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St Lukes health insurance review

St Lukes Health is a not-for-profit, member-owned health insurer based in Launceston, Tasmania. It is open to anyone in every state and territory and also sells cover under the Astute Simplicity Health brand. At 30 June 2025 it held 41,432 hospital policies covering 83,366 people, APRA's figures show.

On the official 2024–25 measures St Lukes drew very few complaints and kept more of its members than the industry average. Here are the figures and what its policies open to new members include.

By Better Rate Mate Editorial Team · Last reviewed against PrivateHealth.gov.au and APRA data · No ratings of our own

St Lukes Health at a glance
St Lukes Health
Registered insurerSt Lukes
Who can joinOpen to anyone
Business structureMember-owned mutual, not-for-profit
Hospital policies (30 June 2025)41,432 (0.7% of all hospital policies), covering 83,366 people
Hospital tiers on sale (1 September 2026)Gold, Silver Plus, Bronze Plus, Bronze, Basic Plus
Excess options on open hospital policies$150, $250, $300, $500, $750
Age-based discount (18–29)Not offered on its open hospital policies
AmbulanceAmbulance is not part of its open hospital policies
Sources: PrivateHealth.gov.au insurer profile and open product data (1 September 2026 extract); APRA Annual private health insurance membership and benefits statistics 2024–25 (hospital policies summed by Better Rate Mate).

Structure

PrivateHealth.gov.au describes St Lukes as a mutual organisation operating on a not-for-profit basis, and lists Astute Simplicity Health as one of its brands. The fund says it has provided cover since 1952 and that it has no call centres, so calls go to its own customer care staff. It sells corporate products but not overseas visitors or student cover.

Complaints and retention

St Lukes accounted for 0.2% of Ombudsman complaints about insurers in 2024–25, a third of its 0.6% market share, and 0.9% of investigated complaints. Retention was 87.9%, above the industry's 85.0%.

Benefits and gaps

St Lukes paid 84.8% of premium income as benefits, slightly above the industry's 84.5%, with management expenses of 13.7% (industry 10.9%). 90.6% of hospital charges were covered (industry 89.0%) and 87.0% of in-hospital medical services had no gap (industry 87.1%). Extras paid 54.5% of charges on average, above the industry's 50.7%.

It had fewer private hospital agreements in NSW (69) and WA (17) than the largest funds, and five in Tasmania, where the most any insurer had was seven.

What St Lukes sells

Its open hospital policies at 1 September 2026 cover Gold, Silver Plus, Bronze Plus, Bronze and Basic Plus, across the St Lukes and Astute brands, with excesses from $150 up to $750. None were listed with the age-based discount. Ambulance isn't part of its open hospital policies in the product data, so check how you'd be covered: Tasmanian residents have state ambulance arrangements, and people in other states may need separate ambulance cover.

St Lukes Health against the industry: 2024–25 data

Every year the Private Health Insurance Ombudsman compares all insurers on the same measures, and PrivateHealth.gov.au republishes the results on each insurer's profile. The table below is St Lukes Health's, with the industry result beside each figure. Its complaints-to-market-share ratio was 0.33: a figure of 1.00 means complaints exactly in proportion to size.

St Lukes Health: official performance data, 2024–25
MeasureSt Lukes HealthIndustryReading
Share of all Ombudsman complaints0.2%Market share 0.6%Fewer complaints than its size
Share of investigated complaints0.9%Market share 0.6%
Member retention (hospital cover)87.9%85.0%Better than industry
Benefits paid as % of premiums84.8%84.5%In line with industry
Management expenses % of premium income13.7%10.9%Weaker than industry
Hospital charges covered90.6%89.0%Better than industry
Medical services with no gap87.0%87.1%In line with industry
Medical services with no gap or a known gap98.5%97.1%Better than industry
Extras (general treatment) charges covered54.5%50.7%Better than industry
Source: St Lukes profile on PrivateHealth.gov.au (checked 28 September 2026), which republishes the Private Health Insurance Ombudsman's State of the Health Funds figures for 2024–25. "Reading" is our comparison with the industry result; differences under half a percentage point are treated as in line.

How to read it: complaint share is the fairest single comparison of service across funds of different sizes, because it's measured against market share. Benefits as a % of premiums shows how much of the premium pool went back to members as claims; a mutual that returns more is not necessarily cheaper, and a fund can move this figure by changing prices. The gap measures show how often members avoided an out-of-pocket medical bill after a hospital stay, which is what most people mean by "good cover".

Hospital agreements

Hospital agreements by state
ACTNSWVICQLDSAWATASNT
Private hospitals5696648171751
Most held by any insurer7977458172372
Day hospitals76857362021111
Most held by any insurer99864503028112
An agreement hospital has a contract with the fund, which usually means lower or no out-of-pocket hospital costs. Source: PrivateHealth.gov.au insurer profile, 2024–25.

What to check before you join St Lukes Health

  • Ambulance isn't included in its open hospital policies. Arrange it separately if your state doesn't cover you.
  • Fewer hospital agreements in NSW and WA than the big funds.
  • No age-based discount on its open hospital policies.
  • Over 31 and joining for the first time? Work out your Lifetime Health Cover loading first, and if you earn over the threshold, check the Medicare Levy Surcharge you'd avoid.

Common questions about St Lukes Health

Is St Lukes Health not-for-profit?

Yes. PrivateHealth.gov.au lists St Lukes as a mutual organisation operating on a not-for-profit basis.

Is Astute Simplicity Health part of St Lukes?

Yes. PrivateHealth.gov.au lists Astute Simplicity Health as a brand of St Lukes.

Can you join St Lukes outside Tasmania?

Yes. St Lukes is an open fund and operates in all states and territories.

Other fund reviews

See every registered health insurer compared on complaints and benefits, or read how the private health insurance rebate and hospital cover tiers work.

This review is general information based on published government and regulator data. We don't rate or rank funds, and it doesn't consider your circumstances. Check a policy's Private Health Information Statement before you buy.