Australian health insurance statistics at a glance | CHOICE (2024)

Need to know

  • More than half of Australians (54.6%) have extras cover for services like dental check-ups, optical, physiotherapy and chiropractic
  • Just under 45% of Australians have hospital cover for surgery, accidents, illnesses or chronic disease management in hospital
  • Medibank and Bupa hold over 50% of the private health insurance market between them

Private health insurance in Australia is a complex, ever-evolving beast. Cost of living pressures have affected industry trends significantly, with people balancing their health needs with their wallets.

Find out more about who has private health insurance, what the latest trends are, and the major private health insurance players in Australia.

On this page:

  • How many Australians have private health insurance?
  • Hospital insurance policyholders by age group
  • Which health insurers are Australia's biggest?
  • Health funds and their brands

How many Australians have private health insurance?

From 2015–2019, the rate of Australians with private health insurance steadily declined, but this trend reversed during COVID-19.

People took up private health insurance during the COVID-19 pandemic as they became more focused on their health.

Somewhat surprisingly, Australians took up extras cover as well even though out-of-hospital health services such as dental, optical, chiropractic and physiotherapy were restricted due to social distancing.

Currently overall health insurance membership numbers hold steady.

In 2023:

  • 54.6% of Australians have extras cover
  • 44.8% of Australians have hospital cover
  • most people have a combined health insurance policy.
Source: The Australian Prudential Regulation Authority (APRA).

It will be interesting to see how health insurance membership figures develop in the next few years.

Thinking about buying health insurance? Our experts explainwhat you need to know about hospital cover and extras coveras well as a few other things you should be aware of before you commit.

Percentage of people with hospital and extras health insurance since 2012

2012

Hospital insurance: 46.7%

Extras insurance: 54.4%

2013

Hospital insurance: 47%

Extras insurance: 55.1%

2014

Hospital insurance: 47.3%

Extras insurance: 55.5%

2015

Hospital insurance: 47.2%

Extras insurance: 55.7%

2016

Hospital insurance: 46.5%

Extras insurance: 55.2%

2017

Hospital insurance: 45.7%

Extras insurance: 54.7%

2018

Hospital insurance: 44.7%

Extras insurance: 54%

2019

Hospital insurance: 44%

Extras insurance: 53.4%

2020

Hospital insurance: 44.2%

Extras insurance: 53.8%

2021

Hospital insurance: 44.9%

Extras insurance: 54.7%

2022

Hospital insurance: 44.9%

Extras insurance: 54.8%

2023

Hospital insurance: 44.9%

Extras insurance: 54.6%

2024

Hospital insurance: 44.8%

Extras insurance: 54.6%.

Hospital insurance policyholders by age group

When looking at total membership numbers for hospital insurance per age bracket, the highest amounts are in the groups aged 35 through 55 years – likely because there are more Australians in these age categories.

The proportion of the population with hospital insurance increases with age, though. People are most likely to have private hospital insurance when they're aged 75 to 79.

Young adults aged 25 to 29 are the least likely age group to have hospital insurance. This group has generally matured beyond relying on their parents' family policy for their health needs, but are not yet affected by the Lifetime Health Cover loading for hospital insurance, which kicks in at age 31. They're also less likely to incur the Medicare surcharge tax, which affects singles earning more than $97,000.

If you currently have health insurance and want to check whether you're getting the best deal, we developed a tool that lets you compare health insurance policiesbased on your needs so you can find cover that works for you, and potentially save yourself hundreds.

Percentage of people insured for hospital cover

Age bracket: 95+

Percentage of age bracket: 37.4%

Age bracket: 90 to 94

Percentage of age bracket: 45%

Age bracket: 85 to 89

Percentage of age bracket: 52.1%

Age bracket: 80 to 84

Percentage of age bracket: 53%

Age bracket: 75 to 79

Percentage of age bracket: 57.9%

Age bracket: 70 to 74

Percentage of age bracket: 51.2%

Age bracket: 65 to 69

Percentage of age bracket: 53.4%

Age bracket: 60 to 64

Percentage of age bracket: 51%

Age bracket: 55 to 59

Percentage of age bracket: 49.3%

Age bracket: 50 to 54

Percentage of age bracket: 50.7%

Age bracket: 45 to 49

Percentage of age bracket: 50.2%

Age bracket: 40 to 44

Percentage of age bracket: 51.9%

Age bracket: 35 to 39

Percentage of age bracket: 45.3%

Age bracket: 30 to 34

Percentage of age bracket: 38.4%

Age bracket: 25 to 29

Percentage of age bracket: 26.9%

Age bracket: 20 to 24

Percentage of age bracket: 36.4%

Age bracket: 15 to 19

Percentage of age bracket: 49.5%

Age bracket: 10 to 14

Percentage of age bracket: 45.2%

Age bracket: 5 to 9

Percentage of age bracket: 44%

Age bracket: 0 to 4

Percentage of age bracket: 37.6%.

