Is Medibank Health Insurance Worth It? 2025 Review
Our expert's opinion on Medibank
ScoreMedibank holds a prominent position in Australia’s health insurance market, offering a range of policies tailored to singles, couples, and families, with clear tiered formulas—from Basic Hospital to Premium Comprehensive Extras. Refund rates reach up to 100% on essentials like GP visits and selected extras, while annual extras limits can go up to $2,500, depending on the plan. Most policies have standard excess options ($250–$750), and preventative care allowances are included on select extras covers, positioning Medibank competitively against major rivals like Bupa and HCF, particularly for its breadth of network and balance between coverage depth and affordability. Medibank suits young families and professionals seeking reliable essential and extras cover. As Australia’s largest health insurer, Medibank generated AU$ 7.1 billion in health insurance premiums (FY2023) with over 3.9 million policyholders, ensuring strong financial stability. Customer satisfaction is reflected in its Trustpilot score of 4.2/5 from over 8,300 reviews. Claims are typically processed within 2 to 5 working days, contributing to its reputation for fast, efficient claim handling among Australian consumers.
- ✅Extensive choice of hospital and extras plans
- ✅Large national provider network including Members’ Choice
- ✅Up to 100% refund on key health services
- ✅Rapid claims: 2–5 days average processing
- ✅Strong preventative health allowances on select covers
- ✅Comprehensive online and in-app claims management
- ✅Robust financial backing as Australia’s largest health insurer
- ❌Extras limits lower than some niche providers
- ❌Premiums above market average for top tiers
- ❌Waiting periods on new or upgraded covers
- ❌Limited overseas coverage except with optional add-ons
- ❌Exclusions apply for certain pre-existing conditions
- ✅Extensive choice of hospital and extras plans
- ✅Large national provider network including Members’ Choice
- ✅Up to 100% refund on key health services
- ✅Rapid claims: 2–5 days average processing
- ✅Strong preventative health allowances on select covers
- ✅Comprehensive online and in-app claims management
- ✅Robust financial backing as Australia’s largest health insurer
Our expert's opinion on Medibank
ScoreMedibank holds a prominent position in Australia’s health insurance market, offering a range of policies tailored to singles, couples, and families, with clear tiered formulas—from Basic Hospital to Premium Comprehensive Extras. Refund rates reach up to 100% on essentials like GP visits and selected extras, while annual extras limits can go up to $2,500, depending on the plan. Most policies have standard excess options ($250–$750), and preventative care allowances are included on select extras covers, positioning Medibank competitively against major rivals like Bupa and HCF, particularly for its breadth of network and balance between coverage depth and affordability. Medibank suits young families and professionals seeking reliable essential and extras cover. As Australia’s largest health insurer, Medibank generated AU$ 7.1 billion in health insurance premiums (FY2023) with over 3.9 million policyholders, ensuring strong financial stability. Customer satisfaction is reflected in its Trustpilot score of 4.2/5 from over 8,300 reviews. Claims are typically processed within 2 to 5 working days, contributing to its reputation for fast, efficient claim handling among Australian consumers.
- ✅Extensive choice of hospital and extras plans
- ✅Large national provider network including Members’ Choice
- ✅Up to 100% refund on key health services
- ✅Rapid claims: 2–5 days average processing
- ✅Strong preventative health allowances on select covers
- ✅Comprehensive online and in-app claims management
- ✅Robust financial backing as Australia’s largest health insurer
- ❌Extras limits lower than some niche providers
- ❌Premiums above market average for top tiers
- ❌Waiting periods on new or upgraded covers
- ❌Limited overseas coverage except with optional add-ons
- ❌Exclusions apply for certain pre-existing conditions
- ✅Extensive choice of hospital and extras plans
- ✅Large national provider network including Members’ Choice
- ✅Up to 100% refund on key health services
- ✅Rapid claims: 2–5 days average processing
- ✅Strong preventative health allowances on select covers
- ✅Comprehensive online and in-app claims management
- ✅Robust financial backing as Australia’s largest health insurer
- What does Medibank health insurance cover?
- What is the price of Medibank health insurance in 2025?
- Is Medibank health insurance accessible to new arrivals?
- Key features and coverage:
- Duration and eligibility:
- Does Medibank health insurance cover seniors?
- How does reimbursement with Medibank work?
- How can I contact Medibank health insurance?
- Medibank promo codes
- FAQ
Why trust HelloSafe?
Why trust HelloSafe? HelloSafe is an international health insurance expert, supporting thousands of Australians each month in choosing the right health cover. Our specialists have reviewed the offerings of over 20 insurers in Australia, providing in-depth analysis of coverage options, pricing, and quality of service.
What does Medibank health insurance cover?
