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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The Australian government funds the Pharmaceutical Benefits Scheme (PBS). During 2023-24, the PBS cost $17.9 billion and 224.4 million PBS services were processed.
The Repatriation Pharmaceutical Benefits Scheme (RPBS) is an Australian government initiative that offers eligible people a wide range of medicines and wound care items at a concessional rate. Who is eligible for the RPBS? You may get prescribed medicines and wound care items at a concessional rate through the RPBS if you have an assessed...
The Pharmaceutical Benefits Scheme (PBS) Safety Net provides extra discounts on the price of medicines for pensioners and concession card holders. You are eligible for an extra discount under the PBS if you hold a Medicare Card and one of these cards: The further discount means you pay only up to $7.70 for PBS medicines.
The Pharmaceutical Benefits Scheme (PBS) Safety Net is designed to protect patients and families who require many PBS items. How the PBS Safety Net works for general patients From 1 January 2025, the safety net for general patients is currently $1,694.00 in the calendar year. If your and/or your family’s total co-payments reach $1,694.00, you...
How do I claim a PBS refund if I have my Medicare Card? If you have your Medicare Card, you can claim your PBS refund when you collect your medicines from the pharmacy with the prescriptions from your general practitioner (GP). How do I get a PBS refund if I don’t have my Medicare Card?...
Who is eligible for the Pharmaceutical Benefits Scheme (PBS)? Australian residents You are eligible for subsidised medicines under the PBS if you are an Australian resident and have a Medicare Card. Aboriginal and Torres Strait Islander Australians You can get more help to buy medicine under the PBS if you are an Aboriginal or Torres...
The Pharmaceutical Benefits Scheme (PBS) covers medicines for most medical conditions. If you have a medical condition and need medicine, the PBS will likely subsidise the cost of that medicine. The PBS does not cover the cost of over-the-counter medicines unless available on a prescription. The decision on which medicines to include in the PBS...
The Pharmaceutical Benefits Scheme (PBS) is an Australian government program that subsidises medicines to offer all Australians prompt, reliable and affordable access to medicines. It is a vital part of Australia’s health system. The PBS is part of the Australian government’s broader National Medicines Policy. It means you can access a wide range of prescribed...