Which health insurers are Australia's biggest?

Private health insurance in Australia is dominated by Medibank and Bupa, who hold 52.2% of the market between them, with HCF, NIB and HBF rounding out the top five.

  • Medibank (including AHM) – 27.1%
  • Bupa – 24.9%
  • HCF – 12.5%
  • NIB – 9.6%
  • HBF – 7.7% (most HBF members are based in Western Australia)
  • Teachers Health – 2.6%
  • Australian Unity – 2.2%
  • GMHBA – 2.2%
  • Defence Health – 2.0%
  • CBHS – 1.5%
  • Others – 7.7%

Health insurance premiums increased by an average of 3.03% in 2024, but depending on which insurer you're with, you might be able to lock in your current premium until 2025. Read more about how to avoid health insurance price hikes.

Market share of private health funds in Australia

Medibank: 27.1%

Bupa: 24.9%

HCF: 12.5%

NIB: 9.6%

HBF: 7.7%

Teachers Health: 2.6%

Australian Unity: 2.2%

GMHBA: 2.2%

Defence Health:2.0%

CBHS: 1.5%

Others: 7.7%.

Market share of smaller health funds

There can be some distinct advantages to going with a smaller health fund. All health funds, big and small, are required to meet the same standards, and small funds will give you just as much choice over who treats you as larger funds – in a lot of instances, the smaller funds will even be cheaper.

These 22 health funds have less than 1% market share each.

  • ACA
  • AIA Health
  • CBHS Corporate
  • Doctors' Health
  • HCI
  • Health Partners
  • HIF
  • Hunter Health
  • Latrobe Health
  • Mildura Health Fund
  • Navy Health
  • Onemedifund
  • Peoplecare
  • Phoenix
  • Police Health
  • QCH
  • Reserve Bank
  • St.Lukes Health
  • TUH
  • Westfund

Health funds and their brands

What can make health insurance confusing is the sheer number of funds you can choose from – something that gets trickier when you realise a single health insurer can operate multiple brands. In some cases it's a matter of a premium brand and a budget brand, like in the case of Medibank (premium) which also operates AHM (budget). It's the same for GMHBA (premium) and Frank (budget).

Some health insurers will sell the same policy under different brand names, and sometimes with different premiums.For example, NIB sells policies under the following brand names:

  • AAMI
  • Apia
  • ING
  • Qantas
  • Priceline
  • Real
  • Seniors
  • Suncorp.

When our experts analyse and compare health insurance, they compile data on thousands of policies from more than 40 insurers, including the brands that insurers like NIB own or administer. Unlike other comparison sites, we don't take commissions from any insurers, which means we can show you more of the market and findthe best-value policies that match your needs.

We care about accuracy. See something that's not quite right in this article? Let us know or read more about fact-checking at CHOICE.

Stock images:Getty, unless otherwise stated.

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Australian health insurance statistics at a glance | CHOICE (1)

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Australian health insurance statistics at a glance | CHOICE (2024)

FAQs

Australian health insurance statistics at a glance | CHOICE? ›

In 2023: 54.6% of Australians have extras cover. 44.8% of Australians have hospital cover. most people have a combined health insurance policy.

What percentage of people in Australia have health insurance? ›

As at 30 June 2023, approximately 55% of the Australian population, had some form of health insurance. The proportion of the population holding hospital only or combined cover increased by 0.2% in the year to June 2023, while the proportion holding extras cover only remained steady over the same period.

What is the most popular health insurance in Australia? ›

Top health insurance companies in Australia by market share
  • Insurer (abbr.) Market Share. Membership. Structure1.
  • Medibank. 26.90% Open. For profit.
  • BUPA. 26.90% Open. For profit.
  • HCF. 10.70% Open. Not for profit.
  • NIB. 8.50% Open. For profit.
  • HBF. 7.80% Open. Not for profit.
  • Australian Unity. 2.90% Open. For profit.
  • GMHBA. 2.40% Open.
Dec 6, 2023

Is Australian healthcare better than us? ›

Australia Provides Foundation of Health Care Access for All

However, Australia consistently performs better than the U.S. on key metrics like life expectancy, infant mortality, and maternal mortality, while spending a much smaller percentage of GDP.

