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...
Some ACT residents are being hit with shock bills for public hospital treatment, new figures show. Following news this week that health insurance premiums for ACT residents may rise by at least $180 next year, an analysis of billing records has revealed the high Gaps being paid for Canberra hospital treatment. Data from Private Healthcare Australia...
With public hospitals under strain, health insurers are paying out greater sums for private patient treatment, new data shows. Quarterly health insurance statistics released by the Australian Prudential Regulation Authority, which regulates the industry, showed a significant increase in the amount paid for Hospital Cover claims in the June 2025 quarter. Health insurers paid $4.98 billion...
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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...
If you’re looking for the best health insurance policy that meets your specific health needs and budget, the healthslips.com.au Calculator is your new BFF. Not only is it one of the only health comparison tools in Australia that compares every single policy on the market without any bias, it has some unique features that can...
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 Gap?...
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 policies...