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...
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...
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If you’re having a baby, or thinking about starting a family in the next couple of years, one of the bigger decisions to weigh 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...
Of the 47 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...
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...
At the time of writing, there are 47 health insurers in Australia, each of them offering a vast array of policies at different levels of cover and varying prices. So, how do you choose? How can you decide what’s the best private health insurer in Australia? Here, we break it down. What’s the best private health...
When you take out a health insurance policy in Australia, there’s a waiting period before you can claim. On Hospital Cover, the waiting period length is set by the Australian government, but on Extras Cover, insurers can choose their own waiting periods. So, does health insurance with no waiting period exist, and how can you...
Physiotherapy is one of the most common treatments Australians claim on private health insurance. In fact, during the April to June 2025 quarter, Aussie insurers paid $131.64 million in physiotherapy benefits. But there are lots of misconceptions about how much you can claim for physio, when your limits reset and how to find the best...
If you need a colonoscopy in Australia, you could face a long wait. According to the Australian Institute of Health and Welfare, people waited between 133 and 197 days for a non-urgent colonoscopy in a public hospital in 2022 (between 4 and 6 months). For faster treatment, you might be wondering if you can go...
So, you’re having a hospital procedure as a private patient, and you’re covered by private health insurance. That means your treatment is free, right? Unfortunately that’s probably not true. There are 4 types of costs you might face for Hospital Cover claims. Here’s what they are, and how to prepare for them:1. Excess Most Hospital Cover...