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Millions of Australians have received notice that their private health cover premium is increasing from 1 April 2020 and the question on everyone's lips is 'why?'
At nib, we're passionate about giving our members the best value for money, so when it comes to changing your premium, we’ve done everything we can to keep it as low as possible. We spoke with experts across nib to find out why health insurers change their prices and what we’re doing to keep nib cover affordable.
The cost of healthcare is increasing
The first reason is all down to inflation, which is the sustained increase in the price of general goods and services. For example, that soy latte you bought for $4.20 in 2012 is probably selling for closer to $6 now, your electricity bill has gone up and the car insurance that once cost you $700 is now charging you $799.
It's not just you and nib affected by inflation, it's everyone from doctors and nurses to chiropractors and dietitians. Because health providers have to pay more money for things like medical equipment, medication and staff (as well as rent, electricity, etc.), they may need to increase the prices that they charge for their service.
To break things down into a real-life example; in financial year 2012, the average amount of benefits that nib paid per hospital episode was $2,247. By financial year 2019, this figure rose to $3,237, which is an increase of more than 44% in only seven years. Therefore the amount we pay providers to keep you at your healthiest is constantly rising.
More people are claiming
Australia’s ageing population coupled with a rise in chronic conditions such as heart disease and diabetes means that more and more Australians are using healthcare services than ever before. With these trends set to continue, it means more pressure is put on the healthcare system, including claims made through private health insurance.
Throughout financial year 2019, nib funded 330,000 hospital admissions and more than 3.8 million ancillary and dental visits for our members and that's exactly why we are here – so you can access and afford quality healthcare when you need it most. The total amount of benefits we paid out for financial year 2019 was a huge $1.7 billion. That’s a 4.7% increase from the previous year.
While the Hospital cover premium changes reflect the rising cost of keeping our members healthy, we’ve worked hard to keep our price change as low as possible to help address affordability. This includes our decision to not increase the cost of nib Extras this year.
Will the price go up again?
It is difficult to predict any future premium increases, as this is largely dependent on claims expenditure and any relevant government incentives and reforms. Because the health industry is heavily regulated, the Federal Minister for Health must approve any changes to your premium – and that can only happen once a year. So, you won't see any other price changes until April, 2021.
In 2019, nib worked hard to offer our members the lowest premium increase in 17 years. This year nib’s average increase is 2.90% while the average increase across the industry sits at 2.92%.1 In fact, it’s the lowest average premium increase of the four major health funds in Australia, with the other three funds reporting an average premium increase of over 3.26%i.
Focussing on getting our members better, before they get sick
We know that no one enjoys going to hospital, so we’re committed to giving nib members access to a range of Health Management Programs that are delivered by qualified health professionals and can be tailored to your specific health concern – from weight management to mental wellbeing.
These intervention programs aim to help at-risk Aussies get healthy before they need to visit hospital and are available at no additional cost to eligible members with Hospital Cover who've served their waiting periods.2
At nib, our goal is to give our members access to affordable healthcare.
Negotiating with hospitals for fair fees
nib has agreements with most private hospitals and day facilities across Australia and we’re negotiating new contracts regularly. These agreements limit the fees that nib will be charged on your behalf by hospitals for an admission to hospital. They also limit the out-of-pocket expenses you may be required to pay when you need to go to hospital.
We work hard to eliminate any out-of-pocket expenses for nib members, which is why we have nib MediGap. When a specialist chooses to participate in MediGap, it means they’ve agreed to accept a higher benefit from nib as full payment for service – and not to charge you an out-of-pocket expense. You can find out more about nib MediGap online.
Giving our members access to even more affordable health providers
At nib, we want our members to be as healthy as possible, which is why we work closely with health providers across the country as part of our First Choice Network. The First Choice Network is a community of dentists, optometrists and physiotherapists who’ve promised they will deliver quality care and value for money to our members.
If you’re looking for ways to reduce the price of your health insurance premium, a few small changes can make a big difference. For tips on how to reduce the cost of your premium, check out our guide to saving money on your health insurance cover.
At nib, our goal is to give our members access to affordable healthcare. If you want more information or have a question on premium increases, visit our FAQs page.
12.92 is the industry average premium increase for all private insurers as reported by the Australian Government Department of Health. Industry averages are not indicative of what every customer may experience, and some products may offer either a lower or higher increase. A range of nib premiums will increase, some will stay the same, and some will decrease. Excludes any adjustment for the Australian Government Rebate.
2Some health managed programs are available at selected locations only. For more information visit our Health Management Programs page.
iThe top 4 funds based on policyholder size as published by APRA.