How much does private health insurance cost?

There are many options these days when it comes to private health cover, it can be daunting working out what is the best private health policy for you and your stage of life and what contribution amount fits within your budget.  

The price of private health insurance isn’t set in stone – it’s like a puzzle with different pieces that affect the cost. Things like how much coverage you want, the specific plan you go for, how old you are, and how healthy you’re feeling all play a role. When it comes to the money side, private health insurance costs can range from just a few hundred dollars to top gold cover which can cost thousands per year.. 

So, if you’re thinking about taking out private health insurance, it’s smart to do your homework. Take your time to compare different policies, see what they cover, and understand the costs you might have to handle. That way, you’ll be better prepared to pick a plan that fits your needs and budget. In this month’s blog we will assist by giving you tips to help you navigate and compare private health insurance policies that best suit your budget. 

Important Factors:

  • Private health insurance costs in Australia are influenced by various factors including the level of coverage, age, and the individual’s income.
  • Private health insurance is not mandatory but offers coverage for services not included in the public health insurance system, Medicare.
  • Annual private health insurance premiums can vary widely and may involve additional costs like excess payments and gap expenses.
  • It’s worth noting that the Lifetime Health Cover (LHC) loading is a penalty applied to those who do not secure private health insurance before turning 31.
  • To lower your private health insurance expenses, you can compare policies from different providers and consider choosing higher excess amounts.

We’re a family of 4, how do we get the best coverage that’s within our budget?

Your priorities often revolve around ensuring the well-being of your loved ones. One essential aspect of this is having adequate private health insurance coverage. However, balancing comprehensive coverage with a budget can be challenging.

Assess your family’s needs: Consider your family’s current health status, any ongoing medical conditions, and the likelihood of future healthcare requirements.

Compare plans: There are various private health insurance plans available, each offering different levels of coverage and price points. Taking the time to compare plans from different providers is always the best option.

What influences the cost of private health insurance?

Policies are influenced by various factors, and it’s crucial to understand how these elements can impact your premiums and coverage. Let’s break it down:

1. Income – The government helps with the cost of health insurance by providing a rebate, there are three rebate tiers which are dependent on your income. The less you earn, the higher your government rebate which helps make health insurance more affordable.

2. Health status matters – Your health status also carries some weight. If you’ve got pre-existing medical conditions or chronic illnesses, you might see higher premiums or certain exclusions on your policy. 

4. Location – Healthcare costs can vary quite a bit from one state to another, and that’s something insurance providers take into account. 

5. Type of plan -Now onto the plans themselves. Comprehensive policies tend to cost more than the basic ones that cover only the essentials. You can opt to choose just hospital cover without an extras policy, it’s up to you.

I’m close to retiring, how can I save money on private health?

As you map out your retirement, it’s a smart move to consider how the aging process might impact your health down the track. One thing worth keeping in mind is the cost of healthcare in general, and it’s wise to include it in your budget planning. Here’s a few tips that may assist with your decision making:

  • The Price Tag: Consider the cost of private health insurance itself. Make sure it aligns with your budget and your health needs for the retirement stage of life.
  • Future Health Expenses: Think about the potential costs of treatments or medical care you might need in the future for any pre-existing conditions.
  • Your Health Today: Assess your current health condition. It can help determine how much coverage you might require.
  • Your Desired Level of Care: Think about the kind of care you want. Private health insurance can offer different levels of coverage, so make sure it matches your expectations.

These considerations should help you weigh the pros and cons to make an informed decision about the cost of healthcare in your retirement years.

Ultimately it’s like piecing together a puzzle – your age, gender, health, location, the type of plan you choose, stage of life and most importantly, the fine print in your policy – these factors all play a part in determining how much you pay for your private health coverage.

Our Team are ready to take your call

To compare private health insurance funds and discuss what the best policy is for your budget and stage of life. Our friendly team is standing by to talk you through the options. Call us on  1300 861 413 or email us

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What level of cover do I need for cataract surgery?

What Are Cataracts?

Imagine your eye’s lens becoming cloudy, making everything you see appear blurred or dim. Cataracts are exactly that – a clouding of the eye’s lens. This cloudiness can create problems like difficulty reading, driving at night, or recognising your friend’s smile. Initially, cataracts might develop slowly and not cause significant vision problems, but over time, they can seriously affect your eyesight.

