Why have private health insurance

1. Less time waiting

Like ripping off a Band-Aid, you want your hospital stay over with as quickly as possible.

If you rely on the public system, you’ll be put onto the public hospital waiting list, which could mean waiting months (or longer) for your procedure. Annoyingly, on the day of your planned surgery you could be bumped if there are any emergency admissions that need your theatre room.

You could be waiting:*plane-orange.svg

  • 80+ days for a hysterectomy (up from 63+ days in 2019-20)
  • 172+ days for cataract surgery (up from 98+ days in 2019-20)
  • 223+ days to have varicose veins stripped (up from 129+ days in 2019-20)
  • 179+ days for a total hip replacement (up from 120+ days in 2019-20)
  • 253+ days to have tonsils removed (up from 130+ days in 2019-20)
  • 308+ days for a total knee replacement (up from 223+ days in 2019-20)

And 50% of people will wait even longer than that.

With hospital cover, you’ll be in hospital as soon as your doctor and private hospital are ready.

2. Choosing your own doctor

It’s important to feel comfortable with your doctor, and private hospital cover lets you choose who treats you.

In a public hospital, you’ll be treated by the doctor on duty unless you go in as a private patient (where you can choose).

3. Access to more healthcare options

Your choice of both public and private hospitals so that you can have access to the latest and greatest facilities and technology when you need them most.

4. Avoid painful full-cost private hospital bills

You might be surprised just how much a hospital stay can cost without private hospital cover. To give you an idea, here are the most expensive claims we paid for individual members in 2021 financial year:

Top 5 hospital claims
Admission reason Total benefit paid
Coronary artery bypass $104,551
Hospital psychiatric ECT $84,093
Surgery to treat brain swelling $80,003
Hospital psychiatric CBT $79,779
Spinal surgery $79,245

5. Save on taxpiggybank-coin-purple.svg

High income earners could save tax by taking out hospital cover.

See information on the Medicare Levy Surcharge for more information.

6. Avoid paying a loading

Who’s down with LHC? No, not me! Lifetime Health Cover Loading is a government-imposed charge for not taking out hospital cover by 1 July after your 31st birthday.

7. Score a rebate

The Government kicks in a very handy rebate to help you cover the cost of your private hospital and extras cover, if you’re eligible*.

8. It gets better with age

There’s one rule mightier than them all – the older and golder you get, the more likely you’ll need the health system. Top hospital covers tend to include the things you’ll increasingly need, such as heart, chest, lung, hip and eye surgeries as well as rehab, psych, and palliative care. Lower hospital covers tend to exclude or restrict these services. The higher levels of extras cover tend to cover the big-ticket items such as hearing aids, health aids, orthotics and podiatry, and pay higher benefits on physio, high-cost dental and optical.

9. Give yourself a sporting chance

Sporty types don’t like sitting idle for long when injury strikes. And take it from those who know, injury has a way of striking at random. A matter of weeks can feel like a lifetime of sedentary living. If you do physical work too, you’re doubly housebound. Thankfully having private hospital cover can shave months (sometimes even years) off your wait before surgery.

10. Your mental health is a private issue


One thing that patients and the government agree on is that the private hospital system does a great job at plugging the gaps in psychiatric care. See how Peoplecare can help your mental health.

*Source: Australian Institute of Health and Welfare, Elective surgery waiting times 2020-21 data tables, Table 4.6