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 Brain and Nervous System? Hospital Cover for Brain and Nervous System is for hospital treatment to investigate and treat: Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Brain and Nervous System clinical category are under...
What is covered under Breast Surgery (medically necessary)? Hospital Cover for Breast Surgery (medically necessary) covers hospital treatment to: Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). You should be aware that this category does not cover Cosmetic Surgery or Cosmetic Breast Surgery that is not medically necessary....
What is covered under Cataracts? Hospital Cover for Cataracts includes hospital treatment for a specific eye problem known as a cataract. This condition causes clouding of the lens that makes it difficult for people to read, drive at night or see true colours. This clinical category includes these treatments listed in the Medicare Benefits Schedule...
What is covered under Chemotherapy, Radiotherapy and Immunotherapy for Cancer? Hospital Cover for Chemotherapy, Radiotherapy and Immunotherapy for Cancer includes hospital treatment of cancer or benign tumours. Treatments include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Chemotherapy, Radiotherapy and Immunotherapy...
What is covered under Dental Surgery? Hospital Cover for Dental Surgery includes hospital treatment for surgery to the teeth, gums and jaw. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Which Hospital Cover tiers include Dental Surgery? Tier Clinical category covered? Can insurers offer restricted cover? Basic Optional...
What is covered under Diabetes Management? Hospital Cover for Diabetes Management includes hospital treatment to investigate and manage diabetes. Examples include: There is only one treatment for this clinical category listed in the Medicare Benefits Schedule (MBS). This is liposuction for skin contour problems because of repeated insulin injections. It does not include insulin pumps....
What is covered under Assisted Reproductive Services? Hospital Cover for Assisted Reproductive Services includes hospital treatment for fertility treatments or procedures. Examples are: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Assisted Reproductive Services clinical category are in other clinical categories....
What is covered under Digestive System? Hospital Cover for Digestive System includes hospital treatment to investigate and treat the digestive system, including the: Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Examples include: Some treatments you might expect to be in the Digestive System clinical category are in...