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...
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...
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The Medical Research Future Fund (MRFF) provides grants to support health and medical research and innovation.The objective is to fund research and innovation projects that improve the health and wellbeing of Australians, make the health system sustainable, and build the economy.The MRFF aims to:
The National Health and Medical Research Council (NHMRC) is Australia’s expert body for health and medical research.It is the agency the Australian government uses to fund health and medical research. The NHMRC seeks to translate medical research into better health outcomes.It also promotes the required ethical standards for health and medical research.The NHMRC funds research through...
The Therapeutic Goods Association (TGA) is part of the Australian Department of Health.It is responsible for regulating therapeutic goods, including:Effective and timely regulation of therapeutic goods is designed to improve the health of all Australians.The TGA regulates the supply of:It also regulates the manufacture and advertising of these products.
The Australian Health System faces many challenges:
How much does it cost to visit a hospital?How much does it cost if I am admitted to hospital as a public patient?If you have a Medicare Card and are admitted to hospital as a public patient for an emergency or for elective surgery, you are treated for free.How much does it cost if I...
Funding of the Australian Heath System is complex.It is shared between:
Acute illness or traumaIf you arrive at a public hospital emergency department and are diagnosed with acute illness, traumatic injuries or a deteriorating existing condition, you will receive emergency surgery if deemed appropriate.You can be:Elective surgeryIf you are categorised as requiring surgery outside 10 days, you will be put into one of 3 categories: Category...
Responsibility for managing the Australian Health System is shared The Australian government, state and territory governments, as well as local governments share responsibility for managing the Australian Health System.What is the Australian government responsible for?The Australian government is responsible for:What are the state, territory and local governments responsible for?The state, territory and local governments are responsible...