Date published:
PHI circular type:
Hospital announcement
The Australian Government Rebate on private health insurance (PHI) is annually indexed on 1 April by a Rebate Adjustment Factor (RAF) representing the difference between the Consumer Price Index (CPI) and the industry weighted average increase in premiums. The RAF calculation is set out in the Private Health Insurance (Incentives) Rules 2012 (No. 2).
The RAF for 2026 is 0.993 and the industry weighted average premium increase for 2026 is 4.41 per cent. The PHI Rebate tiers for 1 April 2026 to 31 March 2027 are as follows:
Base Tier | Tier 1 | Tier 2 | Tier 3 | |
| Under 65 | 24.118% | 16.079% | 8.038% | 0.000% |
| 65 – 69 | 28.139% | 20.098% | 12.058% | 0.000% |
| 70+ | 32.158% | 24.118% | 16.079% | 0.000% |