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’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...
If you, or someone you love, has been diagnosed with cancer, we hope you have lots of support around you. The word ‘cancer’ is news that no one wants to hear, yet 452 Australians are diagnosed with this illness every day. You might be feeling a bit overwhelmed, so we’re here to give you the...
Knee replacements are one of the most common elective surgeries in Australia, with around 53,000 performed a year for osteoarthritis. For those people, and those with knee injuries, knee replacement surgery can be life-changing, giving back mobility and flexibility… but they often have to wait several months for it.For that reason, having Hospital Cover that...
If you’re among the many Australians awaiting a hip replacement, you’re in good company. Around 35,500 total hip replacements are done every year in Australia, and for those who go through a public hospital, the average wait is around 175 days. That’s a long time to be in pain and having trouble walking – so...
If you’re among the 1.3 million Australians living with diabetes, you’ll be very familiar with medical waiting rooms. Diabetes is a long-term condition requiring ongoing management and consultation with a team of healthcare professionals, so you’re probably wondering whether health insurance will cover the costs of living with diabetes. The short answer is yes, but it...