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Fund profiles · Fund review

Frank health insurance: who really insures you, and what it costs in 2026

The short answer

Frank Health Insurance raised premiums an average 1.98% from 1 April 2026, against a 4.41% industry average, because Frank is a brand of GMHBA Limited and shares its pricing. APRA's register lists GMHBA Limited, not Frank. Frank sells hospital cover up to Silver Plus, with no Gold tier, and a single A$750 excess option.

Key facts

  • Frank's Max Extras pays up to A$600 a person a year for general dental, A$1,000 for major dental, A$250 for optical and A$400 for physiotherapy. Frank, rates effective 1 Apr 2026
  • Frank states online claims reach your account in 1 to 2 business days. Frank, read 8 Oct 2026
  • Frank's excess is A$750 a year for a single, and A$750 per person capped at A$1,500 a year on a couple or family policy. Frank, read 8 Oct 2026
  • GMHBA Limited, which writes every Frank policy, keeps 79.9% of hospital members against an 85.0% industry figure. PrivateHealth.gov.au, read 8 Oct 2026
  • In July 2021 GMHBA moved more than 30,000 health.com.au customers into Frank, six years after buying health.com.au in July 2015. GMHBA, 1 Jul 2021

Frank Health Insurance is a brand, sold online, that has offered what it calls “simple, easy to understand health insurance” since 2009. Every Frank policy is written by GMHBA Limited, the Geelong mutual covered on the GMHBA page. That one fact explains most of what follows: Frank’s premium change, complaints record and government performance figures are all GMHBA’s.

Plain Cover does not score or rank funds. The Plain Cover methodology does not yet set scoring weights, so no rating appears here.

Who actually insures you when you buy Frank?

Frank’s legal page states: “Frank Health Insurance is brought to you by GMHBA Limited.” Its policy statements on PrivateHealth.gov.au say “Underwritten by GMHBA Limited”, and ABN Lookup shows “FRANK HEALTH INSURANCE” registered as a business name of GMHBA Limited, ABN 98 004 417 092, on 8 April 2020.

APRA’s register of private health insurers, updated 30 July 2026, lists GMHBA Limited and does not list Frank. Neither does PrivateHealth.gov.au as a separate insurer: Frank appears as a brand on GMHBA’s entry. So a move from Frank to GMHBA, or back, keeps you with the same licensed insurer.

Two Frank websites, one Frank. A search for Frank returns frankhealthinsurance.com.au and, further down, frankaustralia.com.au. The second is Frank’s overseas visitors site, signed ”© 2026 Frank Health Insurance”, and its providers page states that “Frank’s old man, GMHBA, has been in the insurance business since 1934.”

How much did Frank premiums rise in 2026?

Frank’s premium review page states an “average increase of 1.98%” that “came into effect on 1 April 2026”. It is GMHBA Limited’s figure, which GMHBA states was the lowest of any insurer. The Department of Health, Disability and Ageing approved an industry average of 4.41% for the same date.

The table converts each announced 2026 average into dollars a year on the same stated A$2,400 policy. The policy is an example, not a Frank quote.

Fund or brand2026 average changeAdded to an A$2,400 policy
Frank and GMHBA1.98%A$47.52 a year
HBF2.15%A$51.60 a year
Industry average4.41%A$105.84 a year
Bupa4.8%A$115.20 a year
Medibank and ahm5.10%A$122.40 a year
nib and Qantas5.47%A$131.28 a year

Each percentage is the fund’s own announced average for 1 April 2026. Dollar figures are Plain Cover arithmetic, last verified 8 October 2026. A single Frank policy can rise by more or less than the average.

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What Frank hospital cover includes, and what it leaves out

Frank’s hospital range, read 8 October 2026, has eight covers: Basic Accident Boost Hospital, Basic Plus Hospital, Bronze Hospital, Bronze Plus Hospital, Bronze Plus Max Hospital, Silver Hospital, Silver Plus Hospital and Silver Plus Max Hospital.