What is the problem that occurs in Australia's private health insurance sector? ›

Key Points. While large numbers of Australians have private health insurance (44.6% hospital cover, 53.9% general cover), membership has faced declines in recent years. Nearly 3% fewer Australians have hospital cover in December 2018 than in 2015. General cover has also been declining.

How many people in Australia Cannot afford healthcare? ›

Worryingly, about 9% in 2018 and 6% in 2021 said they could not pay for needed health care or medicines over the past 12 months.

Where does Australia rank in healthcare? ›

Australia ranks first among OECD (Organisation for Economic Co-operation and Development) countries for equity and healthcare outcomes, and holds third place for overall healthcare performance, behind Norway and the Netherlands.

What does the average Australian pay for health insurance? ›

How much does health insurance cost? The average cost of combined hospital and extras health insurance for a single person is: 'young person' under 36 years old – $3,261 a year (about $271/mth) 'established person' between 36 and 59 – $3,764 a year (about $313/mth)

Why is healthcare so expensive in Australia? ›

This is being driven by population ageing, expensive medical interventions, community expectations and the rise in the incidence of chronic diseases. While Australia has a good health system by international standards, rising health costs represent an obstacle to future reform.

Is it worth having private health insurance in Australia? ›

Health Insurance works alongside Australia's public health system. At its best, it provides people with more choices for healthcare. It can also offer some pretty attractive tax benefits. For millions of Aussies, the cost of regular premiums is worth it for the benefits they get.

Which country is #1 in quality healthcare? ›

The Best Healthcare Systems in the World in 2024

According to this assessment, what country has the best healthcare? Singapore comes in at No. 1! Japan and South Korea came in 2nd and 3rd.

Is healthcare free in Australia? ›

Healthcare in Australia

Essential and urgent hospital treatment is free. There is a charge to visit GPs and receive prescriptions. You can recover some costs through Medicare, Australia's universal health insurance scheme. You can enrol with Medicare through Services Australia.

Do Americans get free healthcare in Australia? ›

Expatriates in Australia who aren't permanent residents are responsible for their own healthcare costs. This includes expatriates in Australia on most work visas. People moving to Australia should carry their own private global health insurance policy to cover their healthcare costs.

What are the weaknesses of the Australian healthcare system? ›

Medicare and health system challenges
  • Cost pressures on the Commonwealth. ...
  • Out of pocket costs. ...
  • Chronic disease. ...
  • Improving efficiency. ...
  • Role of private health insurance. ...
  • Unpassed budget measures. ...
  • Rural and regional challenges. ...
  • Mental health.

What is the biggest health issue in Australia? ›

The most prevalent chronic conditions experienced in Australia in 2022 were:
  • Arthritis – 14.5%
  • Asthma – 10.8%
  • Diabetes – 5.3%
  • Heart, stroke and vascular disease – 5.2%
  • Osteoporosis – 3.4%
  • Chronic Obstructive Pulmonary Disease (COPD) – 2.5%
  • Cancer – 1.8%
  • Kidney disease – 1.0%.
Dec 15, 2023

What are the problems with insurance in Australia? ›

The Australian insurance market is grappling with several critical challenges, it said. These include considerable financial losses attributed to extended coverage claims and natural disasters, exacerbated by soaring claims inflation, and an uptick in climate-related incidents.

Does everyone have health insurance in Australia? ›

Medicare is Australia's universal health insurance scheme. It guarantees all Australians (and some overseas visitors) access to a wide range of health and hospital services at low or no cost.

How many people in Australia are uninsured? ›

Almost one in 10 (9%) Australians required health insurance in the past three years and were forced to shell out an average of AUS$225 (£118) as a result of not having it, according to research released by Finder. That represents 2.3 million people out of Australia's population of about 26 million.

What percentage of people in Australia have life insurance? ›

The study also found only 30%-37% of Australians aged 18-69 held life insurance. And only 11-18% held disability cover, income protection insurance, or critical illness and trauma cover.

Do Australians pay for health insurance? ›

The answer is based on your status as a citizen or resident of Australia. For citizens and permanent residents, Australian health care can be low-cost or free. The costs of healthcare in Australia are covered through taxes. Residents pay 2% of their income to the Medicare Levy, which funds the public system.

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