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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Health insurer promotions include discounts, services, waivers, gifts or other offers that may be used by health insurers to appeal to new customers or incentivise existing customers. There are 2 types of insurer promotions which may reduce the price you finally pay for your policy. These include: For new customers: up to the equivalent of...
Health insurance from a well-known brand is not necessarily better than a lesser-known brand, since all health insurers are subject to the same government regulations. However larger insurance brands do have access to larger networks of healthcare providers and hospitals which may be beneficial for members. All health insurers in Australia are regulated by the...
Most health insurers allow you to pay your premiums 12 months in advance, and a few allow payment up to 18 months ahead. Contact your insurer to ask how far in advance it allows payments.
The way you pay for health insurance could mean your insurer offers you reduced premiums of up to 12% per year on an ongoing basis. This may apply if you meet certain payment conditions, such as:
Generally, the term white labelling refers to the situation where products and services are made by one company but are sold by another company. This involves asking a company to make a product for you and then rebranding those products as your own and marketing them to your target audience. For example, a hairdresser enters...
As at 30 June 2023, 5 insurers controlled over 80% of the Australian market. Insurer Market share Medibank (including ahm) 27.1% Bupa Health Insurance 24.9% HCF 12.5% nib 9.6% HBF 7.7% TOTAL 81.8% Source: Private Health Insurance Ombudsman: State of the Health Funds Report 2023
As at February 2025, there were 30 registered private health insurers in Australia. These insurers are licensed by the Australian government to sell private health insurance. They are regulated by the Australian Prudential Regulation Authority (APRA). An insurer must be registered to sell Private Health Insurance in Australia. Some of these are open funds. Others...
In this Guide, we list all the private health insurers operating in Australia and explain how they are regulated. In Australia there are several different types of health insurers: This Guide is designed to help you find everything you need to know about private health insurers so you can make an informed decision about which...