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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When you enrol in Medicare, you are given a Medicare Card. It is a plastic card similar in size to a credit card. It is proof you are enrolled in Medicare. Your Medicare Card records your Medicare Number, name, IRN (individual reference number) and the date your card will expire. It looks like this: It...
Medicare Bulk Billing explained Medicare Bulk Billing is when your health professional bills Medicare directly for the services they provided to you. You do not pay for the medical service they provided because the health professional bills Medicare. Your health professional accepts the Medicare Benefit as full payment for the service. You assign the Medicare...
As Australia’s public health care scheme, Medicare pays for some of the costs of your health care. It does not pay for all the costs of the medical services you use. How to access Medicare To access Medicare, you need to be eligible to enrol. When you enrol, you receive a Medicare Card. It...
You are eligible for Medicare in Australia and receive a Medicare Card if you live in Australia and you are: Australia has Reciprocal Health Care Agreements with a number of countries. This means you may also be able to register for Medicare if you are visiting from:
Medicare is Australia’s universal health care scheme. It is funded by the Commonwealth Government. Through Medicare, Australians and some overseas visitors can access a wide range of health and hospital services at no cost or reduced cost. Services provided by Medicare at no cost or reduced cost include: Services subsidised by the Australian Government under...
In this Guide, we provide an overview of Medicare in Australia, as well as answer your most common questions. Medicare is Australia’s universal health scheme, which means you can receive a wide range of medical treatments for free or at low cost. This Guide explains: