Australians with health cover are paying larger out-of-pocket costs for private treatment than ever, new data shows. The average Gap for private hospital treatment has climbed to $511.02 – an increase of 8.4% from the previous quarter, according to the latest statistics from government regulator APRA (the Australian Prudential Regulation Authority). Average Gaps for Extras Cover have increased to $65.02 – a 3.4% rise. Orthopaedic procedures remain the most expensive when it comes to out-of-pocket costs, with...
The cost of raising children continues to rise, with policies for families among the hardest hit in the latest health insurance premium increases.Analysis by health insurance comparison site healthslips.com.au found increases to Family and Single Parent policies have risen higher than policies that don’t include children.The government announced health insurance premiums would rise by an...
Senior Australians are facing a double whammy of health insurance cost rises, putting extra pressure on wallets during the cost-of-living crisis. Changes to the Private Health Insurance Rebate, coupled with high premium increases to policies that meet health needs of people over 65, mean senior Australians will be hit doubly hard by new health insurance changes. Currently the Private Health Insurance Rebate reduces premiums for people on low incomes by up to 24.288%, with reductions...
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...
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If you wear glasses or use contact lenses, you’ll know Extras Cover can be a handy way to bring down those costs. And even if you don’t need glasses right now, having optical cover can be useful as you age. Optometry Australia says our eyes lose the ability to focus on near objects from around...
If you’re confused about which natural therapies are covered by health insurance and which aren’t, you’re not alone. The government has changed the rules about health insurance cover for natural therapies twice in the past decade, which means there’s a lot of confusion around what can be claimed on Extras Cover. That can make it...
Whether you’re training for a one-off sporting event, a year-round gym junkie, or just starting out on your fitness goals, health insurance could be your MVP (most valuable player). From helping you recover from sporting injuries to supporting you to stay on track mentally and physically, health insurance could make a big difference to your...
If you’re having a baby, or thinking about starting a family in the next couple of years, one of the bigger decisions to weigh up is whether it’s worth having health insurance so you can deliver your baby in private care. There’s lots of confusion about what health cover for pregnancy includes and what it...
Losing your job is an incredibly difficult experience that can leave you reeling emotionally – especially if it was unexpected. On a practical level, it also means a lot of decisions and adjustments to make, particularly around your finances. You may need to reassess your expenses until you land a new job. When it comes...
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...
Physiotherapy is one of the most common treatments Australians claim on private health insurance. In fact, during the April to June 2025 quarter, Aussie insurers paid $131.64 million in physiotherapy benefits. But there are lots of misconceptions about how much you can claim for physio, when your limits reset and how to find the best...