Rate change facts

At TUH, we are committed to providing sustainable health cover which gives our members quality products and services. As a not-for-profit fund, we work in your best interests and want to help you understand why premium increases are necessary.

How is my increase calculated?

Each product has its own increase which takes into consideration the amount of people covered under that product and claiming activity. The premium increase reported by the media is the average percentage increase of all products across all health funds.

Therefore, depending on your cover, your premium may increase by more or less than the industry average.

The amount of premium you pay is also affected by the amount the government contributes towards your health fund premium. 

For example, in 2013 the Australian Government Rebate on Health Insurance for tier 1 (under 65) was 30%. This has decreased to 25.42% in 2018 which also impacts your premium.

Source: ATO

There are a few reasons why your premiums increase, and they all come down to…

  1. Australians are living longer than ever before.
    This is great news, but it also means our health fund is likely to pay more claims for hip and knee replacement, heart disease treatment, eye surgery, and other serious conditions that affect older Australians. As a member, you can be confident we’re prepared to meet the costs of keeping you healthy – well into your eighties and nineties.

  2. The cost of healthcare is rising.
    We’re seeing great advances in medical technology and treatments, which is one of the reasons why Australians are living longer. But this comes at a cost – one that’s outpacing both wages growth and the consumer price index. We adjust our premiums to ensure we can provide our members with cover that keeps your health care affordable.

  3. More members are making claims.
    Last year, we returned 88% of all member contributions as benefits – higher than the industry average. For us, that’s a sure sign of success, because we’re doing exactly what we set out to do: helping our members stay healthy.

Having health insurance gives you peace of mind when unexpected health events occur.

Below highlights some of the more costly individual hospital admissions by age group we paid last financial year.*

Please note that these costs do not include medical charges (i.e. doctor’s/specialist’s fees and some prostheses). *2016-2017 financial year.

Being with TUH is a great choice

Our members ranked us first for trustworthiness, satisfaction and advocacy in a nation-wide survey of health funds undertaken by Ipsos Public Affairs. Read more here.

Because with TUH, we’re all together better.