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What are private health insurance waiting periods?

Reviewed and updated 3 April 2024

When you take out private health insurance, you cannot make a claim immediately. 

Private health insurers impose waiting periods before you can make a claim under your new Hospital Cover or Extras Cover policy.


Waiting periods for Hospital Cover

The Australian Government sets the maximum waiting periods that can be set for hospital treatment:

TreatmentWaiting period
Pre-existing conditions12 months
Pregnancy and birth (obstetrics)12 months
Psychiatric treatments, rehabilitation or palliative care (even for a pre-existing condition)2 months
Any other circumstance2 months

Waiting periods for Extras Cover

The insurers set waiting periods for Extras Cover themselves.

For General Dental, Optical and Physiotherapy, the waiting periods vary from 2-6 months.

For more significant treatments, such as Orthodontics and Hearing aids, the waiting periods can be up to 12 months or more.

Always check your policy for the waiting periods that apply to you.


Why do I have to serve a waiting period for my health insurance?

When you take out private health insurance, you have to complete a waiting period.

A waiting period protects insurers and their members from people who take out cover, make a large claim straightaway, then end their membership. If members did this on a regular basis, insurers would have to increase premiums for everyone.

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