Recognising Cataracts:

  • Clouded or blurred vision
  • Trouble seeing at night
  • Sensitivity to light and glare
  • Needing brighter light for activities
  • Seeing “halos” around lights
  • Frequent changes in eyeglasses or contact lenses
  • Fading or yellowing of colors
  • Double vision in one eye

About Cataract Surgery

Cataract surgery is a highly effective procedure designed to remove the cloudy lens and replace it with an artificial intraocular lens, restoring clear vision. The surgery, typically lasting around 30 minutes, is performed on an outpatient basis, and patients can choose to have both eyes operated on one day or separately. Modern techniques, like phacoemulsification, use ultrasound to break up the cataract for easier removal, ensuring a quick recovery and improved quality of vision.

Private Health Cover and Cataract Surgery

While Medicare covers cataract surgery, public hospital waiting lists can be long – sometimes up to a year. If you have gold or silver tier private health insurance, you might be covered for cataract surgery. It’s important to note that waiting periods apply, typically 12 months, depending on your private health insurance provider.

Cataract Surgery – Medicare vs Private Health Coverage

Medicare Private Health Insurance
Can I avoid public hospital waiting lists?No. Yes.
Can I choose my hospital?No. Yes.
Can I choose my own doctor or surgeon?No. Yes.
Will there be any out-of-pocket costs?No. Yes.


Choosing the Right Lens for Your Cataract Surgery

When it comes to cataract surgery, selecting the right lens can significantly impact your vision and lifestyle. There are several lens options available, each catering to different needs and preferences. Your specialist will run you through the choices and find the perfect fit for you.

Monofocal Lenses: Clear Vision, Slight Dependency on Glasses

Monofocal lenses offer excellent visual clarity but maintain the same power throughout. If you have astigmatism or an irregular cornea and opt for a monofocal lens, you may still require glasses for optimal vision at varying distances – be it for driving, reading, or using a computer.

Toric Lenses: Freedom from Glasses for Specific Activities

For those with regular astigmatism seeking freedom from glasses during specific activities, toric lenses are a viable option. These lenses offset corneal imperfections by incorporating a cylinder power axis. This adjustment enhances your chances of seeing clearly at a specified focal point without relying on glasses, giving you more independence for activities like reading, watching TV, or using a computer.

Both monofocal and toric lenses offer the flexibility to choose your focus – distance, intermediate, or near vision. Additionally, considering monovision or mini-monovision might be suitable, especially if you’ve had experience with monovision contacts or refractive surgery. With this approach, one eye is set for distance vision, while the other is set for intermediate or near vision, providing a broader range of vision.

Multifocal Lenses: Embrace Life without Glasses

Multifocal lenses are a revolutionary option, capable of focusing light at varying distances, including distance, intermediate, and near vision. Ideal for individuals who despise wearing glasses, these lenses also come with astigmatism correction if necessary. However, it’s important to note that multifocal lenses are best suited for individuals with otherwise healthy eyes, without irregular corneas or eye diseases like age-related macular degeneration or retinal scars.

Choosing the right lens for your cataract surgery involves considering your lifestyle, visual preferences, whether you have private health cover or if you need to use Medicare benefits and overall eye health. Discussing your options thoroughly with your ophthalmologist will ensure you make an informed decision, ultimately leading to improved vision.

Your Patient Cataract Surgery Journey

GP Visit – It all begins with a visit to your general practitioner (GP) – your first step on the path to clearer vision. During this appointment, your GP will provide initial guidance and might recommend further investigation for cataracts. Typically, your GP will refer you to an optometrist and, eventually, to a specialist.

Optometrist Appointment – The next stage involves an appointment with the optometrist, a professional skilled in eye care. Using a specialized magnifying light, the optometrist carefully examines your eye’s lens, looking for any signs of cloudiness. This examination can even detect early-stage cataracts, allowing for timely intervention and treatment.

Specialist Appointment – Following the optometrist’s evaluation, you’ll meet with an ophthalmologist, a specialist in eye diseases and surgeries. Ophthalmologists possess the expertise to diagnose cataracts, even in their early phases. During this appointment, they conduct thorough and in-depth tests, generating crucial data that will be used for your eventual surgery.

Biometric Scan – A vital step in this process is the biometric scan, a precise measurement of the corneal power and eye length. This data is instrumental in determining the ideal power for the intraocular lens (IOL) that will be implanted during your surgery. These measurements play a significant role in assisting your surgeon in selecting the most suitable lens implant tailored to your eye’s unique requirements.

If you’re ready to explore your private health insurance options and discuss cataract coverage, our team is here for you. Give us a call at 1300 861 413 or email us at  We’re here to help you see clearly and navigate your way to the best health coverage.

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What state is my health fund from?

Our healthcare system is renowned for its quality and accessibility, largely owing to a unique blend of public and private provisions. The heart of our healthcare system lies in private health insurance plans, which play a vital role in providing Australians with additional health coverage beyond what the public system offers. However, the landscape of private health insurance varies considerably from state to state, making it essential for residents to carefully compare private health insurance options to find the best health coverage for their specific needs. 

In this blog, we will explore the variations of private health insurance in Australia, highlighting the differences you should be aware of when comparing health insurance policies from one state to another.

Understanding Private Health Insurance

As private health insurance is an integral part of our healthcare system, it provides Australians with the opportunity to receive enhanced medical services and faster access to healthcare providers, while also relieving some of the pressure on our public healthcare system. Although the overarching principles of private health insurance are consistent across the country, variations in policies from state to state and regulations can be significantly different. 

The Basics of Private Health Insurance

Private health insurance provides financial assistance for medical expenses that are not covered by Medicare. These expenses can include hospital treatments, specialist consultations, and various extras such as dental and optical care. Choosing the right private health insurance policy is paramount for ensuring that you receive the best healthcare services without putting a strain on your finances.

Comparing Private Health Insurance Plans

When it comes to choosing a private health insurance plan for your state there is no shortage of options. Each plan is designed to cater to different needs, preferences, and budgets. To find the best health coverage, it’s crucial to compare health insurance policies thoroughly. This involves considering factors such as coverage benefits, premium costs, waiting periods, and exclusions.

Private Health is the same Australia wide. All health funds service all of Australia.

Ask the Right Questions

Navigating the maze of private health funds in Australia requires asking the right questions. Consider reaching out to providers individually and discussing your healthcare needs. These professionals are well-versed in the state-specific offerings when it comes to private health insurance and can guide you towards policies that align with your needs. Make sure you enquire about waiting periods, coverage limitations, and any potential out-of-pocket expenses. Understanding the terms and conditions thoroughly is crucial to avoid surprises during times of need.

Comparing Benefits and Exclusions

Comparing private health insurance plans state to state, involves looking beyond the surface-level benefits. While some policies may offer comprehensive coverage for hospital stays, others might excel in providing extras like physiotherapy, chiropractic care, or mental health services. Consider your personal or family’s health needs and choose a policy that covers the services most relevant to you. Additionally, pay close attention to exclusions. Some policies might exclude certain pre-existing conditions, elective surgeries, or high-cost treatments. Understanding these exclusions is vital to prevent unexpected denials of coverage when you need it the most.

Incorporating Lifestyle Factors

Your lifestyle and future also play a significant role in choosing the right private health insurance policy. For instance, if you’re planning to start a family, a policy that covers maternity and childbirth-related expenses would be essential. Similarly, if you’re an active individual who frequently participates in sports, a policy covering physiotherapy and sports injuries could be invaluable. These all vary in cost from state to state as well.

Whatever state you live in, in Australia the key to finding the best private health coverage lies in understanding the variations of each state’s offerings. By comparing private health plans, asking the right questions, and considering state-specific needs and lifestyle factors, you can make informed decisions that ensure optimal healthcare. Remember, your health is your most precious asset, and investing time in understanding your private health insurance options is a step toward safeguarding it effectively. 

Our Team is standing by to take your call.

To compare private health insurance funds and discuss your cover today.

Call us on 1300 861 413 or email us

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What happens if I change my mind about private health insurance?

So, you’re thinking about private health insurance and maybe you’ve got a few questions?  Don’t worry, we’ve got you covered on all you need to know and what you need to do if you change your mind.

Changing Your Mind About Private Health Insurance?

  • Don’t Stress, You Have 30 Days: You can make changes to your policy within 30 days without any hassle, as long as you haven’t made a claim. This means you won’t have to go through waiting periods again if you decide to upgrade your coverage. This cooling off period gives you peace of mind that you’ve made the right choice.

Switching Providers Made Easy:

  • Your New Provider Handles It: If you decide to switch to a new private health insurance provider, they’ll handle the transition for you. They contact your old insurer, cancel your old coverage, and ensure your waiting periods carry over. Plus, your previous insurer will refund any advance premiums you’ve paid.

Waiting Periods and Policy Changes:

  • Check with Your New Private Health Insurer: Waiting periods transfer with you when you switch insurers, so you never have to re-serve a waiting period. If you’re upgrading to services not covered in your previous policy, you might have to wait for a bit before you can claim these benefits.

Cancelling Private Health Insurance:

  • It’s Easy: Cancelling your private health policy is a straightforward process. Depending on your provider, you might need to call them, fill out an online form, or use an online portal to notify them about your cancellation. If you cancel, your private health fund will refund any advance payments you’ve made.

Need Help Deciding?

If you’re still unsure and want to compare the best health coverage options, our team is ready to assist you. Just give us a call at 1300 861 413 or shoot us an email at We’re here to help you find the perfect private health insurance policy tailored just for you.

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