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...
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...
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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,...
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...
There’s no two ways about it – braces are expensive. If you, or your child, might need braces in the near future, you might be wondering whether taking out health insurance for braces is worthwhile. Here, we crunch the numbers. Are braces covered by health insurance? Yes, braces are covered by health insurance – but only on...