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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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...