Australians treated with natural therapies may soon be able to claim rebates on Extras Cover. Following a review completed last year, the government has reinstated 7 of the 16 natural therapies that were removed from private health insurance cover in 2019. The health insurance industry is now developing framework to cover: Private Healthcare Australia, the...
Bupa members who had Hospital Cover claims rejected between 1 May 2018 and 31 August 2023 may be entitled to compensation. The health insurer has announced it incorrectly rejected “mixed coverage” claims – claims for 2 or more treatments at a time – and certain other types of claims during this period. Bupa has apologised...
Members of Teachers Health and TUH are about to become part of the sixth largest health insurer in Australia. The two not-for-profit insurers have announced they will merge next week on 1 July, forming a combined insurer that will cover 500,000 people, Teachers Health said. TUH said the merger will bring some small benefits to...
Australians uncertain about whether or not to get health insurance could find the decision a little easier next week, as of 1 July. Those who don’t have Hospital Cover and earn over a certain income threshold get charged the Medicare Levy Surcharge at tax time – a levy of between 1% and 1.5%. For some...
Australians are claiming on private health insurance more than ever, new data shows. The latest figures from APRA (Australian Prudential Regulation Authority), which regulates the health insurance industry, show that insurers paid $18.9 billion in Hospital Cover claims for the 12 months ending 31 March 2025 – an increase of 6.9%. For Extras Cover claims,...
Healthscope private hospitals remain open for surgeries and treatments, despite the organisation going into receivership this week. Some Australians with Hospital Cover were concerned that private hospital treatment could be harder to access in the wake of the Healthscope collapse, but the organisation said its hospitals will remain open for treatments. Healthscope – which operates...
The government has announced it will investigate health insurers for using a loophole to raise their prices. In December last year, Minister of Health Mark Butler warned health insurers to stop ‘phoenixing’ policies after a Commonwealth Ombudsman report brought the practice to light. By law, health insurers can only raise prices once a year, but...
Most Australians will pay more for health insurance next week due to a reduction in a rebate designed to make health cover cheaper. Cuts to the Private Health Insurance Rebate take effect on April 1 at the same time as most policies are increasing in price by an average of 3.7% – which adds up...
CEO and Founder
Chief Operating Officer
Chief Technical Officer
Writer and Researcher
UX/UI Designer
Brand and Graphic Designer
Led by Chris Payne
What is covered under Sleep Studies? Hospital Cover for Sleep Studies includes hospital treatment to investigate sleep patterns, problems with sleeping and other anomalies. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Which Hospital Cover tiers include Sleep Studies? Tier Clinical category covered? Can insurers offer restricted cover?...
What is covered under Tonsils, Adenoids and Grommets? Hospital Cover for Tonsils, Adenoids and Grommets includes hospital treatment to: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Tonsils, Adenoids and Grommets clinical category are under different clinical categories. For example, treatments...
What is covered under Weight Loss Surgery? Hospital Cover for Weight Loss Surgery includes hospital treatment for surgery to: Weight loss surgery is usually performed on people who are morbidly obese. This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Which Hospital Cover tiers include Weight Loss Surgery? Tier Clinical category...
What is covered under Implantation of Hearing Devices? Hospital Cover for Implantation of Hearing Devices includes hospital treatment to correct hearing loss, including implants of a prosthetic hearing device. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Implantation of...
What is covered under Dialysis for Chronic Kidney Failure? Hospital Cover for Dialysis for Chronic Kidney Failure includes hospital treatment for chronic kidney failure. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Scheme (MBS). Which Hospital Cover tiers include Dialysis for Chronic Kidney Failure? Tier Clinical category covered? Can insurers...
What is covered under Back, Neck and Spine? Hospital Cover for Back, Neck and Spine is for hospital treatment to investigate and treat the: Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Back, Neck and Spine clinical category are...
What is covered under Blood? Hospital Cover for Blood is for hospital treatment to investigate and treat blood and blood-related conditions. Examples include: Some treatments you might expect to be in the Blood clinical category, such as treatment for cancers of the blood, are under the Chemotherapy, Radiotherapy and Immunotherapy for cancer clinical category. This...
What is covered under Bone, Joint and Muscle? Hospital Cover for Bone, Joint and Muscle is for hospital treatment to investigate and treat diseases, disorders and injuries of the musculoskeletal system. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the...