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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Back pain can be debilitating, and it’s an issue experienced by around 4 million Australians, according to data from the Australian Institute of Health and Welfare. Sometimes back pain is treated with surgery, such as spinal fusion or spinal disc replacement, but in many other cases a combination of less intensive treatments are recommended. Here’s...
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...
Has your doctor recommended sinus surgery, or another nasal procedure such as septoplasty or turbinate reduction? All of these ear, nose and throat (ENT) surgeries are subject to long waiting times in the public hospital system in Australia. If breathing problems, recurring sinus issues and sleeping problems are having a serious impact on your life,...
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...
If you’re using Hospital Cover to pay for surgery or a hospital procedure as a private patient, you probably assume your insurer will pick up the bill. But unfortunately health insurance doesn’t always cover 100% of the private hospital costs – sometimes there will be out-of-pocket costs, also known as Gaps. So what is a Gap?...
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...
If you’re a young and healthy Australian, do you really need health insurance, since you can get public hospital treatment for free under Medicare? And if you’re an older Australian, is it worth getting health insurance, even though it might cost you more? There’s no best age to get health insurance, but there are lots...
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...