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Health Minister Puts Private Health Insurers on Notice Over Pricing Practices

Government Threatens Legislative Action Against Insurers Exploiting Loopholes to Raise Premiums

Health Minister Puts Private Health Insurers on Notice Over Pricing Practices?w=400

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Health Minister Mark Butler has issued a stern warning to private health insurers in Australia, cautioning them against employing underhanded tactics to increase premiums.
This comes in response to findings from the Commonwealth Ombudsman, which revealed that some insurers have been closing old policies and introducing more expensive new ones, effectively circumventing regulatory limits on premium hikes.

Minister Butler emphasized that such practices are against the spirit of the law and will not be tolerated. He stated that if insurers continue with this behavior, he reserves the right to introduce legislation to outlaw the practice. This move underscores the government's commitment to protecting consumers from unjustified premium increases and ensuring transparency within the health insurance sector.

The practice in question, often referred to as 'phoenixing' products, allows health funds to increase prices for new customers beyond the limit set by the federal government. Each year, private health companies must get approval from the Health Minister to raise premiums on April 1. This year, the government approved an average increase of 3.73%. However, by closing existing policies and introducing new ones at higher prices, some insurers have been able to bypass these restrictions.

For health care professionals, these developments are significant. Rising insurance premiums can impact both personal coverage costs and the financial dynamics of the healthcare institutions they are affiliated with. It's crucial for professionals to stay informed about these industry practices, advocate for fair and transparent policies, and consider the implications for their own financial planning and patient care.

In conclusion, the Health Minister's warning serves as a reminder of the importance of ethical practices within the health insurance industry. Health care professionals should remain vigilant, engaging in discussions and actions that promote transparency and fairness, ultimately ensuring that patients receive the care they need without undue financial burden.

Published:Wednesday, 21st Jan 2026
Source: Paige Estritori

Please Note: If this information affects you, seek advice from a licensed professional.

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Knowledgebase
Insurance Deductible:
the amount that an insured is required to contribute toward an insurance claim as stipulated in an insurance policy. Otherwise known as the "policy excess".