenses. Welcomes all health funds. Members receive unlimited 40% back on prescription eyewear after using their optical limit and 30% off non-prescription sunglasses.
• Health Partners Mobile App (Your Health) Native iOS and Android mobile application enabling members to submit claims by uploading photos of receipts, view benefit limits and remaining balances, access digital membership cards, find providers, and manage their health insurance on the go. Integrated with member portal under a single sign-on.
• Health Partners Member Portal Web-based member portal providing access to benefit limits, claims history, tax statements, payment management, digital membership cards, provider search, and secure inbox. Unified with the mobile app under a single sign-on.
• Access Gap Scheme Scheme administered via AHSA that reduces or eliminates specialist gap payments for in-hospital procedures by setting agreed fees with participating medical specialists above the Medicare Benefits Schedule; specialists may choose to apply it on a per-patient basis.
• Health Partners Physiotherapy Network Network of over 60 participating physiotherapists across South Australia; members on select extras products receive 100% back on eligible physio visits, with higher benefits at participating providers than recognised providers. Includes specialised physios for women's health, sports physiotherapy, musculoskeletal, orthopaedic, rehab and pain management.
• Health Partners Pharmacy Network Network of over 50 participating pharmacies across South Australia (including Amcal and former TerryWhite Chemmart locations) offering members up to $20 co-payment on non-government-subsidised PBS prescriptions, maximum $50 benefit on private prescriptions, and unlimited 20% discount on most non-prescription items.

Quantifiable outcome

• 100% back on dental check-ups at Health Partners Dental on most extras covers
• +4 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature4 records

Partnerships

23 partnerships are on record, tiered core, major and minor.

• TerryWhite Chemmart / Amcal PharmaciescoreChannel Partner/ Reseller/ DistributorTerryWhite Chemmart pharmacies across South Australia transitioning to Amcal brand from July. Nine of these pharmacies are part of the Health Partners participating pharmacy network, offering members 20% discount on non-prescription items and prescription benefits. Member benefits remain the same during transition.
• Foodbank South AustraliamajorStrategic or Co-development PartnerSouth Australia's largest provider of food relief. Health Partners staff volunteer in Foodbank's warehouse and help deliver fresh local fruit and veg to schools across the state through School Breakfast Provisions program. Last year alone, 356 South Australian schools ordered School Breakfast Provisions.
• Treasure BoxesmajorStrategic or Co-development PartnerOrganization providing essential support to South Aussie women, children and families doing it tough. Health Partners supports the Treasure Boxes toiletry pack program to ensure families receive everyday essentials to maintain healthy habits. Team members volunteer regularly in their warehouse.
• KickStart for KidsmajorStrategic or Co-development PartnerFighting food poverty in SA by providing over 50,000 breakfasts each week to children across 350 schools. Health Partners staff volunteer every Monday morning at Parafield Gardens Primary School to run the Breakfast Club, preparing and serving breakfast for students.
• Adelaide FringemajorStrategic or Co-development PartnerHealth Partners is a 2026 Major Partner of Adelaide Fringe focusing on making the festival more accessible, inclusive and community driven. Provided 500 free sensory bags for festival goers with sensory needs. Supported Giving Day to provide free tickets to people in need.
• Beyond Barriers Para Pathway ProgramcoreStrategic or Co-development PartnerFree, inclusive athletics initiative ensuring children of all abilities can participate, belong and succeed. The program provides children and teenagers with physical, intellectual or hidden disability an entry point to sport in a safe and welcoming space.
• Novita ServicescoreStrategic or Co-development PartnerHealth Partners supports Novita Services with a dedicated sensory space at their Gawler Hub. Designed to offer a safe, calming environment for people with diverse sensory needs including autism, ADHD, trauma or anxiety. Personalized sensory tools help people engage in community life without barriers.
• AHSA (Australian Health Service Alliance)coreTechnology or IntegrationAHSA administers Access Gap Cover for Health Partners and other participating health funds. Medical specialists register through AHSA website to participate in the Access Gap scheme which provides no-gap or reduced-gap billing for in-hospital procedures.
• Port Adelaide Football ClubminorGTM or Marketing PartnerHealth Partners members receive 10% off Port Adelaide Football Club merchandise at the Port Store in Alberton (physical or digital membership card required for redemption).
• Adelaide United Football ClubminorGTM or Marketing PartnerHealth Partners members receive 10% off tickets to all Adelaide United Football Club home games for season 2025/26.
• Doctors on DemandminorGTM or Marketing PartnerMembers save $5 and pay no booking fee with Doctors on Demand - a trusted Australian telehealth service connecting members with general practitioners 24/7 for online GP appointments.
• Goodlife Health ClubminorGTM or Marketing PartnerMembers receive 15% off select Goodlife Health Club memberships at their local Goodlife studio.
• Aleenta Health ClubminorGTM or Marketing PartnerMembers receive 10% off all Aleenta Health Club memberships and club passes.
• St John SAminorGTM or Marketing PartnerMembers receive 15% off select St John SA public first-aid training courses.
• Supported Minds PsychologyminorGTM or Marketing PartnerMembers save $25 on individual psychology appointments with Supported Minds Psychology. Plus members get priority access to exclusively reserved psychology appointments.
• Sprout Cooking StudiominorGTM or Marketing PartnerMembers receive 30 days free access to the Sprout app (normally $5.99/month, discounted to $3.99 for members) and 10% off all Sprout hands-on cooking classes and special events at South Australia's largest cooking school.
• JNR Food CominorGTM or Marketing PartnerMembers receive 20% off their first home delivery order and 10% off for every order after with JNR Food Co.
• BowlsomeminorGTM or Marketing PartnerMembers receive 30% off their first Bowlsome order and 15% off for every order after.
• Gawler Dental CliniccoreChannel Partner/ Reseller/ DistributorParticipating dentist partner north of Adelaide offering great benefits to Health Partners members in the Gawler area. Located at 117 Murray Rd, Gawler with phone number and website provided.
• Sight for AllminorStrategic or Co-development PartnerEye health organization partnered in Health Partners' community impact initiatives.
• Breakthrough FoundationminorStrategic or Co-development PartnerCommunity organization partnered in Health Partners' community impact initiatives.
• Catherine HouseminorStrategic or Co-development PartnerCommunity organization partnered in Health Partners' community impact initiatives for supporting those in need.
• Adelaide Youth FCminorStrategic or Co-development PartnerYouth football club partnered in Health Partners' community impact initiatives.

