Australians urged to use health insurance extras before reset

Concerning trends in delayed healthcare spotlighted

Australians urged to use health insurance extras before reset

Life & Health

By Roxanne Libatique

Members Health Fund Alliance has warned Australians with private health insurance that they have a limited time left to claim benefits for unused extras services before most annual limits reset on Jan. 1.

Extras benefits allow policyholders to access services such as dental, optical, physiotherapy, and other allied health treatments not covered under Medicare.

Members Health noted that over half of the population holds private health insurance, yet many policyholders risk losing out on benefits they have already paid for.

Australians urged to use their extras cover

Matthew Koce, CEO of Members Health, encourages Australians to make full use of their extras cover, particularly as cost-of-living pressures remain high. 

“Nothing is more precious than our health and the health of our loved ones, but sadly it is often taken for granted until something goes wrong,” he said.

He added that it is important for Australians to use the benefits available through their insurance to maintain good health amid the current cost-of-living crisis.

“Something as simple as attending regular dental and optical check-ups can help prevent complex, debilitating and painful health issues arising into the future,” Koce said.

Koce also highlighted concerning trends in delayed healthcare, revealing that around 2.3 million Australians postpone or skin necessary dental care every year.

“If you have been putting off a check-up or persevering with aches and pains, now is the perfect time to make a booking with a healthcare professional,” he said.

Maximising value from health insurance 

When considering health insurance options, consumers are advised to obtain quotes directly from health funds, as comparison websites may include fees or offer a narrower selection of policies. Direct engagement with insurers can sometimes result in better deals, Koce said.

Members Health emphasised the benefits of its not-for-profit member-owned model, which channels more funds into member services rather than profits.

“Members Health funds help cover over 37 million episodes of extras services each year, so this is an area where they excel and have enormous expertise,” Koce said.

Calls for systematic reforms 

In addition to encouraging Australians to use their health cover, Members Health has proposed reforms to improve affordability and accessibility across the sector. These proposals include: 

  • restoring the government rebate on private health insurance premiums to 30% to reduce costs for consumers
  • removing the Fringe Benefits Tax on health insurance premiums to give employees better access to healthcare
  • allowing health insurers to cover out-of-pocket GP expenses to make primary care more affordable and reduce hospital admissions
  • enhancing transparency around hospital and clinician pricing to empower consumer choice

Koce argued that these changes could alleviate strain on the public healthcare system while improving outcomes for families.

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