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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Yes. The Lifetime Health Cover Loading (LHCL) does apply to a dependant over the age of 31, which may result in an increase to your health insurance premium. The LHCL is a penalty imposed on people taking out Hospital Cover for the first time after the age of 31. If a dependant with a disability...
You will be exempt from paying the Lifetime Health Cover Loading on your Hospital Cover if you:
If you are an Australian citizen or permanent resident who has been living overseas on your Base Day and return to Australia permanently, the Lifetime Health Cover Loading rules are different. There are two factors that will affect your Loading: Once you have calculated your Base Day, you can calculate your Lifetime Health Cover Loading...
If you are an Australian who lives overseas and returns to Australia temporarily, your Lifetime Health Cover Loading will depend on your particular situation. There are 3 factors that could affect your Loading:
If you are a new migrant to Australia, the Lifetime Health Cover Loading and Base Day rules are different. If you are a new migrant, your Base Day will be the later of: For example:
The Lifetime Health Cover Loading rules apply to people with a disability. As a dependent person with a disability who takes out Hospital Cover for the first time after your Base Day, you will have to pay a 2% loading for every year you are aged over 30.
Yes. You will have to pay the Lifetime Health Cover Loading if there was a gap in your Hospital Cover. However, if you had Hospital Cover on your Base Day and then cancelled or suspended your Hospital Cover, and the gap in your Hospital Cover is less than 1,094 days (3 years minus 1 day)...
If you live in Australia permanently, your Base Day will be the later of 1 July 2000 or 1 July following your 31st birthday. For example: If you are a new migrant to Australia or an Australian who has been living overseas, the rules about how to calculate your Base Day are different. A quick...