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 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’re likely to need heart surgery, health insurance could be worth your while. While treatment in public hospitals will always be free under Medicare, 1 in 6 Australians are living with heart disease (according to the Heart Foundation), so there may be a wait for non-urgent cardiac treatment in public hospitals. According to Private Healthcare Australia’s Hospital High Claims Report, cardiovascular treatments were among the highest hospital claims paid by insurers in 2024. Here, we...
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...
If you’re self-employed, either as a small business owner or one of the 1.5 million sole traders or freelancers in Australia, you probably keep a very close eye on the flow of money coming in and out. Health insurance can be a big expense, which means you might be wondering if you can do without...
If you, or someone you love, is living with arthritis, you’re far from alone. Arthritis is the third most common chronic condition in Australia, according to the ABS, and reportedly affects 3.7 million of us. Arthritis is a term encompassing many different forms of conditions that affect the joints and cause inflammation, including osteoarthritis, rheumatoid arthritis...