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...
CEO and Founder
Chief Operating Officer
Chief Technical Officer
Writer and Researcher
UX/UI Designer
Brand and Graphic Designer
Led by Chris Payne
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...
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’re among the 1.7 million Australians caring for someone with dementia, or you’ve been diagnosed with the condition yourself, you might be wondering whether private health insurance can help. While there isn’t a cure for dementia, there are many treatments that can help manage the condition. In this blog we’ll explain more about using health...
If you’re among the 7 million Australians living with a lung condition, such as chronic obstructive pulmonary disease (COPD), lung cancer or bronchiectasis, you’ll be very familiar with hospital and clinic waiting rooms. From medical procedures to lifestyle support, living with a lung condition means supporting your health is vital. Here’s what you need to...
Most people don’t think about their kidneys much, but for the 246,200 Australians who are living with kidney disease, this pair of essential organs is very much front and centre. Living with kidney disease means your day-to-day life is organised around a lot of medical appointments and lifestyle adjustments. If you’re looking for health insurance...
For the 440,000+ Australians living with the impact of stroke, recovery can be a long journey. Rehabilitation after stroke is different for everyone, depending on how your brain is affected and how severe the stroke was. Here’s how private health insurance can help with the costs of recovery after a stroke. Your initial treatment will mostly...
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...