The number of Australians paying the Medicare Levy Surcharge at tax time continues to rise. New data from the Australian Tax Office shows the number of people who paid the Surcharge jumped from 768,537 in 2022-23, to 885,087 in 2023-24 – a 15% increase. The Medicare Levy Surcharge (MLS) applies to people who earn above the ATO income threshold and do not have Hospital Cover covering all members of their household. The thresholds...
Health insurance regulations mean top-level cover has increasingly become unaffordable for many Australians. That’s the finding in an Actuaries Digital article, which suggests that the 4 tiers – Basic, Bronze, Silver and Gold – should be restructured. The number of Australians with Gold tier policies has dropped from 95% in 2005 to just 30% in 2026, due to younger claimers being concentrated on expensive Gold policies. This means many people do not have access to services such as private maternity cover, assisted reproductive services...
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...
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Cancer survival rates are increasing in Australia, which the government’s Cancer Plan says is thanks to better screening programs, earlier detection and improved treatments. Chemotherapy is one of the key treatments for many types of cancer, where drugs that destroy cancer cells are given orally, through an IV or as a cream, according to the Cancer Council. Depending on your insurer and doctor’s advice, you may be eligible to have chemotherapy in your own home, administered through specialised nursing programs,...
If you’ve got Extras Cover, you might be covered for the cost of vaccinations, but the type of shots you can claim and the amount can be wildly different. Let’s look more closely at cover for vaccinations on health insurance. Are vaccinations covered by Medicare? Yes, if a vaccination is recommended for your age group...
If you’re among the 1.7 million Australians caring for someone with dementia, or you’ve been diagnosed with the condition yourself, you might be wondering whether private health insurance can help. While there isn’t a cure for dementia, there are many treatments that can help manage the condition. In this blog we’ll explain more about using health...
If you’ve visited a pharmacy lately you’ll know that medicines can be expensive, even when they’re subsidised by the government. The good news is that if you’re prescribed medication that isn’t subsidised by the government, you might be able claim back some of those costs on private health insurance, depending on your cover. Here’s what...
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...