Australians may face significant cost increases for health insurance by 2025.

An expert shares tips to assist individuals in selecting the ideal health plan.

November 29th 2024.

Australians may face significant cost increases for health insurance by 2025.
A warning has been issued for Australians, as it is anticipated that the cost of health insurance could skyrocket by the year 2025. According to Compare the Market, a popular comparison website, the federal government is expected to announce an adjustment to the industry's average premiums in the next few months. This adjustment, if approved, will take effect on April 1st of next year, and the announcement could come as early as December or as late as March.

There are several factors that are predicted to contribute to this potential increase in premiums. These include higher fees for doctors, increased wages in the health industry, and rising costs for insurance companies. Last year, there was a 3.03% increase in premiums, which was only slightly more than half of the initial request made by the insurance industry for a 6% rise. Compare the Market's economic director, David Koch, has stated that these adjustments are not simply a ploy for health funds to make more money, but rather a thorough and rigorous process is involved.

Koch explains that health funds are first required to submit their proposed premium adjustments to the Department of Health. From there, the Department of Health and The Australian Prudential Regulation Authority carefully consider various factors before presenting the proposal to the Health Minister for final approval. These factors can include the rising costs of doctor fees, medical equipment, hospital procedures, healthcare professional wages, and the expenses associated with paying out claims.

Despite the potential for premium increases, Koch reassures Australians that they can trust this process, as the government has previously rejected unjustifiable increases. He also urges those with health insurance to pay close attention to their health fund's communication following the upcoming announcement. While last year's industry average was 3.03%, the actual change in premiums varied between health funds and even individual policies within the same fund. This will likely be the case again next year, and it will be important for individuals to understand their specific premium adjustment, explore the possibility of better deals, and find ways to save money.

For those facing unmanageable premium increases, Koch advises shopping around and comparing different health insurers. He also suggests looking for companies that offer perks and incentives for new clients, such as waived waiting periods, free coverage for a limited time, and access to reward programs. However, he cautions against simply choosing the cheapest policy, as it may not provide adequate coverage for important services and treatments. On the other hand, more comprehensive policies may include services that an individual may not need or use.

Koch recommends using the upcoming rate changes as an opportunity to assess personal health needs and potentially switch to a lower-level policy that still covers necessary services and treatments. He also assures individuals that waiting periods will not be an issue if they switch to an equal or lower level of coverage, but they may need to serve waiting periods for any upgrades if they switch to a more comprehensive policy.

In addition to evaluating coverage options, Koch stresses the importance of becoming familiar with the terms and conditions of a health insurance policy. This includes understanding inclusions and exclusions, waiting periods, benefit limits, and excess amounts. These details can typically be found in a health fund's policy brochure or by speaking with a representative.

To stay up to date with the latest news, sport, politics, and weather, Koch recommends downloading the 9NEWS app. This app provides notifications straight to your smartphone and is available on both the Apple App Store and Google Play.

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