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...
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According to the Australian Institute of Health and Welfare, in 2023-24, there were 704 public hospitals in Australia. You can find a list on the healthdirect website.
A public hospital surgery waiting list is a system to manage access to public hospital elective surgery. A patient who needs elective surgery is placed on a waiting list. A waiting list gives priority to those people who are most in need of care.What is elective surgery?Elective surgery is surgery that a doctor or health professional...
Public hospitalsIn Australia, public hospitals are funded by the Australian, state and territory governments and services are free for anyone with a Medicare Card.Public hospitals may be your first choice in an emergency or for an acute health problem. They may have better medical facilities than a private hospital for your condition and are usually...
Who funds public hospitals?The Australian government, state and territory governments share funding of public hospitals in Australia. A small share of funding comes from non-government organisations such as private health insurers.The government currently reimburses the states and territories for about 37% of their overall costs.According to the Australian Institute of Health and Welfare, in 2023-24,...
Yes. Treatment as a public patient in a public hospital is free for Australian citizens and most permanent residents. If you hold a Medicare Card, you are entitled to free treatment and the cost of your stay in a public hospital is covered by Medicare.You do not have to pay for hospital accommodation, medical and diagnostic...
In Australia, a public hospital provides free health care to Australian citizens, permanent residents and anyone who falls under a Reciprocal Health Care Agreement. To receive treatment in a public hospital, you need a Medicare Card.Public hospitals aim to manage illness and the effects of injury. They provide acute, non- and sub-acute care along with emergency...
In this Guide, we provide an overview of how public hospitals operate in Australia.Public hospitals are the backbone of the Australian health system.If you have an urgent or acute health issue, you are likely to be treated in a public hospital.If you need surgery that is classified as ‘elective’, it is sometimes hard to know...