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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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...
If you’ve ever had to call an ambulance and then received a bill a few days later, you’ll know all too well that ambulance treatment in Australia is not funded by Medicare. In 2 states, ambulance call-outs are funded by their state governments, but for most of Australia, calling an ambulance will set you back...
Maybe you’ve just finished studying or you’re moving out of home. Maybe you’ve entered your 30s or got married. Whatever your reasons for getting your own health insurance in your 20s instead of relying on your parents’ health cover, it’s a good feeling to be taking control of your finances and becoming independent. It can,...
If you have Private Health Insurance and you’re being admitted to hospital for a procedure or treatment, don’t assume your insurer will cover all your Hospital Cover costs. Whether you’re going in as a private patient in a private hospital, or a private patient in a public hospital, you may need to pay some costs...
When you look at your bank statement, health insurance is probably one of the higher costs appearing in the ‘money out’ column. Private health insurance can certainly comprise a large chunk of most Aussie household budgets, especially when you consider premiums usually increase every year. Here are some of the reasons health insurance costs so...
Baby names, schools and nursery furniture… there’s a lot to consider when you’re getting ready to be a parent. One of the things you’ll need to think about – sooner, rather than later – is what medical care you (or your partner) will want during pregnancy, where you’ll give birth and what healthcare professionals you’ll...