Scale indicators9 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Teachers Health Fund: Restricted/industry-aligned not-for-profit health fund (Teachers Union Health) with comparable Hospital + Extras offerings including dental and optical. Operates under similar mutual/member-owned governance to Health Partners.
• HBF Health: Western Australia's largest not-for-profit health fund, structurally the closest analogue: regional/state-focused mutual with deep community ties, comparable product mix (Hospital + Extras including dental, optical, physio), and a long operating history serving a single state market.
• Latrobe Health Services: Regional Victorian/NSW mutual health fund with Hospital and Extras cover including dental and optical, plus community-embedded brand. Comparable scale, member-owned structure, and product set.
• GMHBA: Victorian-based not-for-profit mutual health fund with regional roots and Extras cover spanning dental, optical and physio. Similar community-led positioning and member-owned governance to Health Partners.
• HCF (Hospitals Contribution Fund of Australia): Australia's largest not-for-profit health fund, offering comparable Hospital + Extras cover including dental and optical networks. National reach gives HCF broader scale, but the member-owned structure and product breadth overlap directly with Health Partners.
• HIF (Health Insurance Fund): Mid-sized Australian not-for-profit health fund offering Hospital and Extras cover. Smaller and direct-to-consumer in orientation, structurally similar to Health Partners in scale and product breadth.
• St.LukesHealth: Tasmania-focused not-for-profit health fund with comparable regional concentration, mutual governance, and integrated dental and optical provider offerings relevant to single-state PHI competition.

Broad incumbents

• Medibank Private: Australia's largest private health insurer with national scale and integrated health services (including dental through its broader portfolio). Head-to-head competitor in SA with structural scale and capital advantages.
• Bupa Australia: Major national PHI competitor operating Health Insurance and Bupa Optical/Dental service networks across Australia. Broad incumbent with overlapping product breadth and integrated healthcare delivery.
• NIB Holdings: Listed Australian private health insurer with national direct-to-consumer positioning and growing health services exposure. Competes directly with Health Partners in SA on price and digital experience.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@healthpartnersaustralia
• Facebookfacebook.com/HealthPartnersAU
• LinkedInlinkedin.com/company/health-partners
• Instagraminstagram.com/healthpartners_au

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Health Partners