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,...
Healthscope private hospitals remain open for surgeries and treatments, despite the organisation going into receivership this week. Some Australians with Hospital Cover were concerned that private hospital treatment could be harder to access in the wake of the Healthscope collapse, but the organisation said its hospitals will remain open for treatments. Healthscope – which operates...
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...
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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...
In Australia, there are 2 main types of private health insurance – Hospital Cover and Extras Cover. Hospital Cover Hospital Cover helps you pay for the cost of treatment as a private patient in hospital. It helps you cover the cost of being treated as a private patient in a public hospital, private hospital or...
The Australian government has designated 38 clinical categories for Hospital Cover: The government also decides which treatments must be included under each clinical category. Insurers are not allowed to vary or exclude those treatments from their cover. When you get a quote for Hospital Cover, you cannot choose the clinical categories you want cover for....
Whether or not you take out Hospital Cover is a question to consider carefully. You may prefer to rely on the public healthcare system. As an Australian citizen or permanent resident with a Medicare Card, you are entitled to receive free healthcare in a public hospital. If you go into a public hospital as a...
How the Hospital Cover tiers work The difference between Basic, Bronze, Silver and Gold Hospital Cover lies in the number of clinical categories each product tier offers: Clinical category Basic Bronze Silver Gold Rehabilitation ✓ (R) ✓ (R) ✓ (R) ✓ Hospital Psychiatric Services ✓ (R) ✓ (R) ✓ (R) ✓ Palliative Care ✓ (R)...
Sometimes, insurers include additional clinical categories in a Basic, Bronze and Silver Hospital Cover policy. When they do this, they are allowed to market it as a ‘Plus’ policy. It is worth considering Basic Plus, Bronze Plus and Silver Plus Cover because they may offer clinical categories on an unrestricted basis or additional clinical categories....
The following steps can help you decide which Hospital Cover tier is best: