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Australian Health System (25 articles) Health Insurance Prices (20 articles) Private Health Insurance (29 articles) Private Health Insurers (15 articles) Medicare (28 articles) Medicare Benefits Schedule (MBS) (6 articles) Pharmaceutical Benefits Scheme (PBS) (8 articles) Public Hospitals (6 articles) Private Hospitals (6 articles) Medicare Levy (7 articles) Private Health Insurance Rebate (7 articles) Age-based Discount (5 articles) Lifetime Health Cover Loading (11 articles)

Hospital Cover (9 articles) Extras Cover (5 articles) Ambulance Cover (5 articles) Excluded Treatments

Insurers Overview

AAMI Health Insurance

AIA Health Insurance

Allianz Care Australia

APIA Health Insurance

Astute Simplicity Health

Australian Unity

Bupa Health Insurance

Emergency Services Health

Health Partners

Hunter Health Insurance (by CDH Benefits Fund)

ING Health Insurance

Latrobe Health Services

Mildura Health Fund

Nurses & Midwives Health

Phoenix Health Fund

Priceline Health Insurance

Qantas Insurance

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Real Health Insurance

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Seniors Health Insurance

St Lukes Health

Suncorp Health Insurance

Teachers Health

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Transport Health

Westfund

Aussies warned about ‘double dipping’ by medical specialists

If you’ve used health insurance to pay for surgery in a private hospital or clinic, check your bill to make sure you haven’t been charged a Gap incorrectly. That’s the advice from Private Healthcare Australia, the peak body for the health insurance industry, after allegations that some specialists (including surgeons and anaesthetists) have been ‘double...

NSW residents may face higher bill for health cover next year

A ‘health tax’ passed by NSW government last week means NSW residents could face higher premiums for health insurance in 2025. The new legislation means the state government can increase its existing tax on private health insurance if insurers do not agree to pay a higher ‘bed rate’ of $892 for private patients in public...

Premiums predicted to rise by $114 a year

Hospital Cover premiums could be set to rise, due to a ‘health tax’ introduced in NSW this week. The NSW Government has introduced laws to force private health insurers to pay the correct rate for single rooms in public hospitals. The government says some private health insurers have not been paying the correct rate, with...

Claims for private hospital procedures rise, APRA report finds

More and more Australians are seeking private hospital treatment, new data has shown. The latest statistics from industry regulator Australian Prudential Regulation Authority (APRA) revealed a 5.1% increase in hospital treatment episodes claimed on health insurance in the 12 months from July 2023 to June 2024. Health insurers paid more than $18 million in claims...

Aussies parents paying large Gaps for obstetric care

Australian women who choose to have their baby delivered by an obstetrician at a private hospital are paying alarmingly high out-of-pocket fees, it’s been revealed. According to Private Healthcare Australia (PHA), the peak body for the health insurance industry, obstetricians are charging as much as $650 for first consultations, a significantly higher fee than that...

Health insurers respond to Ozempic’s popularity

One private health insurer has reduced its cover for Ozempic amid a surge of popularity for the weight-loss drug. Last month, HBF, the largest health insurer in Western Australia, announced it was reducing rebates for Ozempic, saying the rise in claims had become unsustainable. So far, no other insurers have changed their position on the...

Health insurers paying more benefits than ever, report shows

Australians are depending on their health insurance more than ever before, new data has revealed. The latest Private Health Insurance statistics from government regulator APRA has found that health insurers paid $17.6 billion in benefits for Hospital Cover treatments in the 12 months to March 2024, an increase of 9.7%. Insurers also paid out $6.2...

Misunderstanding health insurance policy causes ‘bill shock’

Not understanding exactly what your health insurance policy covers could leave you with ‘bill shock’ later if you need surgery or another significant treatment. A recent ABC story explored the impact of discovering your health insurance doesn’t provide the level of cover you expected. It profiles two Australian women who faced large bills for hip...

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Stephen Treacey

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Sophie Bartho

Chief Operating Officer

Vladimir Kundrat

Vladimir Kundrat (Vlad)

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Trudie McConnochie

Writer and Researcher

Writer and Researcher

Peter Kawecki

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Loren Jaffe

Brand and Graphic Designer

Customer Engagement Australia

Led by Chris Payne

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Explore Overview

Guides Overview

Australian Health System (25 articles) Health Insurance Prices (20 articles) Private Health Insurance (29 articles) Private Health Insurers (15 articles) Medicare (28 articles) Medicare Benefits Schedule (MBS) (6 articles) Pharmaceutical Benefits Scheme (PBS) (8 articles) Public Hospitals (6 articles) Private Hospitals (6 articles) Medicare Levy (7 articles) Private Health Insurance Rebate (7 articles) Age-based Discount (5 articles) Lifetime Health Cover Loading (11 articles)

Hospital Cover (9 articles) Extras Cover (5 articles) Ambulance Cover (5 articles) Excluded Treatments

Insurers Overview

AAMI Health Insurance

AIA Health Insurance

Allianz Care Australia

APIA Health Insurance

Astute Simplicity Health

Australian Unity

Bupa Health Insurance

Emergency Services Health

Health Partners

Hunter Health Insurance (by CDH Benefits Fund)

ING Health Insurance

Latrobe Health Services

Mildura Health Fund

Nurses & Midwives Health

Phoenix Health Fund

Priceline Health Insurance

Qantas Insurance

Queensland Country Health Fund

Real Health Insurance

Reserve Bank Health Society (RBHS)

Seniors Health Insurance

St Lukes Health

Suncorp Health Insurance

Teachers Health

Territory Health Fund

Transport Health

Westfund

Aussies warned about ‘double dipping’ by medical specialists NSW residents may face higher bill for health cover next year Premiums predicted to rise by $114 a year Claims for private hospital procedures rise, APRA report finds Aussies parents paying large Gaps for obstetric care Health insurers respond to Ozempic’s popularity Health insurers paying more benefits than ever, report shows Misunderstanding health insurance policy causes ‘bill shock’

Compare Overview

Calculate Cheapest Policy Search for a new policy based on your health cover needs and budget. We compare every insurer and every policy.

Compare Existing Policy Compare your existing policy with similar policies to meet your current health cover needs and budget. Compare every insurer and every policy.

compare existing policy

Calculate Rebate Discount & Loading Check if your health insurance premium decreases or increases by calculating your Government Rebate, Age-based Discount and Lifetime Health Cover Loading.

About Us Overview

Our Brand Promises

Our Contributors Overview

Stephen Treacey

Sophie Bartho

Vladimir Kundrat

Vladimir Kundrat (Vlad)

Trudie McConnochie

Peter Kawecki

Loren Jaffe

Loren Jaffe Customer Engagement Australia

How We Make Money

How We Use Your Contact Information

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Is private health insurance community rated or risk rated?

Reviewed and updated 3 April 2024

In Australia, private health insurance is community rated not risk rated.

Community rated means a private health insurer must offer its policies at the same price irrespective of an individual’s risk factors, such as:

age (except the Lifetime Health Cover Loading, a surcharge imposed by the Australian Government)
health status
previous claim history
how frequently a person needs healthcare.

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