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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You might change your wardrobe every season, and might also switch jobs on a regular basis. But when it comes to health insurance, most Aussies are a little resistant to change. In a 2021 University of Melbourne study of health insurance habits, researchers noted that once people choose a health insurance policy, they tend to...
Baby names, schools and nursery furniture… there’s a lot to consider when you’re getting ready to be a parent. One of the things you’ll need to think about – sooner, rather than later – is what medical care you (or your partner) will want during pregnancy, where you’ll give birth and what healthcare professionals you’ll...
If you’re among the 1.3 million Australians living with diabetes, you’ll be very familiar with medical waiting rooms. Diabetes is a long-term condition requiring ongoing management and consultation with a team of healthcare professionals, so you’re probably wondering whether health insurance will cover the costs of living with diabetes. The short answer is yes, but it...
If you’re moving to Australia for study, congratulations! We hope you’re excited about spending time in our country. As part of your temporary student visa, you must have Overseas Student Health Cover (OSHC), which is a type of health insurance that covers your GP visits, some hospital treatments, some medicines as well as ambulance treatment and...
Are you planning a trip to Australia? We’re looking forward to welcoming you to our shores very soon. Before you board your flight, we recommend you buy Overseas Visitor Health Cover – health insurance to cover you for any accidents, injuries or illnesses while you’re in Australia (and in some cases, it may be a...
If you’re among the 2.7 million Australians living with asthma, you’ll be all too aware of the need to be proactive about your health. According to the 2021 Census, asthma is the third most common long-term health condition in Australia (behind mental health conditions and arthritis). So do you need health insurance for asthma? Here’s...
If you’re aged 60-plus, you might be hearing a few more creaks and groans from your body than you used to, and you may be finding yourself attending more medical appointments than in previous years. For that reason, you might be considering getting private health insurance. And if you already have health cover, you may...
Most Australians have tried a diet at some point in their lives, which means many have discovered that crash dieting and programs which promise quick results are rarely successful in the long term. According to the Australian Bureau of Statistics (ABS) data, more than 2.3 million Australians over the age of 15 were on a...