There is no Gold cover. That matters, because the Gold tier is the only one required to cover pregnancy and birth, joint replacements, dialysis and several other categories. At least one ranking review quotes a monthly price for “Gold Hospital cover” at Frank. Frank sells no such product. GMHBA sells Gold Optimum Hospital under its own name.

There is one excess: A$750. Frank charges it once per person per calendar year, capped at A$1,500 on a couple or family policy. Older pages quoting a A$500 option are describing closed products: PrivateHealth.gov.au still lists, for example, “Frank Starter Bundle (Basic)” with a A$500 excess, marked “Closed to new members”.

What Frank Max Extras pays

Frank sells four extras products: Max Extras, Classic Extras, Lite Extras and Bundables, which pays 50% back on included services and is sold only with an eligible hospital cover. Max Extras is the fullest, with these limits per calendar year, rates effective 1 April 2026:

  • General dental: A$600 per person, A$1,200 per couple or family.
  • Major dental: A$1,000 per person, A$2,000 per couple or family.
  • Optical: A$250 per person, A$500 per couple or family.
  • Physiotherapy: A$400 per person, A$800 per couple or family, shared with group physio, hydrotherapy and similar services.

Frank’s dental partner is smile.com.au, whose dentists, Frank states, “reduce their fees by at least 15%”. Frank has no clinics of its own; GMHBA’s dental and eye care practices in Geelong, Ballarat and Portland carry the GMHBA name.

Does Frank sell overseas visitors cover?

Yes, through frankaustralia.com.au. Frank’s own page describes it as designed “for anyone applying for, or on a 482 Temporary Skill Shortage Visa or 485 Temporary Graduate Visa”. The covers listed are Minimum Working Visa Cover, Mid Workers Cover, Mid Workers Plus Bundle and Basic Workers Cover, and members can request a Visa Compliance Letter. Frank’s own pages do not mention visa condition 8501 by number. Read 8 October 2026. Anyone who must meet 8501 should check the visa letter against the condition before relying on it.

Is Frank online-only, and how do you claim?

Frank runs without branches. Its claiming guide lists three ways to claim: the Frank app (“take a photo of your receipt and upload it”), online through the member area, where Frank states “We’ll have the money in your account in 1-2 business days”, and on the spot at providers with an electronic claiming terminal. Frank also states a 30 day cooling-off period on new cover. Read 8 October 2026.

Does Frank cover ambulance?

Frank states that “Emergency ambulance is covered on all Frank hospital policies”, with a 0 day waiting period. Residents of Queensland and Tasmania are covered by their state government, and Frank states NSW and ACT residents are “automatically covered for emergency transportation within NSW or ACT”. The Silver Plus Max page adds that publicly funded services and state schemes are excluded from Frank’s benefit. No dollar cap appears on the current product pages. Read 8 October 2026.

How Frank performs on the government’s own figures

Because PrivateHealth.gov.au reports Frank inside GMHBA Limited, these are GMHBA’s figures, read 8 October 2026, with no period stated on the page.

MeasureGMHBA Limited, including FrankIndustry
Member retention, hospital cover79.9%85.0%
Benefits as a share of contributions81.9%84.5%
Ombudsman complaints, on a 2.1% market share1.8%not applicable
Extras charges covered, nationally45.6%50.7%

The dated version is the Ombudsman’s State of the Health Funds Report 2023-24, published March 2025, which lists GMHBA’s brands as “GMHBA Ltd, Frank” and puts the pair at 0.9% of complaints on a 2.2% share at 30 June 2024. Complaints made about Frank are counted in that figure.

Frank’s premium after the rebate and the surcharge

The rebate does not depend on the brand. For 2026-27 a single under 65 earning A$105,000 or less gets 24.118% off a Frank premium from 1 July 2026, against 24.288% for 1 July 2025 to 31 March 2026. Frank applies the age-based discount for people who join between 18 and 29.