Medibank offers several health insurance plans, from Basic Hospital only to comprehensive Top Hospital + Extras options. Key features include flexible excess levels (AUD 250–750), high percentage rebates (up to 100% on some services), and strong options for chronic illness and preventative care. Medibank stands out for generous dental, optical, and physiotherapy coverage, but limits on some therapies and hospital psychiatric services remain. Waiting periods and annual limits apply, especially on extras. While Medibank offers strong family and singles cover, be mindful of exclusions such as cosmetic surgery, some pre-existing conditions, and alternative therapies.
Important
For you to compare and choose effectively, we have included a column that shows what the public health system covers.
Routine medical care
| Guarantee | Medicare | Basic Hospital Cover | Top Hospital & Extras Cover |
|---|---|---|---|
| Prescription medicine | 100% under PBS Copayment: $7.30–$30.00 PBS safety net | Not covered | 100% Limit: $300/year |
| Hospitalisation | 100% public hospital Shared room Unlimited | 100% approved procedures Shared room Unlimited days | 100% private hospital Choice of private/shared room Unlimited days |
| Ambulance transport | Not covered (varies by state) | 100% Limit: $5,000 Per year | 100% Limit: $6,000 Per year |
| Home care services | By public assessment only Capped by program | Not covered | 85% Limit: $2,500 Per year |
| Lab tests / Diagnostics | 100% (Bulk-billed by approved providers) No cap | 85% Limit: $400 Per year | 85% Limit: $600 Per year |
Copayment: $7.30–$30.00
PBS safety net
Limit: $300/year
Shared room
Unlimited
Shared room
Unlimited days
Choice of private/shared room
Unlimited days
Limit: $5,000
Per year
Limit: $6,000
Per year
Capped by program
Limit: $2,500
Per year
No cap
Limit: $400
Per year
Limit: $600
Per year
Dental care
| Guarantee | Public System Name | Basic Hospital Cover | Essentials Extras | Top Extras | Premium Extras |
|---|---|---|---|---|---|
| Preventive & Routine Dental Care | Medicare | Not covered | 100% up to $150/year | 100% up to $300/year | 100% up to $400/year |
| Basic Dental Care | Medicare | Not covered | 60% refund, up to $450/year max | 75% refund, up to $900/year | 85% refund, up to $1,200/year |
| Major Dental Care | Medicare | Not covered | Not covered | 60% refund, up to $900/year | 75% refund, up to $1,200/year |
| Orthodontics | Medicare | Not covered | Not covered | Not covered | 60% refund, up to $2,000/lifetime |
Eye care
| Guarantee | Public System (Medicare) | Medibank Basic Hospital Cover | Medibank Everyday Extras | Medibank Top Extras |
|---|---|---|---|---|
| Glasses, contact lenses, surgery | Not covered | Not covered | Up to $150/yr, 100% on selected providers | Up to $250/yr, 100% on selected providers |
| Optometrist consultation | 100% of schedule fee | Not covered | 100% up to Medibank fee, unlimited visits | 100% up to Medibank fee, unlimited visits |
Specialized and paramedical care
| Guarantee | Public health system (Medicare) | Basic Hospital Cover | Essential Hospital Cover | Top Hospital Cover | Comprehensive Cover | Premium Extras |
|---|---|---|---|---|---|---|
| Natural therapies | Not covered | Not covered | Not covered | Not covered | Not covered | Up to $400/year, 60% per consult |
| Psychologist | Up to 10 sessions/year, partial rebate | Not covered | Not covered | Not covered | Up to $300/year, 60% per consult | Up to $400/year, 60% per consult |
| Speech therapy | Limited sessions for children (criteria apply) | Not covered | Not covered | Not covered | Up to $300/year, 60% per consult | Up to $400/year, 60% per consult |
| Travel insurance | Not covered | Not covered | Not covered | Not covered | Not covered | International travel cover, $0 excess, emergencies only |
Good to know
Eligible for Medibank health insurance: - Anyone residing in Australia - Must have a valid Australian visa or be an Australian citizen/permanent resident - Minimum age to apply: 18 years - Children can be covered as dependants up to 25 years old if studying full-time You can add or remove family members (partner, children) from your policy at any time during your coverage. Choose from 4 types of cover to suit your needs: - Single – For one person only - Couple – For two adults - Single Parent – For one adult and their dependant children - Family – For two adults and their dependant children
What is the price of Medibank health insurance in 2025?
| Type of cover (household composition) | Basic Cover | Medium Cover | Top Cover |
|---|---|---|---|
| Individual (1 member) | About $110/month | About $170/month | About $235/month |
| Couple (2 members) | About $220/month | About $340/month | About $465/month |
| Single Parent Family (1 adult + 2 children) | About $185/month | About $285/month | About $390/month |
| Family (2 adults + 2 children) | About $245/month | About $375/month | About $510/month |
Is Medibank health insurance accessible to new arrivals?
