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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When you enrol in Medicare, you are given a Medicare Card. It is a plastic card similar in size to a credit card. It is proof you are enrolled in Medicare. Your Medicare Card records your Medicare Number, name, IRN (individual reference number) and the date your card will expire. It looks like this: It...
Medicare Bulk Billing explained Medicare Bulk Billing is when your health professional bills Medicare directly for the services they provided to you. You do not pay for the medical service they provided because the health professional bills Medicare. Your health professional accepts the Medicare Benefit as full payment for the service. You assign the Medicare...
As Australia’s public health care scheme, Medicare pays for some of the costs of your health care. It does not pay for all the costs of the medical services you use. How to access Medicare To access Medicare, you need to be eligible to enrol. When you enrol, you receive a Medicare Card. It...
You are eligible for Medicare in Australia and receive a Medicare Card if you live in Australia and you are: Australia has Reciprocal Health Care Agreements with a number of countries. This means you may also be able to register for Medicare if you are visiting from:
Medicare is Australia’s universal health care scheme. It is funded by the Commonwealth Government. Through Medicare, Australians and some overseas visitors can access a wide range of health and hospital services at no cost or reduced cost. Services provided by Medicare at no cost or reduced cost include: Services subsidised by the Australian Government under...
In this Guide, we provide an overview of Medicare in Australia, as well as answer your most common questions. Medicare is Australia’s universal health scheme, which means you can receive a wide range of medical treatments for free or at low cost. This Guide explains: