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Understanding the Proposed Private Health Insurance Rebate Changes

A clear look at what the updates may mean for you and how we're supporting our members every step of the way.

Earlier this year, the Australian Government proposed changes to the Private Health Insurance (PHI) rebate for Australians aged 65 and over. The proposal would have reduced the higher rebate currently available to older Australians, which helps make private health cover more affordable.

On
Wednesday, 14 October, the Senate voted to remove the Bill from its agenda because it did not have enough support to proceed.

The next day, 15 October, the Government reintroduced the Bill to Parliament, despite not currently having the support needed for it to pass the Senate.

For now, the proposed changes are not in effect. The Senate's decision made on Wednesday, 14 October, remains a positive sign that there is significant opposition to the proposed change.

We know this issue has been a concern for many members, particularly those on fixed incomes. Westfund has advocated on behalf of members throughout this process, with a focus on protecting affordable access to private healthcare for older Australians.

The Government could revisit this issue in future, so we will continue to monitor developments and keep members informed if anything changes.

Here's what you need to know

What is the latest update

The proposed changes were due to begin on 1 April 2027.
On Wednesday, 14 October, the Senate voted to remove the Bill from its agenda because it did not have enough support to proceed.

The next day, 15 October, the Government reintroduced the Bill to Parliament, despite not currently having the support needed for it to pass the Senate.

For now, the proposed changes are not in effect. The Senate's decision made on Wednesday, 14 October, remains a positive sign that there is significant opposition to the proposed change.

While we don’t expect the Bill to pass in its current form, it remains a possibility. The Government may also seek to negotiate changes to the Bill, including protections for pensioners, to secure additional support.

We’re continuing to monitor developments closely and will contact you directly if anything changes that could affect your cover or rebate.

What were the proposed Australian government rebate changes

The Government helps cover the cost of private health insurance through the Private Health Insurance (PHI) rebate, which is currently higher for older Australians. People aged 65 to 69 can receive up to 28.337%, while people aged 70 and over can receive up to 32.385%.

Earlier this year, the Government proposed removing this higher rebate for people aged 65 and over and replacing it with the lower base rebate for Australians under 65. This would have meant many older Australians paying more for their cover, particularly pensioners and others on fixed incomes.

Westfund advocated on behalf of members throughout this process, focusing on affordable access to private healthcare and the broader impact on public hospitals and regional services.

What this means for you

Your cover and your rebate remain unchanged for now. There is nothing you need to do. You do not need to review your policy or make any decisions based on this bill.

We will keep you updated as things develop, and we are always here to talk through your cover and answer any questions you have.

Our ongoing commitment

As a not-for-profit health fund, we put people over profits. Looking after your interests will always come first.

We were proud to stand alongside our members, Members Health Alliance and other industry organisations, doctors, hospitals, community groups, and other health funds in this effort. Our advocacy will continue, and we will remain watchful on your behalf.

Thank you to our members who have spoken out

Many members contacted their Member of Parliament, signed our petition, or shared their personal story. Each of those actions helped make the case for a fair outcome. We are genuinely grateful to everyone who took the time to get involved.

Your questions answered

Has anything changed with my cover?

No. Your cover and your rebate stay exactly as they are today.

Could these changes come back in the future?

It is possible. The bill has been removed from the Senate's agenda for now, but the Government could choose to revisit this issue in future. We will keep a close eye on any further proposals and will let you know if anything changes that could affect your cover.

Where can I get help understanding my cover?

Our team is always here for you. If you have questions about your cover or your rebate, please get in touch, and we will be happy to talk through your options.

We'll continue to update this page to keep you informed as information becomes available.

Thank you for being a Westfund member. Protecting your access to quality, affordable care is what we're here for.