Health cover premium changes

Your health cover premium may change from 1 April 2026.

Why premiums change

For over a century we've focused on the health of our members, not shareholders, ensuring you have the right cover and support when you need it most. 

Just like every other Aussie health insurer, we take a look at our premiums every year to make sure they’re keeping up with the increasing costs of healthcare and member demand for new treatments and services.


Reasons for health insurance premium increases

Average cost of and demand for health services continues to rise at an unprecedented rate. Health inflation rose by 5% in 2025, driven by medical and hospital services costs.

More than 60% of Australians are currently living with complex chronic health conditions, requiring earlier intervention and ongoing management.

Advances in medical technology and new models of care offer improved patient care and better health outcomes but cost more.

Incidence and cost of treatments for conditions such as mental health, joint replacements, weight loss, pregnancy and childbirth are increasing.

What you can do to reduce your premium

Review your private health insurance is important. Photo of man using a computer to review his private health cover

Delay the increase by locking in your premium

Now’s the time to delay the increase and lock in your premium rate. Our pre-payment option means you can lock in your current premium for up to 18 months in advance before the increase comes into play on 1 April 2026.

The easiest way to make a payment is through our Online Member Services. Once you’ve logged in, look for ‘Make a payment’ on the lefthand menu. You can also give us a call and we’ll help you (have your credit card handy).

We’ll need to receive your payment before the below deadlines to make sure you’re locked in at the current rate.

  • BPAY - Wednesday 25 March 2026.
  • Direct debit (credit card or bank account) – call our Member Care team on 1300 886 123 - Monday 30 March 2026 (by 5 pm AEST/AEDT).
  • Online via our Online Member Services - Monday 30 March 2026.

Any payments made and received on 1 April 2026 and afterwards will be charged at the new rate.

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Review your cover

Your health cover shouldn’t be set and forget. We’re here to help you make sure you’re getting the best coverage and value, whatever your personal needs and situation.

I need to review my cover. What can I do?

As your life changes, so do your health needs. Whether you're single, married, have children or are enjoying your retirement, it’s important to take the time to review your cover so it keeps up with your changing lifestyle. Chat to us about changing your level of cover, increasing your excess or adjusting your payment frequency.

If you would like a cover review, our Member Care team is here to help. Call the team on 1300 886 123 (and press option 2) or send them an email to help@rthealth.com.au


FAQs

Here are some common questions and answers about premium changes.

When will my premium change?

Your first premium payment on or after 1 April 2026 will be at your new amount. You don’t need to pay extra right now if you’ve already paid in advance. The new premium amount will be taken for all payments made on or after 1 April 2026. See more info below. 

How can I make sure my payment is adjusted?

It depends on how you pay your premiums, but we’ve pulled together a few tips to make sure you can easily update your payment amount.

  • If you pay by direct debit, your new premium will automatically apply to all payments from 1 April 2026. We’ll organise this for you.
  • If you pay via BPAY or payroll, you can make sure the correct amount is taken by adjusting the amount you pay us via BPAY or by speaking with your payroll team. We’re in touch with payroll groups, but it always pays to check your premium amount is adjusted.
  • If you pay us directly, your new premium amount will appear on your payment notices for any contributions due from 1 April 2026.
  • If you’ve already paid ahead in advance of 1 April 2026, your new rate will apply when you make your next payment. Any payments made before 1 April 2026 will be made at your current rate.

What is the Australian Government Rebate on private health insurance?

Eligible Aussies with private health insurance receive a rebate from the Australian Government to help cover the cost of their premiums. It’s the portion of your private health insurance the government pays for you and applies to both hospital and extras cover. It’s calculated based on your income, age and family status (the number of dependent children you have). Most people choose to receive their rebate as a reduction in their premiums. However, you can also choose to pay the full premium and claim the rebate at the end of the financial year as a tax offset.

There are a lot of specific rules that might impact your personal situation and we recommend you check the ATO website carefully to determine your own situation. We also have some information on our Incentives and Rebates page. If you’d like to change your rebate tier, or the way you currently claim the rebate, please just give us a call.

What will my email or letter include?

Your email or letter will include information about what your new premium will be from 1 April 2026, who’s covered by the policy and, if it applies, your Lifetime Health Cover loading. 

Your letter will also include your Private Health Insurance Statement (often called a PHIS – or ‘fizz’), which contains a general summary of product features and what’s covered, as well as any restrictions, waiting periods, exclusions, excesses and limits. 

It’s got lots of details that are important for you to check in on. Dollar amounts and the payment frequency on your PHIS may be different from the information we’ve provided. That’s because your PHIS doesn’t call out any government rebate, Lifetime Health Cover loading or discount that you may be claiming or paying. You can find more info about your PHIS and why you need one on our Stay Well hub.

What is the Lifetime Health Cover (LHC) loading?

Lifetime Health Cover (LHC) loading is a government initiative created to encourage Aussies to take out and maintain private hospital cover earlier and ease the load on the public healthcare system.  This isn’t relevant if you’ve chosen extras only or ambulance only cover. If you take out hospital cover before you’re 31 and maintain it, you’ll enjoy paying your premium without any LHC loading. You just need to take out hospital insurance with an Australian registered health fund by 1 July following your 31st birthday and maintain it. For each year you wait after the age of 31, you’ll pay an extra 2% per year for your cover (up to 70%). If you get hospital cover some time after the age of 31, and you maintain it for 10 continuous years, the loading will be removed.  We also have some information on our Incentives and Rebates page.

We don’t want to keep you hanging…

At this time of year, we receive a very high volume of calls and there may be times when you’re on the line longer than usual. We never want to keep you waiting, so please know we’re doing everything possible to get to you. Our call-back option lets you keep your place in the queue, but instead of having to hold until it’s your turn, we call you back when you’re first in line, leaving you free to get on with other things.

You’ll hear more about using the call-back option once you’re on hold.


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We're here for you

If you have questions about your premium or cover, our friendly Member Care team is always here to help. Give us a call on 1300 886 123 (Monday to Friday, 8:30am to 5:00pm AEST/AEDT) or send an email to help@rthealth.com.au