Police Health Limited

What Police Health Limited does

Police Health Limited is an Australian not-for-profit, restricted-access private health insurer founded in 1935 and headquartered at 320 King William Street, Adelaide, South Australia. The fund exclusively serves the Australian policing community — current, retired and former police officers and employees of state, territory and federal police departments, employees and volunteers of police unions and associations, and their eligible family members — with a stated base of more than 100,000 members. It operates as an independent entity with no parent company, no external shareholders and no funding rounds; capital is held above APRA's HPS110 prudential minimum, with Common Equity Tier 1 Capital of A$96.9m and a Capital Adequacy Multiple of 1.83 reported at 30 June 2025.

The fund offers three Gold-tier products: Gold Hospital (covering all 38 government-defined clinical categories with no excess, co-payments or exclusions and unlimited ambulance cover), Rolling Extras (general and major dental, optical, physio, pharmacy, mental health, complementary therapies, hearing aids and aids/appliances, with up to 80% back at the member's chosen provider and a Rollover benefit carrying unused annual limits forward), and Gold Combined (Gold Hospital plus Rolling Extras, with additional laser eye-surgery benefits). The technology stack is anchored by HAMB Systems Ltd's member management and claims processing system, an Online Member Portal and a native mobile app supporting NFC (Android) and QR (iPhone) digital-card integration to HICAPS terminals for on-the-spot extras claiming. A direct ATO lodgement of Private Health Insurance Tax Statements by the second week of July each year replaces a manual member step.

Revenue is generated entirely from recurring member subscription premiums, payable fortnightly or monthly by direct debit, or quarterly, six-monthly or yearly by BPAY, with credit card payments not accepted. Pricing is quote-based and varies by state/territory, cover type, family composition, the Australian Government Rebate tier and Lifetime Health Cover loading. Distribution combines direct-to-consumer online self-service via policehealth.com.au, inside sales via phone (1800 603 603) and an Adelaide head office, the mobile app, and channel partnerships including police unions, optical retailers (OPSM, Laubman & Pank, Specsavers, Bailey Nelson) and National Pharmacies. On 1 April 2026 the previously operated Emergency Services Health brand was retired and all members consolidated under the Police Health brand.

Name

Police Health Limited

Legal name

Police Health Limited

Website

https://policehealth.com.au

Company type

Private

Founded year

1935

Operating status

Operating

Headcount range

51–100 employees

Short description

Police Health Limited is an Australian not-for-profit, restricted-access private health insurer founded in 1935, serving more than 100,000 members of the Australian policing community and their families through three Gold-tier hospital, extras and combined cover products.

Ownership category

akta.pro rank

Product category

Private Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114)

SIC

Hospital & Medical Service Plans (6324)

akta.pro primary industry

Small Group Health Insurance (2–50/100) (FSAIAFAD)

Keywords

• Private health insurance
• Hospital cover
• Extras cover
• Restricted membership fund
• Not-for-profit health insurer

Headquarters

HQ city

Adelaide

HQ country

Australia

HQ region

Oceania

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Private health insurance premiums: Recurring subscription premiums paid by members in exchange for hospital, extras, or combined cover. Premiums vary by state/territory, cover type (Hospital/Extras/Combined), family composition (single, couple, family, single parent), and chosen government rebate tier; payable fortnightly or monthly via direct debit, or quarterly/6-monthly/yearly via BPAY.
2. Investment income on capital holdings: Returns on regulatory capital held above APRA minimum (Common Equity Tier 1 Capital of A$96,903k at 30 June 2025, Capital Adequacy Multiple 1.83) contribute to the funding of member benefits and operations, as a not-for-profit restricted-access health insurer.

