Putting members’ health before profit

Health funds pay out billions as membership soars

Members Health Fund Alliance, the peak body for Australia’s member-owned and not-for-profit health funds, today welcomed the latest quarterly private health insurance statistics released by the Australian Prudential Regulation Authority (APRA).

The figures show the ongoing value Australians place on private health insurance and the significant benefits it provides to members.

The latest data shows the number of Australians with private health hospital cover increased by 94,913 people over the latest quarter, to reach a high of more than 12.5 million Australians.

Those with extras cover, for services such as dental, optical and physiotherapy care, increased by 91,954. More than 15.2 million people now have extras cover to help pay for services such as dental, optical, and physiotherapy care, empowering more Australians take a proactive approach to their health and wellbeing needs.

“The latest APRA statistics prove that private health insurance is more valued than ever,” said Members Health CEO, Matthew Koce.

“Health funds are delivering enormous benefits to members, with more than $6.7 billion in benefits paid out since March 2025 to assist with covering hospital costs and extras services.

“This includes an average of $1.28 billion per month paid to private hospitals for patient day and overnight procedures, demonstrating insurers are continuing to do their bit to support private hospitals” Mr Koce added.

Mr Koce also highlighted the importance of taking out health insurance before Lifetime Health Cover (LHC) loading applies. The LHC is a 2 per cent annual charge on private hospital insurance premiums for every year of delay in taking out cover after age 30, capped at 70 per cent.

“At the end of the 30 June 2025 quarter, a staggering 1,111,652 people were subject to LHC loading this is a net increase of 88,304 over the preceding 12 months” Mr Koce explained.

“Young people about to hit their thirties and looking to avoid LHC loading, should look for the Members Health fund tick when considering which health fund to join.

Australians considering taking up or changing private health insurers should consider joining a Members Health fund that is committed to putting people first before profit while providing the best possible value and care.

Members Health is the peak industry body for an alliance of more than 20 health funds that are not-for-profit or part of a member-owned group, regional or community based. They all share the common ethic of putting their members’ health before profit. Our funds represent the interests of more than 5.3 million Australians.

Media Contact

Brenton Baldwin
Brenton.Baldwin@membershealth.com.au

0409 517 176

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