The government has announced it will investigate health insurers for using a loophole to raise their prices. In December last year, Minister of Health Mark Butler warned health insurers to stop ‘phoenixing’ policies after a Commonwealth Ombudsman report brought the practice to light. By law, health insurers can only raise prices once a year, but...
Most Australians will pay more for health insurance next week due to a reduction in a rebate designed to make health cover cheaper. Cuts to the Private Health Insurance Rebate take effect on April 1 at the same time as most policies are increasing in price by an average of 3.7% – which adds up...
Out-of-pocket payments for Private Health Insurance claims continue to rise, putting more pressure on Australian households during the cost-of-living crisis. New data from Australian Prudential Regulation Authority (APRA), which regulates the health insurance industry, found a 7% increase in Gaps paid for Hospital Cover claims for the quarter finishing December 2024, compared with the same...
Health insurance will increase by an average of 3.7% in April – the highest premium increase since 2018. Every year health insurers are allowed to raise their premiums only once. This year, Minister of Health Mark Butler rejected insurers’ proposed increases (reportedly up to 6%) at least twice before agreeing on an average premium increase...
Australian private health insurers have been criticised for using a loophole to raise the prices of Gold Cover policies. This week the Commonwealth Ombudsman found evidence some insurers have been raising prices through ‘product phoenixing’ – closing existing policies to new customers, and creating almost identical policies at a higher price. As a result, new...
Australians with Private Health Insurance are paying higher out-of-pocket payments for hospital treatment than a year ago, new data shows. The latest statistics from Australian Prudential Regulation Authority (APRA), which regulates the health insurance industry, show out-of-pocket fees for private hospital treatment increased by 8% in the 12 months from October 2023 to September 2024....
If you’ve used health insurance to pay for surgery in a private hospital or clinic, check your bill to make sure you haven’t been charged a Gap incorrectly. That’s the advice from Private Healthcare Australia, the peak body for the health insurance industry, after allegations that some specialists (including surgeons and anaesthetists) have been ‘double...
A ‘health tax’ passed by NSW government last week means NSW residents could face higher premiums for health insurance in 2025. The new legislation means the state government can increase its existing tax on private health insurance if insurers do not agree to pay a higher ‘bed rate’ of $892 for private patients in public...
CEO and Founder
Chief Operating Officer
Chief Technical Officer
Writer and Researcher
UX/UI Designer
Brand and Graphic Designer
Led by Chris Payne
Ambulance Cover is a type of insurance that covers the cost of being treated by paramedics and transported in an ambulance. In some states and territories, you can take it out with a health insurer or subscribe to your local ambulance service. This applies to: If you subscribe to an ambulance service in these locations...
Ambulance Cover can vary depending on your insurer. You can check whether the cover is right for you and/or your family by asking your insurer these questions:
Extras Cover is a type of health insurance that helps you pay for out-of-hospital health services that are not covered by Medicare. It is also known as general treatment or ancillary cover. Extras Cover can include medical services and allied health services such as Physiotherapy, General Dental and Chiropractic. It is different from Hospital Cover,...
Extras Cover includes a broad range of common treatments. Unlike Hospital Cover, the Australian government has not put together a definitive list of what treatments fall under Extras Cover. Instead, it has specified 16 natural therapy treatments that private health insurers cannot cover. Some common Extras Cover treatments include:
How do you claim under Extras Cover? If you have Extras Cover, you can claim a percentage of the cost of health services covered under your policy. Generally, Extras Cover allows you to claim a: Usually, Extras Cover is subject to per claim, annual and lifetime limits. What is a per claim limit? A per...
Yes. Generally, health insurers package Extras Cover at 3 different levels: Basic Extras Cover If you buy basic Extras Cover, you are covered for a limited range of treatments such as: You will receive a percentage of the cost each time you claim, up to an annual limit. Sometimes the annual limits are combined across...
The main benefit of taking out Extras Cover is that it helps you pay for health care services that Medicare does not cover. The easiest way to work out whether you want to take out Extras Cover is to look through the list of treatments offered and decide whether you are likely to use them....
If you are considering taking out private health insurance, you should consider Hospital Cover. In this overview, we explain everything you need to know about the Hospital Cover tiers – Basic, Bronze, Silver and Gold. We also provide a summary of each of the 38 Clinical Categories so you know, depending on which tier you...