Australia’s private health insurance shake-up

Federal Health Minister Greg Hunt will announce a major shake-up to Australia’s private healthcare system, with those under 30 (pictured with Prime Minister Malcolm Turnbull) expected to be the biggest beneficiaries

Australians with private health insurance are being promised cheaper premiums and easier access to mental healthcare under a raft of new measures.

Federal Health Minister Greg Hunt will on Friday announce a major shake-up of the system, with those under 30 expected to be the biggest beneficiaries.

They will be offered a two per cent discount every year up to a maximum of 10 per cent, which they will keep until they are 40.

The government will also take alternative therapies like homeopathy, reflexology, as well as yoga, off the list of items covered, while the waiting period for mental health services will be scrapped.

‘So people will be able to access mental health services earlier through private health insurance,’ Prime Minister Malcolm Turnbull told Seven Network.

‘It is critically important.’

Mr Hunt believes a discount for young people will encourage them to take up private health insurance while helping other policyholders.

‘The more young people you have in the system, the lower the average cost of premiums for everybody,’ he told ABC TV. 

Prime Minister Malcolm Turnbull says the package of measures will benefit all Australians and make comparing policies easier.

‘It’ll be simpler,’ he said.

People will get the option to increase their excess – $750 for singles and $1,500 for families – in exchange for lower premiums.

The government will take alternative therapies like homeopathy, reflexology and yoga (stock image) off the list of items covered

The government will take alternative therapies like homeopathy, reflexology and yoga (stock image) off the list of items covered

A cut to the price insurers must pay for some medical devices is also expected to drive a reduction in the size of premium rises.

Mr Hunt says an agreement with makers of hip and knee prostheses and cardiac devices will save insurers about $1 billion over the next four years.

‘And that will go straight through to reduce premiums,’ he said.

Premiums have increased an average of 5.6 per cent a year since 2010, but Mr Hunt wouldn’t put a figure on how much that will fall.

‘I’m working with the private health insurers … and they have guaranteed in writing they will pass through all of the cost savings.’

Insurers will have to re-categorise policies as either gold, silver, bronze or basic packages and provide a one-page summary to ensure ‘no surprises’.

‘That means people will have clear choices and clear explanations in a way that has never been the case,’ Mr Hunt said.

He claims it’s the biggest private health insurance reform in 15 years and is just the first round.

WHAT DO THE CHANGES MEAN?

* Insurers will be able to discount hospital insurance premiums for 18- to 29-year-olds by up to 10 per cent. The discount will phase out after people turn 40.

* Benefits will not be available for a range of natural therapies, including aromatherapy, herbalism, homoeopathy, kinesiology, naturopathy, pilates, reflexology, shiatsu, tai chi, and yoga.

* People with hospital insurance that does not offer full cover for mental health treatment will be able to upgrade their cover and access mental health services without a waiting period on a once-off basis.

* Insurers will be able to offer travel and accommodation benefits for people in regional and rural areas that need to travel for treatment.

* A deal has been struck with the Medical Technology Association of Australia to lower the price of implanted medical devices from February 1, 2018. Cutting these costs is expected to lower premiums from April 2018.

* The maximum excess will be raised, allowing some policyholders to select a higher excess in exchange for a lower premium. Singles can increase their cap from $500 to $750 and families can increase from $1,000 to $1,500.

* Products will be categorised gold, silver, bronze and basic, and use standardised definitions to make it clear what policies do and do not cover.

* Private Health Insurance Ombudsman powers will be boosted to ensure consumer complaints are resolved clearly and quickly.

Source: Health Minister’s media release 

Labor’s health spokeswoman Catherine King said young people will only save about 70 cents a week while older Australians won’t see a dollar returned to their back pocket.

‘It’s clear from this package that the Turnbull government only cares about getting as many people as possible to sign up for private health insurance – it doesn’t care about what happens when they try to use it,’ she said in a statement.

Labor, however, welcomes the cut to the cost of devices on the prostheses list.

Australian Medical Association president Michael Gannon says the move won’t solve the issue of affordability, but it is a step in the right direction.

‘The biggest problem in the affordability of private health insurance is the amount that’s going into the pockets of the for-profit insurers,’ he told ABC radio.

‘We need serious reform which addresses the simple fact that [healthcare] costs will continue to increase year on year.’ 

 

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