Healthscope hospitals agreement

Updated 3 December 2024

Private hospital operator Healthscope has stated it will terminate its contract with Nurses & Midwives Health, effective 4 March 2025.

Members with existing bookings can rest assured that these will not be affected. Healthscope hospitals are still agreement hospitals until 4 March 2025.

Please know that we are doing our utmost to resolve the situation and are optimistic this contract issue will be successfully resolved, as have others in the past.

In the meantime, see below for more on pre-booked, and future, Healthscope admissions.

I have a Healthscope hospital booking – can I still claim for it?

Yes. Existing bookings aren’t affected. Healthscope hospitals are still agreement hospitals until 4 March 2025.

I’m currently undergoing treatment at a Healthscope hospital. Can I continue?

Yes. You can continue your course of treatment. Healthscope hospitals are still agreement hospitals until 4 March 2025.

You can still receive treatment at Healthscope hospitals after 4 March 2025 but, as with any non-agreement hospital admission, you may have significant out-of-pocket costs. To avoid these, check with your doctor if they will treat you at one of our agreement hospitals.

I’m booked in to a Healthscope hospital to have my baby. Will I have to switch?

No. If you’re already booked in, you’ll be covered regardless of when you have the baby.

What about future bookings? 

You can still receive treatment at Healthscope hospitals after 4 March 2025 but, as with any non-agreement hospital admission, you may have significant out-of-pocket costs.

You can ask your specialist if they will treat you at another hospital. We currently have agreements with over 500 hospitals across Australia.

How many hospitals are in the Healthscope Group?

There are 38 Healthscope hospitals across Australia.

What is Nurses & Midwives Health’s view on the Healthscope situation?

We, along with the Australian Health Services Alliance (AHSA), are working tirelessly to achieve a resolution that provides value for you, our members. We’ve successfully resolved many hospital contract issues before agreements have expired, and fully intend to achieve this again.

Who’s negotiating with Healthscope?

As one of 22 funds that are part of the AHSA, they are representing us in these negotiations.

Will Nurses & Midwives Health go out of contract with any other hospitals?

It is unusual for us to go out of contract with a hospital; however, this situation can occur from time to time. We currently have agreements with over 500 hospitals across Australia and we expect that these will continue.

How will I know if anything changes? 

We’ll regularly update this page and will contact you directly if you’re likely to be impacted.

Why shouldn’t I switch to a fund which isn’t part of the Healthscope contract termination?

We get it. And we’re genuinely sorry if this issue causes you concern and distress. It’s not a situation that we want for our members.

We encourage you not to seek out another health fund at this stage. We’re still working with Healthscope with the aim of reaching an agreement that will work for our members.

Are other funds affected?

Agreement terminations will affect the members of the 22 health funds represented by the AHSA – all small to medium-sized not-for-profit funds. Healthscope has also said it will terminate its Bupa contract.

This would represent almost half the health insurance market in Australia – more than 6 million people.