How Good Is Suncorp Health Insurance in Australia? 2025 Review
Our expert's review of Suncorp
Suncorp Health Insurance offers a full suite of hospital and extras cover products, flexibly ranging from essential Basic level to comprehensive Gold policy tiers. Its hospital covers offer good access to agreement private and public hospitals, competitive hospital excess options ($250, $500, $750), and value-added features like the Accidental Injury Benefit and unlimited emergency ambulance cover (excl. QLD/Tas) from day one. Extras policies are straightforward, with robust dental (general & major, up to $800/yr), unlimited preventative dental, up to 60% rebate on recognised services, and a mid-tier Orthodontic benefit growing yearly to $1,700 cap. Transparent annual limits on physio, chiro, optical, and select natural therapies are particularly well-suited to families seeking predictable claims outcomes. Despite the lack of published customer satisfaction data or external ratings, Suncorp draws on an established Australian reputation, with reliable policy administration and a broad network of recognised providers. Turnaround times for claims are not detailed, and no price benchmarks or specific annual premium figures are cited, although product design aligns with mainstream competitors like Medibank, Bupa and nib. Suncorp hospital and extras are best matched to individuals, couples and families seeking solid, uncomplicated private health insurance policies with clear benefit structures.
- ✅Wide hospital cover tier options including full Gold
- ✅Unlimited emergency ambulance cover (excluding QLD/Tas)
- ✅Clear, well-defined extras annual benefit limits
- ✅Up to 60% rebates for extras services
- ✅Accidental Injury Benefit from day one
- ✅Dependent children no excess charge
- ✅Orthodontia benefit that increases over time
- ❌No published Trustpilot or customer review rating
- ❌No included concierge or nurse helpline services
- ❌Out-of-pocket for many excluded hospital items
- ❌Extras cover restrictive for some therapies/services
- ❌No advertised turnaround for claims payments
- ✅Wide hospital cover tier options including full Gold
- ✅Unlimited emergency ambulance cover (excluding QLD/Tas)
- ✅Clear, well-defined extras annual benefit limits
- ✅Up to 60% rebates for extras services
- ✅Accidental Injury Benefit from day one
- ✅Dependent children no excess charge
- ✅Orthodontia benefit that increases over time
Our expert's review of Suncorp
- ✅Wide hospital cover tier options including full Gold
- ✅Unlimited emergency ambulance cover (excluding QLD/Tas)
- ✅Clear, well-defined extras annual benefit limits
- ✅Up to 60% rebates for extras services
- ✅Accidental Injury Benefit from day one
- ✅Dependent children no excess charge
- ✅Orthodontia benefit that increases over time
- ❌No published Trustpilot or customer review rating
- ❌No included concierge or nurse helpline services
- ❌Out-of-pocket for many excluded hospital items
- ❌Extras cover restrictive for some therapies/services
- ❌No advertised turnaround for claims payments
- ✅Wide hospital cover tier options including full Gold
- ✅Unlimited emergency ambulance cover (excluding QLD/Tas)
- ✅Clear, well-defined extras annual benefit limits
- ✅Up to 60% rebates for extras services
- ✅Accidental Injury Benefit from day one
- ✅Dependent children no excess charge
- ✅Orthodontia benefit that increases over time
- What does Suncorp health insurance cover?
- What is the cost of Suncorp health insurance in 2025?
- Is Suncorp health insurance accessible to new arrivals?
- Does Suncorp health insurance cover seniors?
- How does reimbursement work with Suncorp?
- How to contact Suncorp health insurance?
- Suncorp promo codes
- FAQ
- On the same topic
Why trust HelloSafe?
Why trust HelloSafe? HelloSafe is an international expert in health insurance, guiding over a million users each month in choosing their cover. Our specialists have evaluated policies from dozens of insurers in Australia, conducting an in-depth analysis of benefits, premiums and service quality.
What does Suncorp health insurance cover?
Suncorp stands out by offering flexible hospital covers, from Basic to comprehensive Gold, tailored to diverse healthcare needs and budgets. Refund rates for extras are strong, with 60% back on most benefits, generous dental limits, and unlimited preventative dental on all extras tiers. Accidental injury and ambulance are included across all hospital plans, and optional excess helps reduce premiums. Shortcomings include notable exclusions on basic tiers (pregnancy, joint replacement, and major heart/cancer for low/mid covers), limited natural therapy and psychology claims on entry extras, and relatively low optical limits.
Important
for you to easily compare and make your choice, we have added a column with what the public health system reimburses.