Medibank health insurance is designed to support newcomers, temporary workers, international students, and visitors during their stay in Australia. It is particularly relevant if you are not yet eligible for the local public health system (Medicare), face waiting periods for public coverage, or need to meet visa requirements. This health cover aims to help you manage unexpected healthcare expenses and access medical treatment during your time in Australia.
Key features and coverage:
- Medical careCovers visits to general practitioners (GPs), including both scheduled consultations and some unscheduled emergencies. For example, most Medibank plans refund 100% of the government’s scheduled fee for outpatient doctor visits.
- Prescribed treatmentIncludes prescribed medicines listed on the Pharmaceutical Benefits Scheme (PBS). The cover generally reimburses the cost exceeding the PBS co-payment, up to a set annual limit (e.g., up to $50 per prescription, with a yearly cap).
- Specialist careCovers consultations and treatments by medical specialists (such as cardiologists or dermatologists) upon referral by a GP. The refund typically matches 100% of the scheduled government fee, with some limits depending on the level of cover.
- Emergency dental careThis is limited to urgent situations, such as pain relief or dental trauma resulting from an accident. Cover is usually up to a defined amount per event (e.g., up to $500).
- Medical transportEncompasses ambulance fees for emergencies and necessary transfers to the hospital. This is generally covered in full for services within Australia.
- Additional costs (hospitalisation or death)Covers room and board in a shared ward for hospital stays, surgery fees, and some hospital-related charges, as well as repatriation of remains in the event of death (up to a maximum benefit defined in the contract).
Useful information
Certain services (like optical, physiotherapy, or non-urgent dental care) may not be included unless specified in the policy. Out-of-pocket expenses can occur if you visit providers outside the network, exceed annual coverage limits, or receive non-listed treatments.
Duration and eligibility:
Medibank policies for international visitors, students, and workers typically allow coverage for the duration of your stay in Australia, up to a maximum of 12 months per contract period. Policies can often be renewed if your visa remains valid.
Eligibility criteria usually include:
- Age restrictions (for example, some covers are only available to people under 65)
- Proof of non-residency or temporary visa status
- A minimum subscription duration (commonly one month, depending on visa conditions)
- Residency in Australia for the duration of the cover (travel outside Australia may suspend coverage, except in specific cases like medical repatriation)
Does Medibank health insurance cover seniors?
The Medibank health insurance program is designed for retirees and seniors who are coming to the end of their group health insurance through their employer or organisation. This solution is particularly suitable for those who are no longer eligible for collective cover due to retirement or other reasons and who wish to continue protecting their health with an adaptable individual policy. Under the Medibank Health Care Pathway, eligible individuals can convert their group insurance without needing to provide new medical evidence. It is important to apply within 60 days of the end of group coverage to benefit from this streamlined transition process and avoid any waiting periods for standard cover.
The Medibank Health Care Pathway offers a range of plan options to suit different needs and budgets:
- Basic Cover: Provides essential hospital and medical benefits. Ideal for those looking for affordable protection for common treatments and day-to-day medical costs.
- Comprehensive Cover: Includes an extended range of medical and hospital services, plus greater reimbursement limits for extra treatments such as dental, physiotherapy and specialist consultations.
- Extended Benefits Package: Adds extra services such as optical care, alternative therapies (like acupuncture or remedial massage), and increased at-home care coverage when required after hospitalisation.
- Travel Health Cover: Designed for retirees who plan to travel, offering medical support and protection for unexpected health issues occurring interstate or overseas.
- Home Support Option: Focuses on assistance and services provided at home, including nursing care, rehabilitation, and equipment for independent living.
Additional Information
To make the transition from group to individual cover as smooth as possible, Medibank Health Care Pathway ensures that there are no new medical checks or extra paperwork if you apply within the stated timeframe. Continuous coverage helps you avoid breaks in health support and maintains peace of mind as you move into retirement. For more details or assistance, contacting Medibank advisors directly is recommended.
How does reimbursement with Medibank work?
| Functionality | Availability | Expert review |
|---|---|---|
| Online claim submission | ✅ | Lets you send your claims directly through the website, saving mailing time and reducing paperwork hassle. |
| Mobile app | ✅ | Enables you to manage your policy, submit claims and access digital services anytime from your smartphone. |
| Member portal for claim tracking | ✅ | You can monitor claim progress in real time, so you always know the status and expected reimbursement amount. |
| Claims reimbursement calculator | ✅ | Lets you estimate your out-of-pocket costs easily before seeking treatment, avoiding billing surprises. |
| Average reimbursement time | 48h | Most claims are processed within two days, which means you get your money back quickly after submitting expenses. |
| Add or remove members without fees | ✅ | You can adjust your cover for family changes at no extra cost, giving you flexibility as your life evolves. |
| Telephone health advice line | ✅ | Offers 24/7 access to qualified nurses for health questions, helping you make informed decisions outside clinic hours. |
| Second medical opinion service | ✅ | Allows you to consult another expert for complex diagnoses, offering peace of mind about your treatment choices. |
| 24/7 travel assistance | ✅ | Provides immediate support anytime abroad for emergencies, ensuring help is just a call away wherever you are. |
How can I contact Medibank health insurance?
