Premiums will change on 1 April 2026.

Health funds review their premiums annually to ensure they are keeping pace with the rising cost of healthcare. While we do our best to keep our premiums down, factors such as increases in medical costs in Australia mean we sometimes need to adjust our premiums to keep our products sustainable.

Your premium is based on the type of cover you have. However, there are several additional factors that determine how much you pay, including:

• Australian Government Rebate (AGR)
• Lifetime Health Cover loading (LHC)
• the state/territory you live in
• your hospital excess.

Premium increases are submitted to the Australian Government Department of Health for review and must be approved by the Minister for Health.

Your premium changes even if you haven’t used your cover. This is because Australian private health insurance is community rated, so when premiums change, they change for everyone who holds that product, regardless of their claiming history.

You can also consider lowering your hospital excess or switching to a lower level of health cover that still meets your health needs. Our friendly team is available to help you with a cover review – call us on 132 331 to chat.

We’re tackling increasing healthcare costs in several ways:

• Investing in preventative health programs and primary care to help customers stay out of hospital.
• Partnering with the healthcare sector to deliver innovative new models of care like our No Gap Joint Replacement, No Gap Endoscopy, and No Gap General Surgery programs (including short stay).
• Extending the age of dependants from 25 to 31 years of age.
• Providing the Young Adult Discount on most hospital covers for eligible members.
• Advocating for reforms to make the health system more sustainable for everyone.