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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To enrol in Medicare, there are 3 steps: Once you have enrolled in Medicare, you will be given a Medicare Card, which looks like this: It usually takes 3-4 weeks for Medicare to send out your card.
Private health insurance can help to cover some medical and health costs that Medicare does not cover. How much and what private health insurance covers depends on the policy you purchase. Examples of some of the medical services Medicare provides for free or at a reduced cost include: Medicare does not cover: There are 3...
Medicare Safety Net explained The Medicare Safety Net is the mechanism the Australian Government uses to ensure your medical costs are affordable. If you see a doctor or get medical tests regularly, you could end up with high medical costs. When you spend over a certain amount in a calendar year, Medicare gives you back...
The Australian Government funds Medicare through the Medicare Levy and the Medicare Levy Surcharge. If you work, you pay the Medicare Levy as part of your income tax. If you are a high-income earner who does not have an appropriate level of private Hospital Cover, you also pay the Medicare Levy Surcharge. Revenue from the...
There are 4 ways to claim a Medicare Benefit: Medicare will not accept claims for services that are more than 2 years old. How to claim your Medicare Benefit at your provider’s office The quickest and easiest way to claim your Medicare Benefit is when you pay for the service at your doctor or healthcare...
A Medicare Rebate is the amount the Australian Government pays for medical services listed on the Medicare Benefits Schedule. The term is no longer used by Medicare. Instead, Medicare now uses the term Medicare Benefit. Sometimes the term Medicare Rebate is used to refer to the Private Health Insurance Rebate.
A Medicare Benefit is the amount the Australian Government pays when you make a claim for a medical service. This is usually 85-100% of the schedule fee, which is the amount the Government sets for each medical service under the Medicare Benefits Schedule (MBS). Previously, a Medicare Benefit was called a Medicare Rebate.
To apply for a Medicare Card, there are 3 steps: