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...
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...
New data from the Australian Tax Office shows that the number of people being charged the Medicare Levy Surcharge (MLS) has almost quadrupled over 6 years. Data found 768,537 Aussies paid the MLS in the 2022-23 financial year, up from 196,807 in 2017. An article in The Australian says the increase is due to rising...
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,...
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Yes. The Lifetime Health Cover Loading (LHCL) does apply to a dependant over the age of 31, which may result in an increase to your health insurance premium. The LHCL is a penalty imposed on people taking out Hospital Cover for the first time after the age of 31. If a dependant with a disability...
You will be exempt from paying the Lifetime Health Cover Loading on your Hospital Cover if you:
If you are an Australian citizen or permanent resident who has been living overseas on your Base Day and return to Australia permanently, the Lifetime Health Cover Loading rules are different. There are two factors that will affect your Loading: Once you have calculated your Base Day, you can calculate your Lifetime Health Cover Loading...
If you are an Australian who lives overseas and returns to Australia temporarily, your Lifetime Health Cover Loading will depend on your particular situation. There are 3 factors that could affect your Loading:
If you are a new migrant to Australia, the Lifetime Health Cover Loading and Base Day rules are different. If you are a new migrant, your Base Day will be the later of: For example:
The Lifetime Health Cover Loading rules apply to people with a disability. As a dependent person with a disability who takes out Hospital Cover for the first time after your Base Day, you will have to pay a 2% loading for every year you are aged over 30.
Yes. You will have to pay the Lifetime Health Cover Loading if there was a gap in your Hospital Cover. However, if you had Hospital Cover on your Base Day and then cancelled or suspended your Hospital Cover, and the gap in your Hospital Cover is less than 1,094 days (3 years minus 1 day)...
If you live in Australia permanently, your Base Day will be the later of 1 July 2000 or 1 July following your 31st birthday. For example: If you are a new migrant to Australia or an Australian who has been living overseas, the rules about how to calculate your Base Day are different. A quick...