| Motif of contact | Contact Medibank |
|---|---|
| 🧾 I want to get a health insurance quote | Get an instant online quote Or call 132 331 (Mon–Fri: 8am–8pm, Sat: 9am–4pm AEST). For the phone: select “Get a quote” in the menu options. |
| 🧾 I need a proof of insurance | Log in to your online account to download your certificate. Or call 132 331 (Mon–Fri: 8am–8pm, Sat: 9am–4pm AEST). Choose “Policy documents” in the menu. |
| 🩺 I need medical assistance | For 24/7 medical advice, call Medibank’s nurse hotline: 1800 644 325. Follow voice prompts for “health advice”. For urgent help overseas: call +61 3 9862 1095 (available 24/7). |
| 🔍 I want to report an incident or track a claim | Sign in to your online account to make a claim or check status. Or call 132 331 (Mon–Fri: 8am–8pm, Sat: 9am–4pm AEST). Select “Claims” or “Track a claim” in the menu. |
Or call 132 331 (Mon–Fri: 8am–8pm, Sat: 9am–4pm AEST).
For the phone: select “Get a quote” in the menu options.
Or call 132 331 (Mon–Fri: 8am–8pm, Sat: 9am–4pm AEST).
Choose “Policy documents” in the menu.
Follow voice prompts for “health advice”.
For urgent help overseas: call +61 3 9862 1095 (available 24/7).
Or call 132 331 (Mon–Fri: 8am–8pm, Sat: 9am–4pm AEST).
Select “Claims” or “Track a claim” in the menu.
Medibank promo codes
| Medibank Promo Codes | Details |
|---|---|
| HelloSafe Promo Code | -5%, available by clicking through to the comparison tool |
Note: Promo codes are subject to change. For the latest promo codes, please visit our comparison of the best health insurances.
FAQ
Who can apply for Medibank health insurance?
It is possible to apply for Medibank health insurance directly via the HelloSafe comparison tool. You can compare offerings and proceed to subscribe if you find a suitable policy.
Are there age requirements with Medibank?
Medibank health insurance typically requires policyholders to be at least 18 years old. For children and dependents, a parent or legal guardian must include them on their policy. There is no official upper age limit for most standard cover options.
Can members be added or removed from a Medibank health insurance policy?
Yes, you can add or remove members such as partners and children from your Medibank policy. This can generally be done at policy renewal or by contacting customer support to update your membership details.
Is waiting period applicable for new Medibank members?
Yes, waiting periods apply to some services with Medibank, especially for pre-existing conditions, major dental, and pregnancy-related services. Standard waiting periods are between 2 and 12 months, depending on the type of cover.
Can Medibank health insurance be used for overseas visitors?
Medibank offers specific overseas visitor health cover plans designed for people on working, student, or visitor visas in Australia. These plans differ from domestic policies and meet visa health requirements.
Does Medibank offer cover for extras like dental, optical, and physio?
Yes, Medibank provides extras cover options which can be purchased alongside hospital cover. These extras include services such as dental, optical, chiropractic, and physiotherapy, with various levels of reimbursement depending on the plan you choose.
Who can apply for Medibank health insurance?
It is possible to apply for Medibank health insurance directly via the HelloSafe comparison tool. You can compare offerings and proceed to subscribe if you find a suitable policy.
Are there age requirements with Medibank?
Medibank health insurance typically requires policyholders to be at least 18 years old. For children and dependents, a parent or legal guardian must include them on their policy. There is no official upper age limit for most standard cover options.
Can members be added or removed from a Medibank health insurance policy?
Yes, you can add or remove members such as partners and children from your Medibank policy. This can generally be done at policy renewal or by contacting customer support to update your membership details.
Is waiting period applicable for new Medibank members?
Yes, waiting periods apply to some services with Medibank, especially for pre-existing conditions, major dental, and pregnancy-related services. Standard waiting periods are between 2 and 12 months, depending on the type of cover.
Can Medibank health insurance be used for overseas visitors?
Medibank offers specific overseas visitor health cover plans designed for people on working, student, or visitor visas in Australia. These plans differ from domestic policies and meet visa health requirements.
Does Medibank offer cover for extras like dental, optical, and physio?
Yes, Medibank provides extras cover options which can be purchased alongside hospital cover. These extras include services such as dental, optical, chiropractic, and physiotherapy, with various levels of reimbursement depending on the plan you choose.
