Rate change facts

From 1 April, 2019 there are changes to most private health covers. Click here to find out more.

Why do premiums increase?

As a not-for-profit health fund, we work to keep premiums as low as possible while still delivering quality products and services. Each year we adjust our premiums to ensure we can continue to provide cover that keeps your health care affordable.

TUH premiums will increase by an average of 3.18%  which is lower than the overall industry average premium increase of 3.25%. Our ageing population, rising healthcare costs including advancements in medical technology, all contribute to health inflation which at 4.1% per annum, is significantly higher than the consumer price index (CPI). 

Find out more about where your premiums go.

How is your increase calculated?

The premium increase reported by the media is the average percentage increase of all products across all health funds. But did you know that each cover is reviewed individually? Therefore your premium may increase by more or less than this amount.

To calculate how much each product will increase, we look at the number of people on that product and estimate how much we’ll need to pay in claims over the next year.

Your premium may also be affected by the government rebate which is paid at a lower percentage than last year. This means you pay more towards the cost of your premium and the government pays less.

  Base Tier
Single income of $90,000
Tier 1
Single income of $90,001 - $105,000
Tier 2
Single income of $105,001 - $140,000
Tier 3
Single income of $140,001+
2016 26.79% 17.86% 8.93% 0%
2017 25.93% 17.29% 8.64% 0%
2018 25.42% 16.94% 8.47% 0%
2019 25.06% 16.70% 8.35% 0%

Source: ATO

What are we doing to keep costs down?

We work with industry, doctors, hospitals, the government and other medical providers to make system-wide improvements to give our members the best deal.

These include:

  • Introducing new products to give you more choice of cover and excess options
  • Providing care in different ways such as hospital-in-the-home programs
  • Negotiating access gap arrangements which pay more to medical specialists for treatment so that you pay less
  • Passing on reductions in prostheses pricing following the government reforms last year
  • Removing procedures and services that aren’t proven to have a clinical benefit