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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In this Guide, we explain the Medicare Levy and the Medicare Levy Surcharge. The Australian Government uses the Medicare Levy to help fund Medicare. You will have to pay the Medicare Levy on your taxable income unless you are eligible for an exemption. If you earn over a certain amount and do not have an...
Yes. If you are from a country that has a reciprocal healthcare agreement with Australia enabling you to access Medicare and you earn over the Medicare Levy Surcharge threshold, you can avoid the Surcharge by buying an approved Hospital Cover insurance policy. Unfortunately, this type of insurance provides limited benefits for Hospital Cover and you...
You can avoid paying the Medicare Levy Surcharge by taking out a private health insurance policy that includes Hospital Cover. The excess on your Hospital Cover needs to be: These types of health insurance do not allow you to avoid paying the Medicare Levy Surcharge:
The Medicare Levy Surcharge is 1%, 1.25% or 1.5% depending on: The income thresholds for 2024-2025 are: Singles Income Rate $97,000 or less 0% $97,001 – $113,000 1.0% $113,001 – $151,000 1.25% $151,001 or more 1.5% Single parents, Couples and Families* Income Rate $194,000 or less 0% $194,001 – $226,000 1.0% $226,001 – $302,000 1.25%...
The Medicare Levy Surcharge is an extra charge you have to pay if you do not have Hospital Cover. It is designed to encourage you to take out Hospital Cover and use the private health system. The Australian government’s larger objective is to reduce pressure on Australia’s public health system. If you have to pay...
If you want to apply for a Medicare Levy Exemption, you can do this as part of your tax return. You need a Medicare Entitlement Statement (MES) to apply for an exemption. You need a Medicare Entitlement Statement for each year you want to get an exemption. When you lodge your tax return, you need...
A Medicare Levy Exemption is when you do not have to pay the Medicare Levy. You may be entitled to the Exemption if you meet any of these criteria: If you successfully apply for a Medicate Levy Exemption, you do not have to pay the Medicare Levy for all or part of the year.
The Medicare Levy is a tax you pay to help fund some of the cost of Australia’s public health system, known as Medicare. Australians help pay for Medicare through 2 income taxes: The Medicare Levy is 2% of your taxable income (in addition to the tax you pay on your taxable income). Depending on you...