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...
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About private health insuranceIn Australia, private health insurance is health insurance offered by registered private insurers.You can buy a private health insurance policy (Hospital Cover) to help cover the cost of being treated in hospital as a private patient rather than a public patient covered by Medicare.You can also take out a private health insurance...
Does private health insurance cover visits to a non-GP specialist? No. Private health insurance does not cover visits to see a non-GP specialist in their consulting rooms.Instead, visits to a non-GP specialist in their consulting rooms are covered by Medicare.If you are enrolled with Medicare, it will pay some or all of the cost:However, if you...
Does private health insurance cover visits to a GP? No. Private health insurance does not cover visits to see a General Practitioner (GP).Instead, visits to the GP are covered by Medicare.If you are enrolled with Medicare, it will pay some or all of the cost:
Residential Aged Care and private health insuranceWhat is Residential Aged Care?In Australia, Residential Aged Care is care for older people who can no longer live independently at home.It includes accommodation and 24-hour personal and nursing care, including:The idea behind Residential Aged Care is to ensure older people receive the support they need to maintain their...
Natural therapies and private health insuranceWhat is a natural therapy?A natural therapy is a complementary or alternative therapy used to diagnose, treat and prevent illness, including:In other words, natural therapies are treatments that fall outside conventional or mainstream medicine. Are natural therapies covered by private health insurance?At present, private insurers can cover only some natural therapies....
Home Care Packages and private health insuranceWhat are Home Care Packages?If you are older and have complex needs, you can get a Home Care Package to help you live independently in your own home.Many older people choose a Home Care Package because it helps them stay at home rather than go into Residential Aged Care.If...
Cosmetic surgery and private health insuranceWhat is cosmetic surgery?Cosmetic surgery is surgery that is designed to improve a person’s appearance by reshaping a bodily feature.In other words, cosmetic surgery is not performed for a medical reason.What is the difference between cosmetic surgery and plastic surgery?Plastic surgery is a broad field of medicine that includes reconstructive...
In this Guide, we provide an overview of private health insurance in Australia, as well as answer your most common questions.This Guide explains: