Private Health Insurance

In this Guide, we provide an overview of what affects the final price you may pay for Private Health Insurance and also answer your common questions about the cost of health insurance.  This Guide explains: 

A Private Health Insurance Statement is a document you may need to complete your tax return. It is different from a Private Health Information Statement (PHIS), which contains information about your Hospital Cover or Extras Cover and private health insurance premiums.  The Private Health Insurance Statement helps you complete the section of the tax return...

It is easy to cancel your Private Health Insurance. You can cancel at any time and your health insurer is obliged to refund any contributions you have made in advance. Usually, you do not need to contact your insurer to cancel your policy – your new insurer will take care of the cancellation process for...

Transferring to a different health insurer is easy. Take these 4 steps:

If you are unhappy with your Private Health Insurance or have an issue with your health insurer, take these 4 steps:

What are Private Health Insurance limits? When you take out Extras Cover, the policy usually imposes annual limits for each type of treatment. For example, you may have up to $300 per year for dental treatments or $400 per year for physiotherapy. When do Private Health Insurance limits reset? These limits reset each year. The...

A Medical Gap Cover Scheme is when a health insurer has a Gap Cover Agreement with a particular doctor or healthcare provider. The agreement allows health insurers to cover all or some of the gap fees for your treatment in hospital. The idea is to reduce or eliminate out-of-pocket costs for you as the patient....

A Hospital Gap is the difference between what a hospital charges you as a private patient for accommodation, meals, time in theatre, labour ward and other fees and what your health insurer pays for those services. It applies to private patients in a public or private hospital. It does not apply to the difference between...