The number of Australians paying the Medicare Levy Surcharge at tax time continues to rise. New data from the Australian Tax Office shows the number of people who paid the Surcharge jumped from 768,537 in 2022-23, to 885,087 in 2023-24 – a 15% increase. The Medicare Levy Surcharge (MLS) applies to people who earn above the ATO income threshold and do not have Hospital Cover covering all members of their household. The thresholds...
Health insurance regulations mean top-level cover has increasingly become unaffordable for many Australians. That’s the finding in an Actuaries Digital article, which suggests that the 4 tiers – Basic, Bronze, Silver and Gold – should be restructured. The number of Australians with Gold tier policies has dropped from 95% in 2005 to just 30% in 2026, due to younger claimers being concentrated on expensive Gold policies. This means many people do not have access to services such as private maternity cover, assisted reproductive services...
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...
CEO and Founder
Chief Operating Officer
Chief Technical Officer
Writer and Researcher
UX/UI Designer
Brand and Graphic Designer
Led by Chris Payne
Australian government private health insurance surcharges The Australian government imposes 2 private health insurance surcharges:These are designed to encourage you to take out private health insurance.Medicare Levy Surcharge The Medicare Levy Surcharge is a levy you have to pay if you do not have Hospital Cover and earn above a certain income.The surcharge covers you and your...
Australian government private health insurance incentives The Australian government offers 2 incentives to encourage Australians to take out private health insurance:Private Health Insurance Rebate The Private Health Insurance Rebate is a rebate from the Australian government to help you pay for private health insurance.The rebate applies to Hospital Cover, Extras Cover and Ambulance Only Cover.The Private Health...
In Australia, you do not have to take out private health insurance.If you have a Medicare Card, you can receive treatment as a public patient in a public hospital.If you do not take out private health insurance, you will not receive help from an insurer to pay for:Alternatively, you can pay to be treated as...
If you have private health insurance, you may in certain situations receive treatment more quickly than someone without private health insurance.Receiving treatment at a private hospital can be very expensive.Most people who elect to go to a private hospital for surgery have Hospital Cover. This insurance helps them pay for the cost of being treated in...
Why don’t private health insurers cover the cost of appointments with my GP or specialist? In Australia, Medicare covers some or all of the cost of appointments with your General Practitioner (GP) or specialist.GPs and specialists have the legal right to run their practices as private businesses. This means they can charge whatever fees they feel...
How to decide whether you need private health insuranceWhen deciding whether you need private health insurance, consider the advantages and disadvantages to make the best decision for your situation.If you buy Hospital Cover, the main benefit is that it helps you pay for the cost of being treated as a private patient in hospital. If you...
Private health insurance works on the basis that you take out a policy and pay an insurer a monthly premium. In return, the insurer provides you with health cover.Depending on the policy you take out, private health insurance helps you pay for:If you want both Hospital Cover and Extras Cover, you can take out Combined Hospital...
In Australia, private health insurance is community rated not risk rated.Community rated means a private health insurer must offer its policies at the same price irrespective of an individual’s risk factors, such as: