Cost of Private Health Insurance

Private health insurance is an essential investment for people who want to have greater control over their medical care. But with the rising cost of health care, understanding the cost of private health insurance is critical.

What is private health insurance?

Private health insurance is a type of insurance that covers a range of health care expenses, including hospital visits, specialist appointments, and other medical expenses. It can be purchased by individuals or families, and the cost varies depending on several factors.

The benefits of private health insurance

There are several benefits to having private health insurance, including:

  1. Increased choice of doctors and hospitals
  2. Access to specialist care
  3. Shorter waiting times for elective surgeries
  4. Coverage for a range of medical services, including dental and optical care

The drawbacks of private health insurance

However, there are also some drawbacks to private health insurance, including:

  1. Higher costs compared to public health care
  2. Some policies may not cover pre-existing conditions
  3. Complexity in understanding policies and coverage

Factors that influence the cost of private health insurance

The cost of private health insurance can vary depending on several factors. Here are some of the main factors that influence the cost of private health insurance:

Age

Age is one of the most important factors that influence the cost of private health insurance. Generally, the younger you are, the lower your premiums will be. This is because younger people tend to be healthier and require fewer medical services.

Gender

Your gender can also affect how much you pay for private health insurance. Women generally pay more for medical services, including maternity care and reproductive health, so their premiums may be higher.

Location

The location where you live can also impact the cost of your private health insurance. If you live in an area with high medical costs, your premiums may be higher as a result.

Health status

Your overall health status can also influence how much you pay for private health insurance. If you have pre-existing conditions or a history of medical issues, your premiums may be higher to reflect this increased risk.

Level of coverage

The level of coverage you choose will also impact the cost of your private health insurance. Basic policies may be cheaper, but they may also have fewer services covered, while more comprehensive policies may be more expensive but offer greater coverage.

How much does private health insurance cost?

The cost of private health insurance can vary significantly depending on the factors described above. According to the Australian Prudential Regulation Authority (APRA), the average cost of private health insurance in Australia in 2020 was $2,991 per year for singles and $7,293 per year for couples and families.

Factors that influence the cost of private health insurance in Australia

Here are some of the main factors that influence the cost of private health insurance in Australia:

Age

As noted earlier, age is a key factor in determining the cost of private health insurance in Australia. Here are the average costs of private health insurance in Australia by age group:

Age Group
Average Cost (Singles)
Average Cost (Couples/Families)
Under 30
$1,575
$3,804
30-39
$2,133
$5,146
40-49
$2,666
$6,431
50-59
$3,696
$8,928
60 and over
$5,121
$12,361

Type of coverage

The type of coverage you choose can also impact how much you pay for private health insurance in Australia. Here are the average costs of private health insurance in Australia by level of coverage:

Level of Coverage
Average Cost (Singles)
Average Cost (Couples/Families)
Basic
$1,292
$3,119
Medium
$2,684
$6,482
Top
$5,223
$12,618

Location

The location where you live can also impact how much you pay for private health insurance in Australia.

FAQs about the cost of private health insurance

How can I compare private health insurance policies?

You can compare private health insurance policies by visiting the government’s Private Health Insurance Ombudsman website. Here, you can compare policies based on their level of coverage, cost, and other factors.

Can I get a tax rebate for private health insurance?

Yes, you may be eligible for a tax rebate for private health insurance. The amount of the rebate will depend on your income and the level of coverage you have.

What happens if I can’t afford private health insurance?

If you can’t afford private health insurance, you may be eligible for a range of public health care services through Medicare. You may also be eligible for government subsidies to help cover the cost of private health insurance.

Do I have to pay extra for pre-existing conditions?

It depends on the policy you choose. Some policies may exclude coverage for pre-existing conditions, while others may cover them but charge higher premiums.

How can I reduce the cost of my private health insurance?

There are several ways to reduce the cost of private health insurance, including:

  • Choosing a higher excess
  • Opting for a basic or medium level of coverage
  • Shopping around and comparing policies
  • Taking advantage of government subsidies and rebates

Conclusion

Private health insurance can be a significant investment, but it’s essential for people who want to have greater control over their medical care. Understanding the factors that influence the cost of private health insurance can help you make an informed decision about what type of coverage to purchase and how much to pay for it.