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...
The Australian Medical Association (AMA), an advocacy group for doctors, says private health insurance no longer provides value for money, and wants the government to overhaul the industry. The association’s annual Private Health Insurance Report Card, released today, found premium prices had doubled over the past 16 years, outstripping health inflation.“Australians are paying more for their...
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...
CEO and Founder
Chief Operating Officer
Chief Technical Officer
Writer and Researcher
UX/UI Designer
Brand and Graphic Designer
Led by Chris Payne
If you’re a young and healthy Australian, do you really need health insurance, since you can get public hospital treatment for free under Medicare? And if you’re an older Australian, is it worth getting health insurance, even though it might cost you more? There’s no best age to get health insurance, but there are lots...
For the 440,000+ Australians living with the impact of stroke, recovery can be a long journey. Rehabilitation after stroke is different for everyone, depending on how your brain is affected and how severe the stroke was. Here’s how private health insurance can help with the costs of recovery after a stroke. Your initial treatment will mostly...
If you need to lose a lot of weight for your health, and eating well and exercise haven’t worked, you might be considering surgery. In 2014-15 (the latest statistics available) there were around 22,700 hospitalisations for weight loss surgery procedures in Australia – a number that’s more than doubled since 2005-06 – with 7 out...
If you’re a new migrant, we hope you’re enjoying life in Australia. One of the things you’ll need to think about as you adjust to life as an Aussie is our healthcare system. While many treatments and services are covered by Medicare, there are some advantages to taking out private health insurance. In some cases, getting...
If you’ve been diagnosed with heart disease, your doctors have probably given you lots of information about how to manage your condition. The good news is that some of the lifestyle changes to manage heart disease, and many heart disease treatments, are covered by private health insurance. There are 2 main types of health insurance –...
When you compare Extras Cover with Hospital Cover, you might ask yourself whether you need both. After all, Hospital Cover is there for health events that might involve hospital treatment, while Extras Cover (also known as general or ancillary cover) is often considered more for ‘health maintenance’. So if you want to save money on...
It’s the most common elective procedure performed in Australia, but cataract surgery has a long waiting list in public hospitals. According to Australian Institute of Health and Welfare data, more than 90% of people who had their cataracts done in 2022-23 had to wait more than a year. If you have Private Health Insurance, you...
Taking out a health insurance policy is a great way to cover yourself in the event of illness or an injury. But to claim on that policy, you have to take it out well before you need or get treatment, due to health insurance waiting periods. A waiting period is the amount of time you have...