PHI 67/24 2025 Private health insurance premium round applications

Private health insurance announcement.

Date published:
PHI circular type:
PHI announcement
Audience:
Health sector

Annual premium round

This circular provides information about the 2025 private health insurance (PHI) premium round. Arrangements for the application process requesting PHI premium rate changes have been determined in consultation with private health insurers and the Australian Prudential Regulation Authority (APRA).

The Department of Health and Aged Care (the department) coordinates the annual premium round. The department and APRA assess all applications to ensure requested increases are justified. The department will consult with APRA throughout the assessment process.

Timetable

Private health insurers requesting changes to premiums are to submit their application form no later than 3pm AEST on Wednesday 13 November 2024.

The timetable for the 2025 Premium Round is as follows:

Friday, 20 September 2024PHI Circular released to inform industry of timeline and release of final application form.
Wednesday, 13 November 2024

Applications due by 3pm. 

The Department of Health and Aged Care and the Australian Prudential Regulation Authority’s assessment of applications commences.

December 2024 to 31 January 2025

(Indicative only – subject to Minister’s consideration of applications)

Insurers notified of outcome outside business hours.
Tuesday, 1 April 2025Premium changes take effect.

Submission of applications

Applications should be submitted via the Health Data Portal, a cloud-based Department of Health and Aged Care owned file transfer system.

Private health insurance premium application form

Applications are to be submitted in the forms provided and consistent with the detailed guidance at Attachment A and B