Increased claim costs are putting health insurers under pressure, new data shows. The latest figures from industry regulator, the Australian Prudential Regulation Authority (APRA), show $5.2 million was paid for hospital treatment claims in the September 2025 quarter – an 8.0% increase compared with the same quarter last year and much higher than the growth in...
Specialist fees for private hospital care in Australia have increased dramatically – in some cases, by as much as 9 times, new data shows. Figures from Private Healthcare Australia, the peak body for the health insurance industry, found that average out-of-pocket fees charged for treating private patients have surged by staggering amounts between 2018-19 and 2023-24. Average...
The Minister of Health has warned health insurers to focus on providing value to customers when they apply to increase their premiums over the next few weeks. Private health insurers are allowed to raise premiums once a year only, subject to government approval. Insurer applications for 2026 premium increases are due in November, with approved prices...
Some ACT residents are being hit with shock bills for public hospital treatment, new figures show. Following news this week that health insurance premiums for ACT residents may rise by at least $180 next year, an analysis of billing records has revealed the high Gaps being paid for Canberra hospital treatment. Data from Private Healthcare Australia...
With public hospitals under strain, health insurers are paying out greater sums for private patient treatment, new data shows. Quarterly health insurance statistics released by the Australian Prudential Regulation Authority, which regulates the industry, showed a significant increase in the amount paid for Hospital Cover claims in the June 2025 quarter. Health insurers paid $4.98 billion...
New data from the Australian Tax Office shows that the number of people being charged the Medicare Levy Surcharge (MLS) has almost quadrupled over 6 years. Data found 768,537 Aussies paid the MLS in the 2022-23 financial year, up from 196,807 in 2017. An article in The Australian says the increase is due to rising wages. The...
Australians treated with natural therapies may soon be able to claim rebates on Extras Cover. Following a review completed last year, the government has reinstated 7 of the 16 natural therapies that were removed from private health insurance cover in 2019. The health insurance industry is now developing framework to cover: Private Healthcare Australia, the peak body for...
Bupa members who had Hospital Cover claims rejected between 1 May 2018 and 31 August 2023 may be entitled to compensation. The health insurer has announced it incorrectly rejected “mixed coverage” claims – claims for 2 or more treatments at a time – and certain other types of claims during this period. Bupa has apologised for...
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If you hear the word ‘grommets’ you might think of surf lifesaving, but for many Australian families, the word means surgery. Around one in 15 kids in Australia need surgery for grommets, where a tiny tube is inserted into the eardrum to help reduce middle ear infections and glue ear. Although this procedure (known clinically...
If you’re having a baby, or thinking about starting a family in the next couple of years, one of the bigger decisions to weight up is whether it’s worth having health insurance so you can deliver your baby in private care. There’s lots of confusion about what health cover for pregnancy includes and what it...
Losing your job is an incredibly difficult experience that can leave you reeling emotionally – especially if it was unexpected. On a practical level, it also means a lot of decisions and adjustments to make, particularly around your finances. You may need to reassess your expenses until you land a new job. When it comes...
Back pain can be debilitating, and it’s an issue experienced by around 4 million Australians, according to data from the Australian Institute of Health and Welfare. Sometimes back pain is treated with surgery, such as spinal fusion or spinal disc replacement, but in many other cases a combination of less intensive treatments are recommended. Here’s...
Of the 48 insurers selling health insurance in Australia right now, 22 of them are not-for-profit, which means they aren’t focused on making and returning a profit to shareholders. So, does that mean policies from these insurers are cheaper? Here, we explore whether you’ll save money on health insurance by buying a policy from a...
Just a few decades ago cosmetic surgery was relatively uncommon, but it has had a big increase in Australia in the past 10 years. In fact, according to the Australian Commission on Safety and Quality in Health Care, more cosmetic procedures are done per capita in Australia than in the USA. And 2023 research from...
Unlike Hospital Cover, Extras Cover is the form of health insurance that won’t help you avoid the Medicare Levy Surcharge, so it might not be a big priority for some people. But if you want to save money on health maintenance costs, such as dental treatments and physiotherapy, Extras Cover can be a good investment....
According to recent data from the ATO, record numbers of Australians are now paying the Medicare Levy Surcharge at tax time. If that’s you – or you think you might be at risk of being charged it next year – here’s what you need to know. Do I have to pay the Medicare Levy Surcharge? First things...