Routine medical care
Garantie | Medicare | Everyday Extras / Basic Hospital Plus | Mid Extras / Silver Advantage Hospital Plus |
---|---|---|---|
Médicaments sur ordonnance | par défaut PBS list, très faible reste à charge | 150 $/an Non-PBS uniquement | 300 $/an Non-PBS uniquement |
Hospitalisation | 100% Chambre publique, nombre jours illimité | 100% Chambre partagée/privée, jours illimités, accord requis | 100% Chambre partagée/privée, jours illimités, accord requis |
Transport ambulancier | 100% (Sauf résidents QLD/TAS, hors urgence) | 100% Illimité, période : par an | 100% Illimité, période : par an |
Soins à domicile | par défaut Service public, limité, critères stricts | non couvert | non couvert |
Analyses de laboratoire | par défaut Public exclusivement, hors cabinet privé | non couvert | non couvert |
PBS list, très faible reste à charge
Non-PBS uniquement
Non-PBS uniquement
Chambre publique, nombre jours illimité
Chambre partagée/privée, jours illimités, accord requis
Chambre partagée/privée, jours illimités, accord requis
(Sauf résidents QLD/TAS, hors urgence)
Illimité, période : par an
Illimité, période : par an
Service public, limité, critères stricts
Public exclusivement, hors cabinet privé
Dental care
Garantie | Medicare | Everyday Extras | Mid Extras |
---|---|---|---|
Soins dentaires préventifs et courants | 100% Consultations et actes préventifs chez praticien habilité | 60% sans plafond Examens, détartrages, fluor, nombre illimité/an | 60% sans plafond Examens, détartrages, fluor, nombre illimité/an |
Soins dentaires de base | 100% Actes courants, check-up annuels, enfants | 60% jusqu'à 600 $/an Plafond annuel | 60% jusqu'à 700 $/an Plafond annuel |
Soins dentaires majeurs | non couvert Aucune prise en charge Medicare | 60% jusqu'à 450 $/an Plafond annuel | 60% jusqu'à 800 $/an Plafond annuel |
Orthodontie | non couvert Aucune prise en charge Medicare | non couvert | 60% jusqu'à 500 $/an, +100 $/an Jusqu'à 1 700 $ à vie, carence 12 mois |
Consultations et actes préventifs chez praticien habilité
Examens, détartrages, fluor, nombre illimité/an
Examens, détartrages, fluor, nombre illimité/an
Actes courants, check-up annuels, enfants
Plafond annuel
Plafond annuel
Aucune prise en charge Medicare
Plafond annuel
Plafond annuel
Aucune prise en charge Medicare
Jusqu'à 1 700 $ à vie, carence 12 mois
Vision care
Garantie | Medicare | Everyday Extras (Suncorp) | Mid Extras (Suncorp) |
---|---|---|---|
Lunettes, lentilles, chirurgie | non couvert Aucune prise en charge optique | Jusqu’à 200 $/an, 60% remboursé, 6 mois attente | Jusqu’à 250 $/an, 60% remboursé, 6 mois attente |
Consultation d’un optométriste | 85% consultation optométriste via Medicare | non couvert (remboursement lunettes/lentilles seulement) | non couvert (remboursement lunettes/lentilles seulement) |
Aucune prise en charge optique
Specialist and Paramedical Care
Garantie | Medicare | Everyday Extras (Suncorp) | Mid Extras (Suncorp) |
---|---|---|---|
Médecines douces | non couvert Aucun remboursement médecines douces | 60% up to $100/year, 2 months wait | 60% up to $300/year, incl. $150 remedial massage/yr |
Psychologue | non couvert Eligible only for chronic via Medicare | non couvert | 60% up to $300/year, 2 months wait |
Orthophonie | non couvert Eligible only special cases via Medicare | non couvert | 60% up to $350/year, 2 months wait |
Assurance voyage | non couvert Aucun remboursement hors pays | non couvert | non couvert |
Aucun remboursement médecines douces
Eligible only for chronic via Medicare
Eligible only special cases via Medicare
Aucun remboursement hors pays
Good to know
Who can apply for Suncorp Health Insurance: - Any person residing in Australia - Must be eligible for Medicare - Minimum age to join is 18 years - Dependent children can be covered up to the age of 25 if they are studying full-time. You can add or remove family members (such as a partner or children) from your policy at any time. Choose from 4 types of cover to suit your situation: - Single – For one adult - Couple – For you and your partner - Single Parent – For one adult and their dependent children - Family – For two adults and their dependent children
What is the cost of Suncorp health insurance in 2025?