Frank’s A$750 single excess is exactly the most the Medicare Levy Surcharge rules allow, so the excess alone does not stop a Frank hospital policy counting. The surcharge starts at A$105,001 for a single in 2026-27, up from A$101,001 in 2025-26. The surcharge guide and the rebate guide have the tables.

Who tends to weigh up Frank, and against what

People in this situation typically weigh up the lowest 2026 increase in the market, online claiming paid in 1 to 2 business days and a complaint share below GMHBA’s size, against a range that stops at Silver Plus and an insurer whose retention and benefits ratio sit below the industry figures.

The question Frank cannot answer is Gold-only treatment. Anyone who expects to need pregnancy, joint replacement or dialysis cover in the next few years is looking at a GMHBA Gold policy, or another insurer, rather than Frank.

Still wondering?

Common questions

The details worth clearing up before you decide.

Who is Frank Health Insurance owned by?
GMHBA Limited, a not-for-profit mutual based in Geelong. Frank's legal page states that Frank Health Insurance is brought to you by GMHBA Limited, and its policy statements say underwritten by GMHBA Limited. GMHBA registered Frank Health Insurance as a business name on its ABN on 8 April 2020.
Is Frank a private health insurance?
Frank sells private health insurance, but Frank is not itself a registered insurer. APRA's register of private health insurers, updated 30 July 2026, lists GMHBA Limited and does not list Frank. Your policy, your rebate and your Ombudsman rights all sit with GMHBA Limited.
Is Frank health insurance not for profit?
Yes, because GMHBA Limited is. PrivateHealth.gov.au describes GMHBA as a mutual operating on a not-for-profit basis, and Frank's about page uses the heading Not-for-profit at heart. Not-for-profit describes where a surplus goes, not the price.
Does Frank sell Gold hospital cover?
No. Frank's hospital range, read 8 October 2026, runs from Basic Accident Boost to Silver Plus Max Hospital. Gold-only categories such as pregnancy and birth, joint replacements and dialysis are therefore not covered on any Frank hospital policy. GMHBA sells Gold Optimum Hospital under its own brand.
Is Frank the same as health.com.au?
health.com.au no longer sells cover as a separate brand. GMHBA bought it in July 2015 and, in a release dated 1 July 2021, said more than 30,000 health.com.au customers were moving into Frank, leaving GMHBA with two brands.
Does Frank have waiting periods?
Yes, the standard ones: 12 months for pregnancy and pre-existing conditions, 2 months for psychiatric, rehabilitation and palliative care and other hospital treatment, and 0 days for emergency ambulance. On extras, optical is 6 months and major dental, orthodontics and hearing aids are 12 months.
How can I save on a Frank premium?
Frank offers the age-based discount to people who join between 18 and 29, which the law allows at up to 2% for each year under 30, to a maximum of 10%. Every Frank hospital cover also lists the A$750 excess, the highest standard option, which keeps the premium down.

Sources

  1. Legals: Frank Health Insurance is brought to you by GMHBA Limited, Frank Health Insurance (GMHBA Limited). Checked 8 October 2026.
  2. Premium review 2026, Frank Health Insurance (GMHBA Limited). Checked 8 October 2026.
  3. Max Extras, Frank Health Insurance (GMHBA Limited). Checked 8 October 2026.
  4. GMHBA Limited insurer details (brands: Frank Health Insurance), PrivateHealth.gov.au (Australian Government). Checked 8 October 2026.
  5. Register of private health insurers, Australian Prudential Regulation Authority. Checked 8 October 2026.
  6. State of the Health Funds Report 2023-24, Commonwealth Ombudsman. Checked 8 October 2026.
  7. ABN 98 004 417 092: GMHBA Limited, business names, Australian Business Register. Checked 8 October 2026.
  8. PHI 11/26 Private Health Insurance Premium Round Announcement, Department of Health, Disability and Ageing. Checked 8 October 2026.
Written and fact-checked by the Plain Cover editorial team

See our editorial policy, methodology and corrections.

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