Operating rules for private health insurers and providers
What insurers offer and how they communicate with policy holders is governed by Australia’s private health insurance laws. Insurers, private hospitals and medical device sponsors must also comply with certain processes.
The Competition and Consumer Act 2010 also applies to the private health insurance sector.
- Policies and inclusions you can offer
Insurers must comply with Australian private health insurance laws when offering policies.
- Apply to increase premiums
How insurers can apply through the annual premium round to increase premiums.
- The Prostheses List
How insurers can use the list and how to apply to add new listings and change listings.
- Become second-tier default benefit eligible
How private hospitals can apply for second-tier default benefit eligibility.
- What insurers must tell policy holders
Insurers must tell policy holders certain things about their cover.