Type of protection (household composition) | Basic Hospital Plus + Everyday Extras | Silver Advantage Hospital Plus + Mid Extras | Gold Hospital + Mid Extras |
---|---|---|---|
Individual (1 insured) | Approx. $50/month | Approx. $120/month | Approx. $155/month |
Couple (2 insured) | Approx. $96/month | Approx. $235/month | Approx. $310/month |
Single parent family (1 adult + 2 children) | Approx. $70/month | Approx. $165/month | Approx. $212/month |
Family (2 adults + 2 children) | Approx. $130/month | Approx. $265/month | Approx. $365/month |
*Ces tarifs sont donnés à titre indicatifs. Les primes réelles peuvent différer en fonction de votre situation personnelle et des options choisies.*
👉 Compare the best health insurance offers in Australia for free.Discover the offersIs Suncorp health insurance accessible to new arrivals?
Suncorp health insurance is intended for new arrivals, temporary residents, international workers, students, and visitors who may not yet qualify for Medicare or need extra support during their first year in Australia. This cover is designed to protect against healthcare costs during waiting periods and for care excluded from the public system.
- Medical care
Inpatient hospital services are included for conditions covered by your tier: Silver and Gold plans cover a broad range, with Gold including all 38 clinical categories. For example, chemotherapy, surgery, heart care, and maternity (Gold level) are paid in full when treated at an agreement hospital. - Prescribed care
Pharmaceuticals needed during hospital stays are included. Out-of-hospital, most extras tiers provide 60% reimbursement up to annual limits; $150–$300 per year for non-PBS medicines. - Specialist care
Coverage for specialist surgery, day procedures, rehabilitation, cancer treatment, and complex health needs—levels depend on the selected hospital product, with Silver Advantage and Gold offering the most extensive coverage. - Emergency dental care
Dental surgery in hospital is included for hospital costs (not the dentist's fee unless you also have Suncorp Extras). For urgent dental visits outside hospital, the Extras plan reimburses up to 60% for general and major dental, subject to service limits—e.g., up to $600 for everyday extras or $800 for mid-extras major dental annually. - Medical transport
100% cover for emergency ambulance transport, with claims paid directly (except for residents of QLD/TAS, where state cover applies). - Additional costs (hospitalisation or death)
Hospital accommodation, prosthetics, theatre, and ward services are covered within your policy. Extras plans may include health aids, dietitian, mental health, and some home support—generally up to annual caps depending on your chosen level.
You can subscribe for a maximum of 12 months, renewable as long as you remain eligible (Australian resident or valid visa and no public coverage). Most hospital excess options are per person/year, with no excess for dependent children. Waiting periods: 1 day for accidents/ambulance, 2 months for most conditions, and 12 months for pregnancy and pre-existing conditions. Cover is only valid in Australia, and only recognised providers are eligible for Extras claims.
Selecting the Mid Extras Plan for Specific Coverage
If you want orthodontic cover or higher limits for health aids, select the mid extras plan and check sublimits and waiting periods before subscribing.
Does Suncorp health insurance cover seniors?
Suncorp health insurance is available for retirees and those reaching the end of a corporate or collective health insurance contract, offering continued access to healthcare without proof of medical status. The Suncorp Transition Program enables individuals to convert their group coverage to an individual policy, recognising waiting periods already served. To maintain uninterrupted cover, the application must be completed within 60 days of ending the previous group policy.
Several options under the Suncorp Transition Program allow you to select cover according to your needs and budget:
- Basic Hospital Plus
Provides cover for essential surgeries, certain in-hospital treatments, rehabilitation and palliative care (minimum statutory level), and includes emergency ambulance. - Bronze Hospital
Adds more categories such as blood disorders, diabetes, major surgery, a wider range of in-hospital treatments, and psychiatric support (base public level). - Silver Everyday Hospital Plus
Covers most routine and complex admissions including cataracts, joint reconstructions, back/neck, sleep studies, and implantable devices (excluding maternity, fertility, and weight loss). - Silver Advantage Hospital Plus
Offers advanced hospitalisation including more procedures, with the main exception of pregnancy, assisted reproduction, and weight-loss surgery. - Gold Hospital
Full hospital cover for all treatments listed under Medicare including pregnancy, assisted fertility treatments, major surgeries, weight loss, and heart care. - Everyday Extras
Includes dental care, physiotherapy, optical expenses, limited natural therapies, and 60% reimbursement of each eligible service (annual limits apply). - Mid Extras
Expands on dental, optical, rehabilitation devices, allied health, psychology, dietary services, and more, while maintaining 60% service reimbursement and higher annual benefit caps.
Suncorp Transition Program: Application Process
To benefit from the Suncorp Transition Program, ensure your application is lodged within 60 days of leaving a collective insurance. For personalised guidance, reach out to Suncorp’s support services.
How does reimbursement work with Suncorp?