Pricing tiers

Go-to-market motion4 records

Distribution channels7 records

Marketing channels9 records

Core offering

Police Health Limited is a not-for-profit, restricted-access private health insurer that exclusively serves the Australian policing community and their families. It offers three Gold-tier health insurance products — Gold Hospital, Rolling Extras, and Gold Combined (Hospital + Extras) — providing simplified top-level cover with no excess, no co-payments, no exclusions, unlimited ambulance cover, and a unique Rolling Extras Rollover benefit that carries unused annual limits into the next year. Membership is restricted to current, retired or former police officers and employees, police union/association employees and volunteers, and eligible family members across all Australian states and territories.

Differentiator

Problem solved

Functional benefit

Brands

• Gold Hospital: Top-level hospital insurance product covering all 38 clinical categories, with no excess, no co-payments, no exclusions, and unlimited ambulance cover.
• Rolling Extras
• Gold Combined

Products and services

• Gold Hospital Cover

Quantifiable outcome

• Capital Adequacy Multiple of 1.83 at 30 June 2025 (Total Capital Base A$96,903k vs Prescribed Capital Amount A$52,940k)
• +3 more outcomes

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

17 partnerships are on record, tiered core and minor.

• Australian Health Service Alliance (AHSA)coreStrategic or Co-development PartnerAHSA collects personal information about claims when members receive hospital treatment to assist Police Health in assessing and paying claims and meeting statutory reporting requirements. AHSA also provides clinical, classification and contract support, including Power to assist with correctly assessing a claim for payment and identifying persons who could benefit from a chronic disease management program. AHSA facilitates the search for contracted hospitals used by Police Health's online Find a Contracted Hospital tool.
• HAMB Systems LtdcoreTechnology or IntegrationHAMB Systems Ltd supports Police Health's membership management and claims processing system by providing software and hosting services. Personal information is held on systems hosted by HAMB Systems Ltd at its sites, under Privacy Act-compliant agreements.
• Facebook (Meta)minorGTM or Marketing PartnerPolice Health uses Facebook tracking pixels/cookies and Facebook Custom Audiences to deliver targeted advertising to users based on email addresses collected, with an opt-out link provided.
• Spectrum.life (Valion Health)coreStrategic or Co-development PartnerPolice Health has partnered with Spectrum.life to deliver the Spectrum.life Support Program (Cancer Support Program) to eligible members diagnosed with cancer. The program provides cognitive coaching via video or phone, an initial assessment, oncology nurse care planning, exercise physiology, oncology-focused dietitian services, and a patient app. Eligibility criteria and waiting periods apply.
• VitaliscoreStrategic or Co-development PartnerPolice Health partners with Vitalis to offer the bespoke TeleNurse Surgery Support Program to eligible members at no additional cost. The program is staffed by trained nurses with specific experience in covered medical procedures and provides pre-hospitalisation and post-discharge home support via phone.
• Healthy Weight for Life (Prima Health)coreStrategic or Co-development PartnerPolice Health offers its Gold Hospital and Gold Combined members Healthy Weight for Life's Heart Health Program (Prima Heart Health Program) at no extra cost, designed to help manage modifiable weight-related cardiac risk factors. The program is delivered in 3 phases over 18 weeks with personal support via phone, SMS, email and message board. Eligibility: BMI > 28, cardiovascular condition, 12 months continuous hospital cover.
• Prima Health (Type 2 Diabetes Program)coreStrategic or Co-development PartnerPolice Health offers the Prima Type 2 Diabetes Program to Gold Hospital and Gold Combined members, run in 3 phases over 18 weeks with portion control eating plans (including KicStart VLCD meal replacements), activity plans, education, coaching and online self-monitoring.
• Nourish BabyminorStrategic or Co-development PartnerPolice Health provides free access to Nourish Baby, Australia's only accredited online antenatal and parenting courses, to members with Gold Hospital cover and Gold Combined cover (eligibility criteria apply).
• Members Health Alliance (membershealth.com.au)minorGTM or Marketing PartnerPolice Health is a member of Members Health Fund Alliance, the peak body for not-for-profit and member-owned health insurers in Australia. Co-branded logo displayed on the Police Health website.
• Private Healthcare AustraliaminorOthersPrivate Healthcare Australia is the Australian private health insurance industry peak body. Police Health displays the PHA logo on its website indicating membership/affiliation.
• OPSMminorChannel Partner/ Reseller/ DistributorPolice Health members with Rolling Extras or Gold Combined cover receive additional discounts at OPSM, including a no-gap offer on $199 or less frame range and a full-range offer with 100% back (up to $350) on frames and 100% back on prescription lenses, lens extras and contact lenses.
• Laubman & PankminorChannel Partner/ Reseller/ DistributorSame arrangement as OPSM, providing Police Health members with no-gap and 100%-back offers on frames, lenses and contact lenses at Laubman & Pank stores.
• SpecsaversminorChannel Partner/ Reseller/ DistributorPolice Health has arrangements with Specsavers to give extra discounts to members on top of generous optical benefits.
• Bailey NelsonminorChannel Partner/ Reseller/ DistributorPolice Health has arrangements with Bailey Nelson to give extra discounts to members on top of generous optical benefits.
• National PharmaciesminorChannel Partner/ Reseller/ DistributorPolice Health members can claim pharmacy benefits on the spot at any National Pharmacies store by showing their membership card when giving their prescription.
• Return to Work SAOthers
• Australian Government (Medicare, Private Health Insurance Ombudsman, Department of Health, Disability & Ageing, APRA)Others

