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...
Increased claim costs are putting health insurers under pressure, new data shows. The latest figures from industry regulator, the Australian Prudential Regulation Authority (APRA), show $5.2 million was paid for hospital treatment claims in the September 2025 quarter – an 8.0% increase compared with the same quarter last year and much higher than the growth in...
Specialist fees for private hospital care in Australia have increased dramatically – in some cases, by as much as 9 times, new data shows. Figures from Private Healthcare Australia, the peak body for the health insurance industry, found that average out-of-pocket fees charged for treating private patients have surged by staggering amounts between 2018-19 and 2023-24. Average...
The Minister of Health has warned health insurers to focus on providing value to customers when they apply to increase their premiums over the next few weeks. Private health insurers are allowed to raise premiums once a year only, subject to government approval. Insurer applications for 2026 premium increases are due in November, with approved prices...
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 Australia...
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 billion...
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 wages. The...
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 peak body for...
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A co-payment is the amount you agree to pay if you have Hospital Cover and are admitted to hospital. It means you have to make a contribution each time the health insurer pays hospital benefits for you.Usually, you pay a co-payment for each day of hospitalisation up to an annual amount or admission amount.Most health...
What is a Hospital Cover excess? An excess is the lump sum you must pay if you have Hospital Cover and are admitted into hospital as a private patient.It is your contribution towards a claim you make on your Hospital Cover.Generally, if you agree to pay a higher excess for your Hospital Cover, you pay less...
When you take out private health insurance, you cannot make a claim immediately. Private health insurers impose waiting periods before you can make a claim under your new Hospital Cover or Extras Cover policy or when upgrading your policy.Waiting periods for Hospital CoverThe Australian government sets the maximum waiting periods that can be set for hospital...
About private health insurance premiumsA private health insurance premium is the amount you pay each month or year for:How do increases in health insurance premiums work?Your private health insurance premium may increase when hospital, medical or other health costs rise. They can also increase if health insurer members increase their use of health services.If your...
A Private Health Information Statement (PHIS) is available for every private health insurance policy in Australia.Under Australian law, private health insurers are required to provide these statements so you can review your existing policy and compare policies.There are 3 types of Private Health Information Statement: Type of cover What does it include? Hospital Cover –...
Questions to ask to find the right health insurance policy for youWhen choosing a private health insurance policy, it pays to do your research and understand whether a policy will actually serve your needs.Consider the following questions:Who do you need cover for?Health insurers offer different policies for each of these categories.A child dependant is a...
The best way to compare private health insurance policies is to use our healthslips.com.au Calculator.Unlike other private health insurance comparison websites, we:We can also help you compare your existing policy with other similar policies on the market.Finally, our Calculator can help you calculate whether you:
Two ways you can save paying tax by taking out private health insuranceThere are 2 ways you can save paying tax by taking out private health insurance:Private Health Insurance RebateIf you earn under a certain income and take out private health insurance, you can claim the Private Health Insurance Rebate.The Rebate operates as a discount...