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...
Members of Teachers Health and TUH are about to become part of the sixth largest health insurer in Australia. The two not-for-profit insurers have announced they will merge next week on 1 July, forming a combined insurer that will cover 500,000 people, Teachers Health said. TUH said the merger will bring some small benefits to...
Australians uncertain about whether or not to get health insurance could find the decision a little easier next week, as of 1 July. Those who don’t have Hospital Cover and earn over a certain income threshold get charged the Medicare Levy Surcharge at tax time – a levy of between 1% and 1.5%. For some...
Australians are claiming on private health insurance more than ever, new data shows. The latest figures from APRA (Australian Prudential Regulation Authority), which regulates the health insurance industry, show that insurers paid $18.9 billion in Hospital Cover claims for the 12 months ending 31 March 2025 – an increase of 6.9%. For Extras Cover claims,...
Healthscope private hospitals remain open for surgeries and treatments, despite the organisation going into receivership this week. Some Australians with Hospital Cover were concerned that private hospital treatment could be harder to access in the wake of the Healthscope collapse, but the organisation said its hospitals will remain open for treatments. Healthscope – which operates...
The government has announced it will investigate health insurers for using a loophole to raise their prices. In December last year, Minister of Health Mark Butler warned health insurers to stop ‘phoenixing’ policies after a Commonwealth Ombudsman report brought the practice to light. By law, health insurers can only raise prices once a year, but...
Most Australians will pay more for health insurance next week due to a reduction in a rebate designed to make health cover cheaper. Cuts to the Private Health Insurance Rebate take effect on April 1 at the same time as most policies are increasing in price by an average of 3.7% – which adds up...
Out-of-pocket payments for Private Health Insurance claims continue to rise, putting more pressure on Australian households during the cost-of-living crisis. New data from Australian Prudential Regulation Authority (APRA), which regulates the health insurance industry, found a 7% increase in Gaps paid for Hospital Cover claims for the quarter finishing December 2024, compared with the same...
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Tonsillectomy is among the most common elective surgeries performed in Australia and there can be a long wait for public hospital treatment – up to 185 days (which is more than 6 months), Australian Institute of Health and Welfare data shows. You might choose to use health insurance and get treated at a private hospital,...
If you’ve visited a dentist to improve your smile recently, you might not have been smiling when you went to pay. Dental care in Australia is generally not covered by Medicare, which means it can hurt your hip pocket. Having Extras Cover is one way to eliminate dental bill shock, but often health insurance doesn’t...
If you’re using Hospital Cover to pay for surgery or a hospital procedure as a private patient, you probably assume your insurer will pick up the bill. But unfortunately health insurance doesn’t always cover 100% of the private hospital costs – sometimes there will be out-of-pocket costs, also known as Gaps. So what is a...
If you’re looking for cheaper health cover, corporate health insurance policies are definitely worth considering. Depending on the policy and what’s on offer, taking out a corporate health insurance policy could save you money and get you benefits that might not be available to the general public. Here’s everything you need to know about corporate...
If you have both Hospital Cover and Extras Cover with one insurer, you might assume that those 2 policies are treated as one policy. It turns out you can have Hospital and Extras cover as ‘separate’ policies – also called ‘split’ or ‘second’ or ‘standalone’ policies, depending on the terminology your insurer uses. This can...
If you’ve visited a pharmacy lately you’ll know that medicines can be expensive, even when they’re subsidised by the government. The good news is that if you’re prescribed medication that isn’t subsidised by the government, you might be able claim back some of those costs on private health insurance, depending on your cover. Here’s what...
If you have a health condition and you’re worried it might disqualify you for health insurance, we have good news. In Australia, health insurers legally can’t deny you cover for a pre-existing condition nor for a family history of illness. But they can impose a waiting period, which means you won’t be able to claim...
If you want Hospital Cover that provides the bare essentials, Basic Hospital Cover could be your best bet. You’ll need to do your homework, though, as some Basic health insurance policies don’t provide much in the way of value – and they aren’t necessarily cheap, either. Using the healthslips.com.au Calculator, we found a $2,772.72 difference...