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  • 1 day ago
New data has found private health insurance premiums are rising while fewer treatments are being reimbursed.

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00:00The Australian Medical Association has found that more people are taking out private health,
00:07but premiums are rising sharply and they're actually outpacing inflation.
00:12Reports found that premiums doubled between 2008 and 2004.
00:17But exclusions are at record highs, which means people aren't being covered for essential treatments.
00:24On top of this, due to cost pressure, more people are cancelling gold tier policies,
00:29and swapping to bronze and silver, which the AMA says doesn't provide the same bang for buck
00:36and often doesn't include things like hip or knee replacements.
00:40So the AMA says not enough money is flowing from insurers to provide health care.
00:47They want the government to mandate that 90% of premiums are returned to consumers.
00:52For months, the Health Minister has been putting pressure on insurers to do just this.
00:58He said this morning that they have increased this portion, but he wants them to do more.
01:03Here's the Minister speaking this morning.
01:05Now, we've seen increases over the course of the 12 months since I made that position very clear.
01:11I've said if I don't continue to see those increases, then we will consider our legal options to mandate it.
01:17He also said that he will be looking next April when it's time for annual premium increases.
01:23He'll be making sure that those are kept to an absolute minimum.
01:26So the Private Health Australia, which represents the funds, have rejected this report by the AMA.
01:32They say their figures are not based on reality and they don't match those provided by the Australian Prudential Regulation Authority, which oversees insurers.
01:42They say that insurers are actually paying out more for patient care than ever before, with payments at a record high of almost $20 billion in the last 12 months.
01:52They've also argued that the average premium increase for policyholders has been below the rate of inflation for the last four years.
02:01They say any calls to make it compulsory for 90% of premiums to flow back to consumers could actually send some funds broke, which would obviously reduce competition in the field.
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