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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According to the Australian Institute of Health and Welfare, the most recent data indicates there are around 650 private hospitals, including day hospital facilities, in Australia. You can find a list on the healthdirect website.
Private hospitals are often perceived as expensive because, unlike public hospitals, they do not receive all their funding from the Government. As a patient, you are charged for the treatments and services you receive. This is because private hospitals are run either as not-for-profit organisations or for-profit businesses. If you enter a private hospital, you...
If you are a private hospital patient and the treatment you are receiving is listed on the Medicare Benefits Schedule (MBS), Medicare will cover 75% of the MBS fee for your doctors’ services. You have to pay the rest of the hospital and medical fees, which could include: If you have Hospital Cover for that...
Some larger private hospitals have emergency departments. When deciding whether to go to a public or private emergency department, consider:
In Australia, private hospitals are owned and operated by private organisations. These include for-profit companies and not-for-profit organisations. The companies with the largest share of the private hospital market include:
In Australia, a private hospital is a hospital owned and operated by a private organisation but licensed and regulated by the state and territory governments. If you decide to be treated in a private hospital, you will have more choice about the treatment you receive and your accommodation because: You also have to pay for...
In this Guide, we provide an overview of how private hospitals operate in Australia. Private hospitals play an important role in the Australian Health System, especially for surgery that is classified as ‘elective’. If you need this type of surgery, it is sometimes hard to know whether you should use the public or private system....