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Guide

What happens if I don’t have private health insurance?

Reviewed and updated 22 July 2025

In Australia, you do not have to take out private health insurance.

If you have a Medicare Card, you can receive treatment as a public patient in a public hospital.

If you do not take out private health insurance, you will not receive help from an insurer to pay for:

Alternatively, you can pay to be treated as a private patient.

The main reasons you might take out private health insurance are:

  • it helps you pay to be treated as a private patient in a public or private hospital
  • you can be treated by the doctor of your choice
  • you avoid lengthy public hospital waiting lists
  • you can select where you are treated
  • it gives you more say over the type of hospital accommodation
  • it helps pay for services that Medicare does not cover.

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