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...
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...
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When your parent, or parents, need additional care to stay well, your family will face a lot of decisions. Amid these changes, you might be wondering about private health insurance for elderly parents – whether it’s needed, and where to find the right policy. Here are the answers to the most common questions about choosing health insurance for ageing parents. Do my parents need health insurance? As your parents age, their chance of hospitalisation rises significantly. They can be treated for free...
If you find wearing glasses or contact lenses annoying or impractical, laser eye surgery might seem like the right decision for you. According to Optometry Australia, around two-thirds of Australians wear prescription glasses and 13% wear contact lenses. If you’re among that number and your optometrist has suggested laser surgery, there’s lots to weigh up before you go ahead – including costs. While laser eye surgery isn’t covered by Medicare,...
Health insurers are always keen to attract new members, especially when the annual 1 April price increases are announced. You might have seen ads promoting waiting periods being waived, a certain amount of membership weeks for free, or even gift products like retailer gift cards. But are these health insurance promotions and deals worth it, and what’s the catch? What deals and promotions can health insurers offer? Health insurance in Australia is regulated by the government, which...
When you’re claiming private hospital treatment on Hospital Cover, you probably assume all your costs will be covered – so it can be a bit of a shock to learn you might have to pay a Gap (out-of-pocket costs). Fortunately, health insurance Gap cover schemes – offered by many insurers – can help you reduce or eliminate out-of-pocket costs. Here’s how they work. Why do Gaps exist? Gaps happen when doctors charge more than the Medicare Benefits Schedule Fee (MBS) set...
If you’ve been told you’ll need surgery in the near future and you have private health insurance, you might be wondering whether it’s better to go to a public or private hospital. In 2023-24, around 67% of elective surgeries in Australia were done in private hospitals. While being treated in a public hospital is free under Medicare, there may be long waits to be seen by a specialist and then to have your surgery – and you can’t choose...
It’s a question we’re asked often at healthslips.com.au: what’s the cheapest health insurer in Australia? There is no definitive answer because everyone’s health and insurance needs are different. But if you’re trying to save money on health insurance, here are some tips to help you find the most affordable insurer for your unique needs. 1. Focus on policies, not insurers When you’re looking for the cheapest health insurance, instead of focusing on insurer brand, focus on...
If you’ve got Extras Cover, you might be covered for the cost of vaccinations, but the type of shots you can claim and the amount can be wildly different. Let’s look more closely at cover for vaccinations on health insurance. Are vaccinations covered by Medicare? Yes, if a vaccination is recommended for your age group or circumstances, the cost is free under Medicare....
If you’re looking for a new Hospital Cover policy or upgrading your current policy, you’ll need to decide what private health insurance tier you need. There are 4 tiers of Hospital Cover: Here are the 3 steps to choose your Hospital Cover tier. 1. Decide on your healthcare needs Make a list of the hospital services, (known as clinical categories), you might need in the near future – especially if you want the option of being treated privately for those procedures. Take into...