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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In this Guide, we explain the Medicare Levy and the Medicare Levy Surcharge.The Australian Government uses the Medicare Levy to help fund Medicare. You will have to pay the Medicare Levy on your taxable income unless you are eligible for an exemption.If you earn over a certain amount and do not have an appropriate level...
Yes. If you are from a country that has a reciprocal healthcare agreement with Australia enabling you to access Medicare and you earn over the Medicare Levy Surcharge threshold, you can avoid the Surcharge by buying an approved Hospital Cover insurance policy.Unfortunately, this type of insurance provides limited benefits for Hospital Cover and you may...
You can avoid paying the Medicare Levy Surcharge by taking out a private health insurance policy that includes Hospital Cover.The excess on your Hospital Cover needs to be:These types of health insurance do not allow you to avoid paying the Medicare Levy Surcharge:
The Medicare Levy Surcharge is 1%, 1.25% or 1.5% depending on:The income thresholds for 2025-2026 are:Singles Income Rate $101,000 or less 0% $101,001 – $118,000 1.0% $118,001 – $158,000 1.25% $158,001 or more 1.5% Single parents, Couples and Families* Income Rate $202,000 or less 0% $202,001 – $236,000 1.0% $236,001 – $316,000 1.25% $316,001 or...
The Medicare Levy Surcharge is an extra charge you have to pay if you do not have Hospital Cover.It is designed to encourage you to take out Hospital Cover and use the private health system. The Australian government’s larger objective is to reduce pressure on Australia’s public health system.If you have to pay the Medicare Levy,...
If you want to apply for a Medicare Levy Exemption, you can do this as part of your tax return.You need a Medicare Entitlement Statement (MES) to apply for an exemption.You need a Medicare Entitlement Statement for each year you want to get an exemption.When you lodge your tax return, you need to tell the...
A Medicare Levy Exemption is when you do not have to pay the Medicare Levy.You may be entitled to the Exemption if you meet any of these criteria:If you successfully apply for a Medicate Levy Exemption, you do not have to pay the Medicare Levy for all or part of the year.
The Medicare Levy is a tax you pay to help fund some of the cost of Australia’s public health system, known as Medicare.Australians help pay for Medicare through 2 income taxes:The Medicare Levy is 2% of your taxable income (in addition to the tax you pay on your taxable income).Depending on you and your partner’s...