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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Some health insurers offer cover via organisations, clubs and workplaces, and as an employee, member or customer, you may be eligible for one of these policies. In some cases corporate health insurance policies may be cheaper than similar policies that are open to the general public, but it depends on what arrangements your organisation has...
To compare health insurance prices you must start by comparing every health insurer and every policy available in Australia, including restricted insurers. You can compare premiums for a new policy and premiums relative to your existing policy. Compare health insurance prices for a new policy To compare health insurance premiums on a new policy, you must understand...
Yes. A non-student dependant can affect your health insurance price. If you have a child aged 18 to 31 who is not a full-time student, they may be covered as a non-student dependant on your policy, which may result in a higher premium. Non-student dependants can include those who are adopted, foster and stepchildren. Health insurers are...
If you have a dependant with a disability your insurer may increase the price of your health insurance. For the purposes of Private Health Insurance, the Australian government defines a dependant with a disability as a person aged 18 or over who is a participant in the National Disability Insurance Scheme (NDIS). However insurers have the...
Private health insurance prices can vary on policies that cover certain types of adult dependants. Child dependants on health insurance are those under the age of 18 that do not have a partner. Student dependants must be aged between 18 and 31, enrolled in full-time study and must not have a partner. There are 2 types...
Yes. Health insurer promotions including discounts, services, waivers, gifts or other offers must be applied equitably and available to all customers of that policy to avoid discrimination in the cost of health insurance. However promotions offered to customers belonging to a contribution group may not be available to all customers. Promotions may also be higher for customers...
No. Health insurers do not have to offer the same promotions to new and existing customers. Promotions for new customers are different to promotions for existing customers. To attract new customers, insurers might offer promotions such as discounts, services, waivers, gifts or other offers. To retain existing customers, insurers may offer reduced premiums of up to 12% per...
Yes, health insurer promotions are regulated by the Australian government. Find out more about how Private Health Insurance, including promotions, is regulated by the government.