The government has announced it will investigate health insurers for using a loophole to raise their prices. In December last year, Minister of Health Mark Butler warned health insurers to stop ‘phoenixing’ policies after a Commonwealth Ombudsman report brought the practice to light. By law, health insurers can only raise prices once a year, but...
Most Australians will pay more for health insurance next week due to a reduction in a rebate designed to make health cover cheaper. Cuts to the Private Health Insurance Rebate take effect on April 1 at the same time as most policies are increasing in price by an average of 3.7% – which adds up...
Out-of-pocket payments for Private Health Insurance claims continue to rise, putting more pressure on Australian households during the cost-of-living crisis. New data from Australian Prudential Regulation Authority (APRA), which regulates the health insurance industry, found a 7% increase in Gaps paid for Hospital Cover claims for the quarter finishing December 2024, compared with the same...
Health insurance will increase by an average of 3.7% in April – the highest premium increase since 2018. Every year health insurers are allowed to raise their premiums only once. This year, Minister of Health Mark Butler rejected insurers’ proposed increases (reportedly up to 6%) at least twice before agreeing on an average premium increase...
Australian private health insurers have been criticised for using a loophole to raise the prices of Gold Cover policies. This week the Commonwealth Ombudsman found evidence some insurers have been raising prices through ‘product phoenixing’ – closing existing policies to new customers, and creating almost identical policies at a higher price. As a result, new...
Australians with Private Health Insurance are paying higher out-of-pocket payments for hospital treatment than a year ago, new data shows. The latest statistics from Australian Prudential Regulation Authority (APRA), which regulates the health insurance industry, show out-of-pocket fees for private hospital treatment increased by 8% in the 12 months from October 2023 to September 2024....
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...
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...
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There are several ways to make your premium for health insurance cheaper: The higher your excess (which is the amount you pay for a claim), the lower your premiums. However to avoid paying the Medicare Levy Surcharge, your excess cannot be higher than $750 for a policy covering one adult, nor more than $1,500 for...
What is covered under Insulin Pumps? Hospital Cover for Insulin Pumps includes hospital treatment to provide or replace diabetic insulin pumps used to treat diabetes. There are no devices or treatments listed in the Medicare Benefits Schedule (MBS). However, Medicare still covers visits to your doctor, other treatments to help with diabetes and several treatments...
What is covered under Joint Reconstructions? Hospital Cover for Joint Reconstructions includes hospital treatment for surgery for joint reconstructions. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Joint Reconstructions clinical category are under other clinical categories. For example, treatments...
What is covered under Joint Replacements? Hospital Cover for Joint Replacements includes hospital treatment for joint replacement surgery, including revisions, resurfacing, partial replacements and removal of prostheses. Examples include replacement of: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Joint Replacements...
What is covered under Kidney and Bladder? Hospital Cover for Kidney and Bladder includes hospital treatment to investigate and treat the kidney, adrenal gland and bladder. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Kidney and Bladder clinical category...
What is covered under Lung and Chest? Hospital Cover for Lung and Chest includes hospital treatment to investigate and treat the lungs, lung-related conditions, the chest and the mediastinum. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Lung and...
What is covered under Male Reproductive System? Hospital Cover for Male Reproductive System includes hospital treatment to investigate the male reproductive system, including the prostate. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Some treatments you might expect to be in the Male Reproductive System clinical category are...
What is covered under Miscarriage or Termination of Pregnancy? Hospital Cover for Miscarriage or Termination of Pregnancy includes hospital treatment to investigate and treat miscarriage of a pregnancy or to terminate a pregnancy. Examples include: This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS). Which Hospital Cover tiers include Miscarriage or...