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...
Increased out-of-pocket costs for specialists are leading many Australians to delay or cancel specialist care, a recent study has found. A survey of 4,000 people by Private Healthcare Australia – peak body for the health insurance industry – found that 55% of people received a higher specialist bill than expected in the past 3 years, and almost one in 3 people had delayed or cancelled specialist care due to costs. The survey – which included 2,300 people...
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...
CEO and Founder
Chief Operating Officer
Chief Technical Officer
Writer and Researcher
UX/UI Designer
Brand and Graphic Designer
Led by Chris Payne
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.