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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An Agreement Hospital is a private hospital which has a contract with a health insurer to treat the insurer’s members for an agreed fee. This means members will pay either no Hospital Gap or a ‘known Hospital Gap’ (a set fee) for inpatient treatment at that hospital. A Hospital Gap refers to the out-of-pocket costs...
According to the Australian Private Hospitals Association, there are 633 private hospitals, including day hospital facilities, in Australia. You can find a list on the healthdirect website.
Private hospitals are often perceived as expensive because, unlike public hospitals, they do not receive all their funding from the government. As a patient, you are charged for the treatments and services you receive. This is because private hospitals are run either as not-for-profit organisations or for-profit businesses. If you enter a private hospital, you...
If you are a private hospital patient and the treatment you are receiving is listed on the Medicare Benefits Schedule (MBS), Medicare will cover 75% of the MBS fee for your doctors’ services. You have to pay the rest of the hospital and medical fees, which could include: If you have Hospital Cover for that...
Some larger private hospitals have emergency departments. When deciding whether to go to a public or private emergency department, consider:
In Australia, private hospitals are owned and operated by private organisations. These include for-profit companies and not-for-profit organisations. The companies with the largest share of the private hospital market include:
In Australia, a private hospital is a hospital owned and operated by a private organisation but licensed and regulated by the state and territory governments. If you decide to be treated in a private hospital, you will have more choice about the treatment you receive and your accommodation because: You also have to pay for...
In this Guide, we provide an overview of how private hospitals operate in Australia. Private hospitals play an important role in the Australian Health System, especially for surgery that is classified as ‘elective’. If you need this type of surgery, it is sometimes hard to know whether you should use the public or private system....