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Can private health insurers increase their premiums whenever they want to?

Reviewed and updated 3 April 2024

No. In Australia, private health insurers cannot increase their premiums whenever they choose.

Instead, they have to apply to the Australian Government for permission to increase premiums and must provide supporting evidence explaining why the increase is necessary.

Insurers can apply to increase premiums for their private health insurance policies only once a year.

The process works like this:

Step 1:

Insurers apply to increase their premiums (usually in November).

Step 2:

The Australian Prudential Regulation Authority (APRA) assesses all applications to ensure the requested increases are justified.

Step 3:

APRA refers the applications to the Minister of Health. The Minister must approve an application unless it is not in the public interest.

Step 4:

The Minister announces the approved price increases (usually in December).

Step 5:

Insurers must notify policyholders of approved premium price increases. They must give enough notice so the policyholder can change insurers and/or policies if they want to.

Step 6:

The price increases are introduced on 1 April of the following year.

On 1 April 2024, the average price increase of private health insurance premiums is 3%. 

The largest increases are for CBHS Corporate Health (5.82%), see-u (4.51%) and NIB (4.10%).

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