Private Health Insurance industry updates
We publish quarterly updates about the complaints we receive about private health insurance – these include complaints data, complaints trends and learnings from complaints. To help understand the terms used, please read this glossary:
2025
- Private Health Insurance - Quarterly Update 115: July to September 2025 - Lifetime Health Cover complaints; ACCC and Bupa proceedings regarding Mixed Coverage Claims
- Private Health Insurance - Quarterly Update 114: April to June 2025, with annual summary of 2024-25
- Private Health Insurance - Quarterly Update 113: January to March 2025
Previous updates
- Private Health Insurance - Quarterly Update 112: October to December 2024 - Hospital agreement dispute between Healthscope, Bupa and AHSA
- Private Health Insurance - Quarterly Update 111: July to September 2024 - Statement of Expectations and
Statement of Commitments - Private Health Insurance - Quarterly Update 110: January to March 2024 and April to June 2024 - presentation of total benefits paid vs benefits paid by insurers, multiple item number admissions with part coverage, and an Annual Summary of the 2023-24 financial year.
- Private Health Insurance - Quarterly Update 109: October to December 2023 - Complaint backlog and Type C issues paper
- Private Health Insurance - Quarterly Update: 1 July to 30 September 2023 – Complaint statistics and Defence Health systems upgrade
- Private Health Insurance - Quarterly Update: 1 April to 30 June 2023 - Best practice guidance for insurers: presenting information on general treatment benefits as percentages, Insurer survey on Type C certificates, Pre-existing condition (PEC) cases, and annual summary 2022-23
- Private Health Insurance - Quarterly Update 106: January to March 2023 - Complaint handling statistics and the Commonwealth Ombudsman's Complaint Handling Forum
- Private Health Insurance - Quarterly Update 105: October to December 2022 - Complaint statistics, HCF-Healthscope contract dispute, and rule change notifications.
- Private Health Insurance - Quarterly Update 104: July to September 2022 - Complaint statistics, Medibank cyber incident, Private Health Insurance Ombudsman Issues paper, and lessons on assessing medical information in organisations.
- Private Health Insurance - Quarterly Update 103: 1 April to 30 June 2022 and Annual Summary - complaint statistics, Peoplecare/Allianz overseas student health cover refund complaints, and hospital and health insurer negotiations.
- Private Health Insurance - Quarterly Update 102: 1 January to 31 March 2022 - - complaint statistics, payment of claims for Type C procedures, Lifetime Health Cover deadlines, and guidance for complaint handlers dealing with risks of harm.
- Private Health Insurance - Quarterly Update 101: 1 October to 31 December 2021 - complaint statistics, insurer rule changes, and what to do when you're planning a hospital admission.
- Private Health Insurance - Quarterly Update 100: 1 July to 30 September 2021 - complaint statistics, advice on Lifetime Health Cover rules for 491 and 494 Regional Working Visas holders, and verbal advice complaints.
- Private Health Insurance - Quarterly Bulletin 99: 1 April to 30 June 2021 - complaint statistics, dependents legislation, persistent complainants, and 2020-21 in focus.
- Private Health Insurance - Quarterly Bulletin 98: 1 January to 31 March 2021 - complaint statistics, COVID-19 complaints, the Lifetime Health Cover mailing, dependents legislation, and Ombudsman advice to stakeholders.
- Private Health Insurance – Quarterly Bulletin 97: 1 October to 31 December 2020 - complaint statistics, COVID-19 complaints, and premium increases.
- Private Health Insurance - Quarterly Bulletin 93: 1 October to 31 December 2019
- Private Health Insurance - Quarterly Bulletin 92: 1 July 2019 to 30 September 2019
- Private Health Insurance - Quarterly Bulletin 91: 1 April 2019 to 30 June 2019
- Private Health Insurance - Quarterly Bulletin 90: 1 January 2019 to 31 March 2019