Private Health Insurance industry updates

We publish regular quarterly updates about the complaints we receive about private health insurance matters.
To help understand the terms used, please read this glossary:

Glossary for PHI quarterly updates

2024

• Private Health Insurance - Quarterly Update 110: January to March 2024 and April to June 2024 - presentation of total benefits paid vs benefits paid by insurers, multiple item number admissions with part coverage, and an Annual Summary of the 2023-24 financial year.

2023

• Private Health Insurance - Quarterly Update 105: October to December 2022 - Complaint statistics, HCF-Healthscope contract dispute, and rule change notifications.
• Private Health Insurance - Quarterly Update 104: July to September 2022 - Complaint statistics, Medibank cyber incident, Private Health Insurance Ombudsman Issues paper, and lessons on assessing medical information in organisations.
• Private Health Insurance - Quarterly Update 103: 1 April to 30 June 2022 and Annual Summary - complaint statistics, Peoplecare/Allianz overseas student health cover refund complaints, and hospital and health insurer negotiations.
• Private Health Insurance - Quarterly Update 102: 1 January to 31 March 2022 - - complaint statistics, payment of claims for Type C procedures, Lifetime Health Cover deadlines, and guidance for complaint handlers dealing with risks of harm.
• Private Health Insurance - Quarterly Update 101: 1 October to 31 December 2021 - complaint statistics, insurer rule changes, and what to do when you're planning a hospital admission.

2021

• Private Health Insurance - Quarterly Update 100: 1 July to 30 September 2021 - complaint statistics, advice on Lifetime Health Cover rules for 491 and 494 Regional Working Visas holders, and verbal advice complaints.
• Private Health Insurance - Quarterly Bulletin 99: 1 April to 30 June 2021 - complaint statistics, dependents legislation, persistent complainants, and 2020-21 in focus.
• Private Health Insurance - Quarterly Bulletin 98: 1 January to 31 March 2021 - complaint statistics, COVID-19 complaints, the Lifetime Health Cover mailing, dependents legislation, and Ombudsman advice to stakeholders.
• Private Health Insurance – Quarterly Bulletin 97: 1 October to 31 December 2020 - complaint statistics, COVID-19 complaints, and premium increases.