Health insurance hike to 'push many households to the edge'
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Australians are about to be hit with the largest average price hike to private health cover since 2017, prompting warnings some families will be pushed to the limit.
Health Minister Mark Butler today approved a 4.41 per cent average premium increase from April 1, saying it reflected increasing wage bills and helped keep private hospitals viable.

The government acknowledges the strain that fluctuations in health insurance premiums place on Australians and emphasizes the need for consumer-focused decisions regarding these premiums, according to a recent statement.

Australians are about to be hit with the largest average hike to private health cover since 2017. (Getty)

“This round of premium adjustments has been steered by my commitment to uphold the value of private health insurance for Australians,” a government spokesperson explained, “while also ensuring that the sector contributes to the sustainability of private hospitals, which are grappling with increasing costs and significant challenges.”

Recent analysis by Canstar reveals that individuals with gold-level coverage will see an average annual premium increase of $167. Meanwhile, families can expect to pay an additional $330 annually. It’s important to note that these figures represent the average industry hike; individual insurers have been allocated distinct increases.

Among for-profit insurers, AIA, NIB, and Medibank have all received approval for increases exceeding 5 percent. In contrast, several non-profit insurers have managed to keep their hikes below the 3 percent mark, with GMHBA set to increase premiums by just 1.98 percent.

Additionally, Canstar highlighted that insurers might adjust premiums differently based on the type of coverage, indicating that consumers could face varying impacts depending on their specific insurance plans.

Canstar said insurers could also hike premiums by different amounts depending on the coverage type. 

The cost of an individual gold policy rose by an average of 11.6 per cent between March and April last year when the approved average was just 3.73 per cent, the financial comparison site said.

CANBERRA, AUSTRALIA - OCTOBER 07: Minister for Health, Disability and Ageing The Hon Mark Butler MP speaks in Question Time on October 07, 2025 in Canberra, Australia. Australia's parliament convened for sittings as a number of pressing issues come to the fore, from inflation and cost of living domestically to Australia's relationship with its allies in the region and beyond internationally. (Photo by Hilary Wardhaugh/Getty Images)
Health Minister Mark Butler today approved a 4.41 per cent average premium increase from April 1. (Getty)

“The highest government-approved price hike since 2017 is not what the doctor ordered for households battling cost-of-living pressures,” data insights director Sally Tindall said.

“This 4.41 per cent price hike will go down like foul-tasting medicine for Australians already juggling higher mortgage repayments, electricity and grocery bills.

“While the average hike is sitting at 4.41 per cent, for those with a high-level of cover, know your premium increase could be far more severe.”

Money.com.au general manager of health insurance Chris Whitelaw urged policyholders to reassess their cover needs and compare policies.

“A rise of this size will push many households to the edge,” he said. 

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The rising cost of medical care contributed to the increase. (Nine)

“Australians are being asked to absorb another steep increase at a time when families are already making tough trade-offs between essential expenses.”

Experts suggested switching to a comparable policy within the same tier or even paying the full annual amount before April 1 to mitigate or delay the increase.

Private Healthcare Australia chief executive Dr Rachel David said health funds were trying to balance affordability with rising costs.

“More people are using their health insurance for high-cost hospital care such as joint replacements and cancer treatment, and the cost of delivering care continues to rise. This premium increase reflects those realities,” she said.

“If health funds could keep premiums the same without jeopardising their ability to pay claims, they would. 

“The industry is acutely aware of how tough many Australians are doing it right now.”

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