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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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...
If you’ve been diagnosed with heart disease, your doctors have probably given you lots of information about how to manage your condition. The good news is that some of the lifestyle changes to manage heart disease, and many heart disease treatments, are covered by private health insurance. There are 2 main types of health insurance –...
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...
Around one in 5 Aussies will experience a mental health condition every year, so if your mental health isn’t as great as you’d like it to be, you’re not alone and there is lots of support out there for you. When it comes to support for mental health, private health insurance can help you get the...
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...