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, 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...
If you’re among the 2.7 million Australians living with asthma, you’ll be all too aware of the need to be proactive about your health. According to the 2021 Census, asthma is the third most common long-term health condition in Australia (behind mental health conditions and arthritis). So do you need health insurance for asthma? Here’s...
Most Australians have tried a diet at some point in their lives, which means many have discovered that crash dieting and programs which promise quick results are rarely successful in the long term. According to the Australian Bureau of Statistics (ABS) data, more than 2.3 million Australians over the age of 15 were on a...
For one in six Aussie couples who have trouble conceiving, the road to parenthood can be full of stress and heartbreak. Making matters worse, fertility treatments can be eye-wateringly expensive, putting many couples under financial stress. It’s little wonder many start to consider health insurance that covers fertility treatment.While the cost of fertility treatment varies wildly...