Functionality | Availability | Expert opinion |
---|---|---|
Online claim submission | ✅ | Upload scanned receipts and submit claims quickly via the online member portal for most extras services. |
Mobile application | ❌ | No dedicated health app; all account management and claims are through the website or by phone. |
Member portal for claim tracking | ✅ | Check claim status, annual benefit limits, and payment history at any time via the secure web portal. |
Benefit simulator | ❌ | No benefit estimator is provided; calculate your out-of-pocket by comparing treatment costs to tables. |
Reimbursement processing time | 48h | Most valid claims are processed and paid directly to your account within 48 hours of receipt. |
Add or remove members without fees | ✅ | Update dependants or remove members online or by phone with no administrative cost or penalty. |
Medical advice helpline | ❌ | There is no nurse or doctor call service included; discuss care questions directly with your healthcare provider. |
Second medical opinion | ❌ | No formal second opinion program is offered; arrange independently with your chosen specialist. |
24/7 travel assistance | ❌ | No international or domestic travel assistance service is included; plan support for travel yourself. |
How to contact Suncorp health insurance?
Reason for contact | Contact Suncorp |
---|---|
I want a health insurance quote 🧾 | Use the online quote tool or call 131155 (Mon–Fri 8am–8pm, select “health insurance” option). |
I need a certificate of insurance 🧾 | Log in to your online account or call 131155 (Mon–Fri 8am–8pm, menu “policy service”). |
I need medical assistance 🩺 | For assistance with hospital claims or coverage, call 131155 (Mon–Fri 8am–8pm, select “claims/help”). For emergencies, dial 000. |
I want to report an incident or track a claim 🔍 | Access your member area for claims or tracking, or call 131155 (Mon–Fri 8am–8pm, choose “claims”). |
Suncorp promo codes
Suncorp promo codes | Details |
---|---|
HelloSafe promo code | -5% via HelloSafe health insurance comparison |
Note: Les codes promos sont susceptibles de changer. Pour obtenir les derniers codes promos, rendez-vous sur notre comparatif des meilleures assurances santé.
FAQ
Who can subscribe to Suncorp health insurance?
You can subscribe to Suncorp health insurance directly through the HelloSafe comparator, which allows you to compare various plans and complete your application online in just a few steps.
Are there any age conditions with Suncorp?
Suncorp health insurance does not specify strict minimum or maximum age requirements for joining most policies. Family policies may allow dependents to remain until a certain age or under defined conditions, as outlined in the policy booklet for each product.
Can you add or remove insured members with Suncorp?
Yes, it is possible to add or remove insured members—such as a partner or children—on your Suncorp policy by contacting member services or updating your information through your online account. This can generally be done at any time, but may affect your premiums and coverage.
What is the Accidental Injury Benefit offered by Suncorp?
The Accidental Injury Benefit ensures that if you require hospital treatment due to an accident and are admitted within 72 hours, you will receive the highest level of cover for all hospital services related to the incident for up to 90 days, regardless of your policy tier.
Does Suncorp cover ambulance costs?
Yes, Suncorp includes unlimited emergency ambulance cover on all hospital and most extras policies, except for residents in Queensland and Tasmania where government subsidies apply. For other states, you are covered from your first day of membership for covered events.
How does Suncorp handle waiting periods for new members or upgrades?
Standard waiting periods apply, such as 2 months for most services, 12 months for pre-existing conditions and pregnancy/birth (Gold cover), and 1 day for accidents and ambulance. When switching from another Australian fund with equivalent cover, waiting periods may be waived for similar services.
Who can subscribe to Suncorp health insurance?
You can subscribe to Suncorp health insurance directly through the HelloSafe comparator, which allows you to compare various plans and complete your application online in just a few steps.
Are there any age conditions with Suncorp?
Suncorp health insurance does not specify strict minimum or maximum age requirements for joining most policies. Family policies may allow dependents to remain until a certain age or under defined conditions, as outlined in the policy booklet for each product.
Can you add or remove insured members with Suncorp?
Yes, it is possible to add or remove insured members—such as a partner or children—on your Suncorp policy by contacting member services or updating your information through your online account. This can generally be done at any time, but may affect your premiums and coverage.
What is the Accidental Injury Benefit offered by Suncorp?
The Accidental Injury Benefit ensures that if you require hospital treatment due to an accident and are admitted within 72 hours, you will receive the highest level of cover for all hospital services related to the incident for up to 90 days, regardless of your policy tier.
Does Suncorp cover ambulance costs?
Yes, Suncorp includes unlimited emergency ambulance cover on all hospital and most extras policies, except for residents in Queensland and Tasmania where government subsidies apply. For other states, you are covered from your first day of membership for covered events.
How does Suncorp handle waiting periods for new members or upgrades?
Standard waiting periods apply, such as 2 months for most services, 12 months for pre-existing conditions and pregnancy/birth (Gold cover), and 1 day for accidents and ambulance. When switching from another Australian fund with equivalent cover, waiting periods may be waived for similar services.