Private health insurance in Australia is tracked across 1 insurer, offering access to private hospitals and shorter waiting times than the public system. Compare the hospital network, outpatient cover limits and mental-health inclusion carefully — budget policies often exclude outpatient specialist consultations and diagnostic tests.
Compare the top 12 Australian private health insurance providers, with premiums from Price on request. Data current as of 23 October 2026 and updated daily from the Giraffy database.
Australian private health insurance: October 2026 at a glance
Giraffy compares 12 private health insurance policies from 12 Australian funds. The lowest listed premiums are for hospital-only cover: Phoenix Health Fund from AUD 80 a month, Defence Health and Budget Direct from AUD 85 and CBHS Hospital Select from AUD 90 — note that Phoenix, Defence Health and CBHS are restricted funds for specific employee groups, so Budget Direct is the cheapest option open to everyone. Hospital plus extras starts from AUD 92 a month with Suncorp, AUD 95 with Allianz and AUD 100 with CommBank.
For the top Gold hospital tier, which covers all clinical categories with unlimited hospital benefits, listed prices start from AUD 120 a month with Australian Unity, then HCF (from AUD 125), nib (from AUD 130), Medibank (from about AUD 140) and Bupa (from about AUD 145, including AUD 1,200 of extras). Premiums shown are for an individual and change with your age, state, excess and Medicare levy surcharge position, so get a quote before switching. Also compare travel insurance and life insurance.
What is private health insurance in Australia?
Private health insurance sits alongside Australia's public Medicare system, giving you cover for treatment as a private patient. It comes in two main types: hospital cover, which pays toward private hospital treatment and lets you choose your doctor and avoid public waiting lists, and extras (or ancillary) cover, which helps with dental, optical, physiotherapy and other services Medicare does not fund. Many people take a combined policy that bundles both together.
How the Australian market works
Medicare provides universal public healthcare, so private cover is optional but actively encouraged through tax settings. Hospital policies are sold in standardised Basic, Bronze, Silver and Gold tiers, a system that makes comparison easier by defining the minimum clinical categories each tier must cover, such as pregnancy on Gold. Funds cannot refuse you or charge more because of pre-existing conditions under community rating, though waiting periods apply before you can claim for certain treatments.
Benefits of private cover
Choice and shorter waits — Hospital cover lets you choose your specialist and private hospital and avoid public elective-surgery queues, which can be long for non-urgent procedures.
Extras for everyday health — Extras cover offsets the cost of dental, optical, physio and similar services that Medicare does not fund at all.
Tax advantages — Appropriate hospital cover can exempt higher earners from the Medicare Levy Surcharge and attract an income-tested premium rebate.
How to choose a policy
Decide whether you need hospital cover, extras or both, then match the hospital tier to your life stage — for example, Gold-level cover is required for pregnancy and birth. Compare excess levels, which reduce premiums in exchange for a payment at admission, against the out-of-pocket cost at claim time. Check waiting periods, whether your preferred hospitals are agreement hospitals, and any gap-cover arrangements that limit what specialists can charge you.
Leading providers in Australia
The comparison features Medibank, Bupa Australia, HCF, nib, Australian Unity, CBHS Health Fund, Defence Health and Phoenix Health Fund. Medibank and Bupa are the two largest funds, HCF is a large not-for-profit and nib is a major listed insurer, while several restricted funds such as Defence Health and CBHS serve specific communities. Choice comes down to the tier, extras, excess and hospital agreements that best suit your needs and budget.
What it costs
Premiums vary by state, age, cover tier, excess and whether you take hospital, extras or combined cover, so no single price applies across the market. Two settings shift the net cost: the income-tested private health insurance rebate reduces your premium, while choosing a higher excess lowers it further. Buying hospital cover before age 31 helps you avoid the Lifetime Health Cover loading that increases premiums for later starters. Premiums also typically rise each year, usually from 1 April, so reviewing your policy annually and switching funds if better value emerges can keep costs in check without losing your waiting-period credits.
Protections and regulation
Private health insurers are regulated by APRA, and the Private Health Insurance Ombudsman handles complaints. Community rating means funds cannot discriminate on health status or age at entry. The Medicare Levy Surcharge, from 1% to 1.5%, applies to higher earners without adequate hospital cover — for 2025-26 the singles income threshold is A$101,000 and the family threshold A$202,000, above which the surcharge adds to the standard 2% Medicare Levy.
Common questions
Do I need it if I have Medicare? — Medicare covers public treatment, but private hospital cover offers choice and shorter waits and can save higher earners the Medicare Levy Surcharge.
What is Lifetime Health Cover loading? — If you first take hospital cover after age 31, a 2% loading applies for each year you delayed, up to a cap, so taking cover earlier keeps premiums lower.