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Guide

What is a Private Health Information Statement (PHIS)?

Reviewed and updated 3 April 2024

A Private Health Information Statement (PHIS) is available for every private health insurance policy in Australia.

Under Australian law, private health insurers are required to provide these statements so you can review your existing policy and compare policies.

There are 3 types of Private Health Information Statement:

Type of coverWhat does it include?
Hospital Cover– clinical categories covered and categories with
– restrictions
– waiting periods
– excesses
– co-payments
– gaps
Extras Cover – features, services covered and limitations
– waiting periods
– benefit limits
– example of benefits for each type of service
Hospital and Extras (combined)– features, services covered and limitations 
– see all details for Hospital Cover and Extras Cover above.

Private Health Information Statements must include the monthly premium before the Private Health Insurance Rebate, Age-based Discount or Lifetime Health Cover Loading is applied.

Your private health insurer must give you an up-to-date Private Health Information Statement to you:

  • when you take out a policy for the first time
  • every 12 months
  • if the insurer changes the rules.

Private health insurers must keep up-to-date Private Health Information Statements.

They must also notify the Department of Health if they change any of the rules under any Private Health Information Statement. This does not include the annual approval process insurers must go through if they want to increase their premiums.

Private Health Information Statements are only summaries. For full details about the policy you are thinking of buying, contact your insurer.

You can use our healthslips.com.au Calculator to download the Private Health Information Statement for every policy on the market.

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