ACA Health Benefits Fund

What ACA Health Benefits Fund does

ACA Health Benefits Fund Limited is a not-for-profit, members-owned Australian private health insurer operating under restricted access since 1934, headquartered at 148 Fox Valley Road, Wahroonga, NSW. Membership is restricted to current and former employees of companies affiliated with the Seventh-day Adventist Church in Australia, Local Church Officers (Elders, Deaconesses, Pathfinder Leaders), and their extended families, with the fund asserting that 100% of operating surplus is returned to members as benefits.

The product portfolio comprises five hospital cover tiers (Gold Deluxe, Gold Private, Silver Plus, Bronze Essentials, Basic) and four extras tiers (Complete, Mid, Lite, Flex), sold as combined hospital-and-extras, hospital-only, or extras-only policies. Distribution is direct-to-member via the acahealth.com.au website, a 1300 368 390 contact center, iOS/Android mobile apps, and church-network referrals. A travel insurance line is offered through GSA Insurance Brokers, underwritten by Allianz Australia Insurance Limited, and a Pathways to Better Health Chronic Disease Management Program adds a care-management layer. Core technology is a mobile claiming application and online member portal supporting online, email, postal, and app-based claims submission.

The revenue model is subscription-based private health insurance premiums billed on annual or monthly cadences across the hospital and extras tiers; pricing is quote-based and not publicly disclosed. The fund is a member of the Members Health Fund Alliance and maintains a provider network agreement with Healthscope Hospitals, with operational scale indicated by an 11-50 employee band and a 4.3/5 Google brand rating.

Name

ACA Health Benefits Fund

Legal name

ACA Health Benefits Fund Limited

Website

https://acahealth.com.au

Company type

Private

Founded year

1934

Operating status

Operating

Headcount range

11–50 employees

Short description

ACA Health Benefits Fund is a not-for-profit, members-owned Australian private health insurer founded in 1934, restricted to current and former Seventh-day Adventist Church employees, Local Church Officers, and their extended families across Australia.

Ownership category

akta.pro rank

Headquarters

HQ city

Wahroonga

HQ country

Australia

HQ region

Oceania

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Private Health Insurance Premiums: ACA Health generates revenue through subscription-based private health insurance premiums paid by members. As a not-for-profit fund, 100% of operating surplus is returned to members. Premiums are collected on a recurring basis (monthly or annual billing options).

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

ACA Health Benefits Fund is a not-for-profit, members-owned private health insurer that provides restricted-access private hospital and extras cover to the Seventh-day Adventist community in Australia. It offers tiered hospital products (Gold Deluxe, Gold Private, Silver Plus, Bronze Essentials, Basic), tiered extras products (Complete, Mid, Lite, Flex), and travel insurance underwritten by Allianz, distributed through a website, mobile app, phone service, and church network referrals.

Product overview

ACA Health Benefits Fund offers a portfolio of private health insurance products tailored for employees of Seventh-day Adventist organisations in Australia. The product suite comprises four hospital cover tiers (Gold Deluxe, Gold Private, Silver Plus, Bronze Essentials, and Basic) ranging from comprehensive no-gap policies to essential public hospital coverage, and four general treatment (extras) options (Complete, Mid, Lite, and Flex) providing varying levels of benefits for services like dental, optical, and physiotherapy. Members can purchase hospital and extras separately or as a combined package, with travel insurance also available through a partnership with Allianz Global Assistance.

Differentiator

Problem solved

Functional benefit

Named customers2 records

Segments4 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Members Health Fund AlliancecoreStrategic or Co-development PartnerACA Health Benefits Fund is a proud member of the Members Health Fund Alliance, an alliance of not-for-profit, member-owned health funds in Australia. This affiliation positions the fund within a network of similar values-based health insurers.
• GSA Insurance Brokers Pty LtdcoreChannel Partner/ Reseller/ DistributorACA Health has appointed GSA Insurance Brokers Pty Ltd (ABN 34 084 437 196) as their Insurance Broker for travel insurance policies. GSA arranges travel insurance as authorised representative for AWP Australia Pty Ltd.
• Allianz Australia Insurance Limited / Allianz Global AssistancecoreChannel Partner/ Reseller/ DistributorTravel insurance policies are underwritten by Allianz Australia Insurance Limited (ABN 15 000 122 850, AFSL 234708) and issued and managed by AWP Australia Pty Ltd ABN 52 097 227 177 AFSL 245631 trading as Allianz Global Assistance.
• Adventist EducationminorGTM or Marketing PartnerACA Health has partnered with Adventist Education to provide health education resources for primary school children. This includes health resource competitions and educational materials such as 'Toothy Tales: Johnathan's Dental Adventure' and 'Wendy's Water Filled World'.
• Healthscope HospitalscoreStrategic or Co-development PartnerACA Health has an ongoing agreement with Healthscope Hospitals for member access to private hospital services. A letter confirming this agreement continuation is available on their website.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• NIB Holdings: Listed Australian private health insurer with a focus on direct-to-consumer distribution and digital claims. Relevant comparable on the private health insurance product set and digital claims experience, though at significantly larger scale than ACA Health.
• Medibank Private: Largest Australian private health insurer by membership, offering hospital and extras cover to the general public. Broad incumbent against which ACA Health competes for community members, with much greater scale and broader provider networks.
• Bupa Australia: Major Australian private health insurer and part of the global Bupa group, offering the full range of hospital and extras cover. Competes head-to-head with ACA Health for value-conscious Australian consumers and operates at materially larger scale.

Direct peers

• GMHBA Limited: Australian not-for-profit, members-owned private health insurer based in Geelong with community roots. Comparable in NFP structure, broad community (rather than restricted) membership, and product portfolio of hospital, extras, and travel insurance.
• Doctors' Health Fund (Avant Mutual): Restricted private health insurer for medical professionals and their families in Australia. Comparable to ACA Health as a profession/affinity-based, NFP, members-owned fund offering hospital and extras cover to a defined community.
• Defence Health: Australian restricted-membership not-for-profit health fund serving the defence community (ADF members, veterans, and families). Direct comparable to ACA Health in restricted community focus, NFP status, and Members Health Fund Alliance affiliation.
• Australian Unity Health Limited: Australian mutual organization offering private health insurance alongside broader wellbeing services. Comparable NFP/mutual positioning and community/values-based marketing, with a larger and more diversified product set.
• HCF (Hospitals Contribution Fund): Largest Australian not-for-profit private health insurer, offering hospital and extras cover to the general public. Direct peer in NFP, members-owned structure, and Members Health Fund Alliance membership, but with much broader and unrestricted eligibility.
• Teachers Health Fund: Australian restricted-membership, not-for-profit private health insurer serving the education sector community. Closest analog to ACA Health's model of a profession/faith-based restricted fund with members-owned structure and value-based positioning.

Emerging players

• Health.com.au (Honeysuckle Health): Australian digital-first private health insurer competing on price and online UX. Comparable in offering online hospital/extras cover and app-based claims, and represents a potential emerging threat to ACA Health's digital proposition within the Adventist community.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks1 record

Key highlights7 records

Customer concentration

• Facebookfacebook.com/ACAHealthBenefitsFund
• LinkedInlinkedin.com/company/aca-health-benefits-fund

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 ACA Health Benefits Fund