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NewsNot all health insurers equal
Not all health insurers equal

Not all health insurers equal

The affordability of various types of insurance is always a hot button issue with consumers but when asked about private health insurance uncertainty as to out-of-pocket costs, there is an even higher concern.

In the wake of the news premiums will rise by an average 5.6% on April 1 the insurer’s industry body says members dropping their cover cite ‘unanticipated medical gaps’ as an even greater concern than the upfront cost itself.

Our Facebook page details dozens of stories about increases from insurers and there’s no doubt people are feeling it. One way to beat the price rise is to prepay your annual premium BEFORE April 1, which will lock in last year’s price.

One of the ironies of insurance generally is that we understandably focus on the headline price of the premium first and then, if at all, focus on the terms and conditions about what’s actually covered and for how much.

In my experience when using your private health cover the gap payments and out-of-pocket expenses are both growing in amount and even more unpredictable in extent. The Australian Medical Association (AMA) went some way to addressing the problem by issuing a report this week that compared cover from various funds and found there were some big differences.

The Private Health Insurance Report Card – the first in a series the AMA plans to release – found HBF paid the most for nine of the 22 procedures.

We’re currently running an offer for FiftyUp Club members for up to $300 cash back from HCF. Click here to see the offer.

Disclosure has improved, with doctors and hospitals forewarning about these unpalatable ‘extras’ and the funds explaining how your cover is subject to excesses and limits but there’s a long way to go.

Most general insurance covers you for the costly and unpredictable bad things in life: crashes, fires, theft etc. If you never claim, you’ve lived a blessed life.

Arguably private health insurance covers you for the costly but often more predictable outcomes of lifestyle and ageing; dodgy joints, faulty ticker etc. 

But however healthy you are or long you live it’s far more likely you’ll make a claim. The experience of too many as to the costs of that claim suggest the system needs much more reform to empower not just consumers but their confidence in the whole idea.

Originally posted on .

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Henry
Henry from NSW commented:

Having been in Medibank Private for years, I woke up to the fact that the beefits returned from paying extra for have "Extras Cover" is simply not worth it for my wife and I. Three years ago I dumped "Extras" and it sure made a difference to my premium. Could I suggest everyone evaluates the cost/benefits for their own situation. On that point I look forward to the 50Up Club negotiating some insurance deals for hospital only cover. 

Gert D
Gert D from VIC commented:

This article is a misnomer, it is a promo for HCF and for switching through the FiftyUpClub. Where is the link to the comparison, where one could see the diffeences between the health insurance providers? 

Someone
Someone from VIC commented:

I have heard mention several times that if you change now you will lock in a lower price before 1st April. That's not right, because the companies I have checked with all quote a pre and post 1st April price. The HFC offer appears to be their standard rates with the incentive of the $300 bonus payment. 

Someone
Someone from VIC commented:

I have heard mention several times that if you change now you will lock in a lower price before 1st April. That's not right, because the companies I have checked with all quote a pre and post 1st April price. 

Someone
Someone from NSW commented:

I can only wish that my fund's increase this year was the 5.6% as the stated average mine is an unbelievable 14.85% this year after April 1. The increase last year was 14.01% that's a total of 28.86% in 2 years and as a result of this I'm seriously considering dropping my insurance all together. The fund I'm in is supposed to be a non profit one. For 2 people with top cover and the 37.094% rebate cost $3,500 with my current fund, I'm looking at one now where I can get close to the same cover for $1,500 less and if I drop the extras as well I save another $500 the extras I never used anyway. 

michael
michael from VIC commented:

Further to my recent posts, my HCF PREMIUM HAS INCREASED 9.4%.............and they are supposed to be a none for profit fund. Who said they are the better funds?????????? 

Arthur
Arthur from NSW replied to michael:

I'm with you Michael. I'm with HCF and my cost went up 8.8%. What happened to the 5.6% increase. 

michael
michael from VIC commented:

I am with Bryan, why not "no claim" bonuses for those of us who have been with the same fund for many years and never claimed anything. Now that would be encouragement to join a fund. 

Christine
Christine from QLD commented:

yes.... I'm sick of hearing about averages. Mine will go up by 8.59%. I haven't claimed but there's no loyalty or 'no claims' bonus here!!! Time to consider if I really afford health insurance on my casual salary! And how come the cost goes up but the government subsidy goes down??? 

Victoria
Victoria from NSW commented:

The only health funds worth considering are not for profit ones, because the other funds are in it to simply make money for the shareholders. As well as rising premiums every year, most funds also reduce their cover in the amount of refund given and also in the procedures covered.....not good enough! Time to get out and save over $2000 per year for a single. If everyone did that the health minister and the funds would have to rethink the way they do business. 

Victoria
Victoria from NSW commented:

The only health funds worth considering are not for profit ones, because the other funds are in it to simply make money for the shareholders. As well as rising premiums every year, most funds also reduce their cover in the amount of refund given and also in the procedures covered.....not good enough! Time to get out and save over $2000 per year for a single. If everyone did that the health minister and the funds would have to rethink the way they do business. 

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