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’re admitted to hospital as a private patient, your insurer won’t pay the entire bill for your treatment. As well as the Gap, which is determined by your doctor and your insurer, you’ll also need to pay an excess and possibly also a co-payment, determined by your policy. So what’s the difference between these...
If you’re living with your partner, you might consider joining your health cover into one policy. But while a Couples policy might simplify your household expenses, it won’t save you any money. In fact, having separate Singles policies might work out cheaper. Here’s why…. Is Couples health insurance cheaper than Singles? No. One health insurance...
Health insurers are always keen to attract new members, especially when the annual 1 April price increases are announced. You might have seen ads promoting waiting periods being waived, a certain amount of membership weeks for free, or even gift products like retailer gift cards. But are these health insurance promotions and deals worth it,...
When you’re claiming private hospital treatment on Hospital Cover, you probably assume all your costs will be covered – so it can be a bit of a shock to learn you might have to pay a Gap (out-of-pocket costs). Fortunately, health insurance Gap cover schemes – offered by many insurers – can help you reduce or eliminate out-of-pocket costs. Here’s how they work. Why do Gaps exist? Gaps happen when doctors charge more than the Medicare Benefits...
It’s a question we’re asked often at healthslips.com.au: what’s the cheapest health insurer in Australia? There is no definitive answer because everyone’s health and insurance needs are different. But if you’re trying to save money on health insurance, here are some tips to help you find the most affordable insurer for your unique needs. 1....
There are literally thousands of health insurance policies available in Australia (68,538 open policies as at 7 April 2026, to be exact). So if you think your health cover isn’t quite hitting the mark, you have tonnes of alternatives. Staying with a policy that isn’t right for you means you’re throwing money down the drain, and potentially leaving yourself without sufficient cover when you need to claim for health treatments. So, how do you know if you’ve got the...
If you’re likely to need surgery this year, you could be in for a long wait. Although your surgery will be free under Medicare in the public health system, there may be a lengthy wait for non-urgent procedures. Of course, if you have health insurance, you can be seen quicker as a private patient, but that doesn’t necessarily mean your surgery will be free. Depending on your policy, and the doctors...
If you hear the word ‘grommets’ you might think of surf lifesaving, but for many Australian families, the word means surgery. Around one in 15 kids in Australia need surgery for grommets, where a tiny tube is inserted into the eardrum to help reduce middle ear infections and glue ear. Although this procedure (known clinically...