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• HBF Health: Western Australian not-for-profit restricted health fund, originally for BHP and mining workers, now open to WA residents. Comparable not-for-profit, restricted-roots operating philosophy and state-level focus, though it has since opened membership.
• GMHBA: Geelong-based Australian not-for-profit health fund with restricted-roots heritage. Similar Gold-tier product focus and not-for-profit governance structure, with comparable scale (regional restricted fund) and direct overlap in extras/optical value proposition.
• Defence Health: Restricted-access not-for-profit health insurer for Australian Defence Force personnel, veterans and their families. Same restricted-membership, mission-aligned community model serving a uniformed-services cohort analogous to policing.
• CBHS Health Fund: Restricted-membership not-for-profit health fund for Commonwealth Bank Group employees and affiliated employers. Same restricted-membership, employer-affinity model and not-for-profit structure serving a defined workforce community.
• HCF (Hospitals Contribution Fund of Australia): One of Australia's largest not-for-profit health funds, originally founded as a restricted fund for hospital employees and now open to the public. Closely comparable operating model, Gold-tier focus, and not-for-profit philosophy, but with a much larger member base and broader eligibility.
• Teachers Health Fund: Australia's largest restricted-access not-for-profit health fund for teachers and education staff — closest direct peer to Police Health with the same restricted-community, not-for-profit model, Gold-tier-only product philosophy, and similar reliance on community trust and word-of-mouth.
• TUH (Teachers Union Health): Queensland-based restricted not-for-profit health fund tied to the education sector union. Comparable restricted-community model, Gold-only product philosophy, and reliance on union/organizational affiliation channels for acquisition.

Broad incumbents

• Bupa Australia: Australian arm of global Bupa, one of the largest health insurers in the country and a broad incumbent competitor. Comparable product set (hospital, extras, combined) but for-profit, open-membership model at much greater scale.
• NIB Holdings: ASX-listed Australian health insurer competing across open-membership segments. Comparable Gold hospital and extras product offering; relevant as a benchmark for premium discipline, capital efficiency, and listed-fund valuation multiples in the Australian private health insurance market.
• Medibank Private: Largest Australian private health insurer (ASX-listed) and direct competitor across all segments. Relevant as the broad-incumbent benchmark for premium pricing, capital scale, and brand investment against which Police Health's restricted-fund positioning is differentiated.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks5 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCucmJVbMqI_2HY3J95LQXTg
• Facebookfacebook.com/PoliceHealth
• LinkedInau.linkedin.com/company/policehealth

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 Police Health Limited