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Report
Report to the Australian Senate
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On anti-competitive and other practices by health insurers and providers in relation to private health insurance

Report to the Australian Senate: for the period 1 July 2024 to 30 June 2025
Publisher
Regulatory enforcement Sector regulation Competition regulation Consumer protection Private health insurance Australia
Description

The report provides an update on competition and consumer issues in the Australian private health insurance industry between 1 July 2024 and 30 June 2025. The report focuses on continued insurer actions taken to return profits to policyholders which were gained from fewer claims during the COVID-19 pandemic, as well as relevant Australian Competition and Consumer Commission (ACCC) enforcement action, competition exemptions, and exclusive dealing notifications related to the private health insurance industry.

Key findings

  • Insurers continued to return permanent claims savings from COVID-19 restrictions to policyholders towards meeting their public commitments not to profit from the pandemic.
  • A small proportion of insurers still have planned givebacks totalling around $290 million to return further permanent claims savings to policyholders.
  • The combined figure for all insurer givebacks totals around $5.06 billion, which exceeds the insurers’ combined assessed permanent claims savings of around $4.84 billion.
  • The ACCC received 186 contacts (enquiries and reports) about private health insurance in 2024–25, a 22% increase from 2023–24. 

The report is accompanied by an audio option.

Publication Details
License type:
CC BY
Access Rights Type:
open