Health insurance regulations mean top-level cover has increasingly become unaffordable for many Australians. That’s the finding in an Actuaries Digital article, which suggests that the 4 tiers – Basic, Bronze, Silver and Gold – should be restructured. The number of Australians with Gold tier policies has dropped from 95% in 2005 to just 30% in 2026, due to younger claimers being concentrated on expensive Gold policies. This means many people do not have access to services such as private maternity cover, assisted reproductive services...
Australians with health cover are paying larger out-of-pocket costs for private treatment than ever, new data shows. The average Gap for private hospital treatment has climbed to $511.02 – an increase of 8.4% from the previous quarter, according to the latest statistics from government regulator APRA (the Australian Prudential Regulation Authority). Average Gaps for Extras Cover have increased to $65.02 – a 3.4% rise. Orthopaedic procedures remain the most expensive when it comes to out-of-pocket costs, with...
The cost of raising children continues to rise, with policies for families among the hardest hit in the latest health insurance premium increases.Analysis by health insurance comparison site healthslips.com.au found increases to Family and Single Parent policies have risen higher than policies that don’t include children.The government announced health insurance premiums would rise by an...
Senior Australians are facing a double whammy of health insurance cost rises, putting extra pressure on wallets during the cost-of-living crisis. Changes to the Private Health Insurance Rebate, coupled with high premium increases to policies that meet health needs of people over 65, mean senior Australians will be hit doubly hard by new health insurance changes. Currently the Private Health Insurance Rebate reduces premiums for people on low incomes by up to 24.288%, with reductions...
Health insurance premiums will increase by an average of 4.41% on 1 April, but some Australians are already experiencing bill shock after finding their policies will increase by as much as 10.74%. In the past few weeks policyholders have been notified by health insurers about their premium rises on 1 April 2026 and in some cases, the increases are significantly higher than 4.41%. Analysis by health insurance comparison...
Out-of-pocket fees for Australians with health insurance have risen, new data shows. Statistics from health insurance industry regulator APRA reveal average Gaps for hospital treatment rose by 7.7% in 2025, from an average of $437.61 to $471.29. Gaps for Extras Cover claims were up 5.6% from an average $59.53 to $62.87. Despite the increased Gaps and the cost-of-living crisis, Australians are holding onto their health insurance policies. There was no change to...
The government has approved a 4.41% average health insurance premium rise for 2026 – the highest increase in 9 years. Every year, health insurers must apply to the Minister for Health and Ageing to raise premiums. Last year’s average increase was 3.73%, while the 2017 average was 4.84%. Policyholders will be advised of their premium change over the coming weeks, with new premiums effective from 1 April. The Private Health Insurance Rebate will also be reduced from 1 April...
Increased out-of-pocket costs for specialists are leading many Australians to delay or cancel specialist care, a recent study has found. A survey of 4,000 people by Private Healthcare Australia – peak body for the health insurance industry – found that 55% of people received a higher specialist bill than expected in the past 3 years, and almost one in 3 people had delayed or cancelled specialist care due to costs. The survey – which included 2,300 people...
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If you have Private Health Insurance and you’re being admitted to hospital for a procedure or treatment, don’t assume your insurer will cover all your Hospital Cover costs. Whether you’re going in as a private patient in a private hospital, or a private patient in a public hospital, you may need to pay some costs...
Knee replacements are one of the most common elective surgeries in Australia, with around 53,000 performed a year for osteoarthritis. For those people, and those with knee injuries, knee replacement surgery can be life-changing, giving back mobility and flexibility… but they often have to wait several months for it.For that reason, having Hospital Cover that...
If you’re among the many Australians awaiting a hip replacement, you’re in good company. Around 35,500 total hip replacements are done every year in Australia, and for those who go through a public hospital, the average wait is around 175 days. That’s a long time to be in pain and having trouble walking – so...
When you look at your bank statement, health insurance is probably one of the higher costs appearing in the ‘money out’ column. Private health insurance can certainly comprise a large chunk of most Aussie household budgets, especially when you consider premiums usually increase every year. Here are some of the reasons health insurance costs so...
So, you just got married. Congratulations! If you’ve been living together for a while, you might already have a joint bank account, but have you thought about a joint health insurance policy? Sure, it’s probably not your first priority after the wedding, but Health Insurance when you’re married is definitely worth considering. Before you and...
We asked chartered accountant and tax expert Marianna Agostino, director of Conscious Wealth Creation, for advice on how private health insurance could affect how much you pay (or get back from) the ATO. How the Medicare Levy Surcharge affects your tax return According to Marianna, the biggest mistake people make is taking out health insurance at the...
So, you’ve taken a look at your health insurance policy and have decided it’s not right for you. Maybe it doesn’t fit your budget, or maybe it’s not meeting your healthcare needs any longer. Whatever the reason you have to switch, we’re here to help you with changing health insurance, without the headaches. Should I change...
If you’re thinking about changing health insurers, we’ve got your back. You can change your policy and insurer whenever you like, and your right to do so is protected under the Private Health Insurance Act 2007. That means you can change insurers without being penalised, although you may have to serve new waiting periods on Extras...