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...
New data from the Australian Tax Office shows that the number of people being charged the Medicare Levy Surcharge (MLS) has almost quadrupled over 6 years. Data found 768,537 Aussies paid the MLS in the 2022-23 financial year, up from 196,807 in 2017. An article in The Australian says the increase is due to rising wages. The...
Australians treated with natural therapies may soon be able to claim rebates on Extras Cover. Following a review completed last year, the government has reinstated 7 of the 16 natural therapies that were removed from private health insurance cover in 2019. The health insurance industry is now developing framework to cover: Private Healthcare Australia, the peak body for...
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If you’re confused about which natural therapies are covered by health insurance and which aren’t, you’re not alone. The government has changed the rules about health insurance cover for natural therapies twice in the past decade, which means there’s a lot of confusion around what can be claimed on Extras Cover. That can make it...
If you hear the word ‘grommets’ you might think of surf lifesaving, but for many Australian families, the word means surgery. Around one in 15 kids in Australia need surgery for grommets, where a tiny tube is inserted into the eardrum to help reduce middle ear infections and glue ear. Although this procedure (known clinically...
Back pain can be debilitating, and it’s an issue experienced by around 4 million Australians, according to data from the Australian Institute of Health and Welfare. Sometimes back pain is treated with surgery, such as spinal fusion or spinal disc replacement, but in many other cases a combination of less intensive treatments are recommended. Here’s...
Just a few decades ago cosmetic surgery was relatively uncommon, but it has had a big increase in Australia in the past 10 years. In fact, according to the Australian Commission on Safety and Quality in Health Care, more cosmetic procedures are done per capita in Australia than in the USA. And 2023 research from...
Almost half of Australian adults experience sleep problems regularly, and if you or a family member is one of them, there are treatments available. The good news is that some treatments for sleep apnoea and other sleep issues are covered by health insurance. Does health insurance cover sleep studies? A sleep study is where you’re observed as...
Has your doctor recommended sinus surgery, or another nasal procedure such as septoplasty or turbinate reduction? All of these ear, nose and throat (ENT) surgeries are subject to long waiting times in the public hospital system in Australia. If breathing problems, recurring sinus issues and sleeping problems are having a serious impact on your life,...
If you’re living with diabetes, your doctor may have recommended devices such as insulin pumps or glucose monitors to help you manage your health. If you don’t qualify for government funding, some of these devices can be a high ongoing cost. Currently in Australia, insulin pumps are only subsidised for people with type 1 diabetes...
Hearing aids can make a world of difference if you’re experiencing hearing impairment, but unfortunately, they aren’t cheap to buy or get fitted. The Australian government subsidises the cost of hearing aids for certain people, but if you don’t qualify, you may be able to claim some of the cost on private health insurance. So,...