How Means Testing Will Affect You And All Australians

Private Healthcare Australia CEO Michael Armitage has said the move to means test the 30% rebate would cause high-income earners to leave private health insurance, forcing low-income earners remaining in the funds to pay more.

The impact on those directly affected by the means test is likely to be that a lower rebate, or no rebate, would mean for many Australians the cost of health cover would increase dramatically. Families or individual who lose their rebate altogether would actually see the cost of their health cover go up by 42%.

Research conducted by leading market research company ANOP / Newspoll and a new Report by financial experts Deloitte (“Economic Impact Assessment of the Proposed Reforms to Private Health Insurance”) has estimated that many health fund members would drop or downgrade their cover and that as a consequence premiums would rise for those who remain and there would be significant additional burden on the public health system.

The ANOP/Newspoll survey found that that of those directly affected by the means test, 11% would drop their hospital cover and another 24% would downgrade while 18% would drop their ancillary (general) cover and another 34% would downgrade.

Deloitte estimates that in the first year 175, 000 Australians would drop their hospital cover and a further 538,000 would downgrade. 554,000 Australians would drop their ancillary (general) cover and 803,000 would downgrade.

Over five years:

1.6 million people would drop their hospital cover, and 4.3 million downgrade.

2.8 million people would drop their ancillary (general) cover and 5.7 million downgrade.

Those dropping their cover would be those less likely to have claimed healthcare benefits. To compensate for the loss of these members Deloitte estimates that in the five years after the means test is applied health funds will be forced to increase premiums by 10% more than would otherwise have been necessary.

This increase will affect everyone with health insurance. as the loss of health fund members would mean a significantly increased burden on the public health system.

Data from the Productivity Commission Report released shows is that private hospitals are the great equaliser as they perform the majority of elective surgery on patients from disadvantaged socio-economic backgrounds. For every 1000 people, private hospitals provide elective surgery for 83 patients who are disadvantaged as compared to 72 people treated in the public system. This dispels the popular myth that public hospitals treat a “sicker” group of patients by virtue of the socio-economic status of those patients (the commission also found the private hospitals treat proportionately more elderly patients).

Now that the Productivity Commission has released their final report, it is clear that the federal government should be encouraging the thousands of Australians who take responsibility for their health by paying for private health insurance to stay in the private system. If the means testing legislation is passed, the Treasury has estimated that thousands will drop their insurance and will become more of a burden on a public system already stretched to overcapacity. This will lead to longer wait times, which surely are unfair on those who rely on and use the public system. Furthermore, the commission’s findings indicate that any shift in use from private to public hospitals will lead to a higher overall cost to the health system and hence to the taxpayer.

Australians currently enjoy the benefits of a strong, balanced health care system. Means-testing the 30% Rebate on Private Health Insurance will put that at risk. If greater investment in the public system is required, the governments should respond, but not by removing resources from the sector that efficiently and safely treats 40 per cent of all patients. Because of the partnership between the two systems, if people leave private health insurance, the cost of providing private health insurance and public health care both rise.

In 2008-09, private hospitals in Australia performed procedures that Private Healthcare Australia estimates would have cost the public hospital system over $11 billion to carry out. The cost of supporting private health insurance through the 30% Federal Government rebate in 2008-09 was significantly less at $3.9 billion.

Does private health insurance favour older people and the benefits they need? No. In fact, private health insurance funds often pay claims of $50,000 to $100,000 – sometimes even more – to patients aged under 30. Private health insurance is structured fairly, with benefits to suit all ages and all health needs.

The Federal Government’s Private Health Insurance Rebate encourages people to not only join private health insurance but also to remain insured. The rebate, together with reforms including Lifetime Health Cover and the Medicare Levy Surcharge have helped to redress the previous imbalances in the Australian health insurance system.

In fact, it would cost the Federal Government more to allow private health insurance to diminish than to continue to support people who choose it. If private health insurance disappeared, the cost of providing public hospital treatment for the same number of patients would escalate dramatically.

Comments

  • Tina
    13 June 2013

    I had just decided to go back into the private health sector. with this new reform I will now either have to freeze through winter, not eat enough or cancel my new policy!!! thank you very much Juliar! and you, you silly woman plebersick!

  • John Chud
    23 June 2012

    And what about people like myself that dont use the health system, i havent seen a doctor for about 6yrs, i get a cold and funny thing is use remedies that my grandmother taught me, never been to hospital, so why am i paying $3200 a year, this to reduce the ever increasing tax blight, now i read that in the future the burden will be an ever increasing factor on the middle/lower income australians.

    Its about time the government got out of the little house on the prairie and come down to where you and i live, in normalville.
    Stop using the American system that has failed so many times.

  • Kathryn
    16 February 2012

    It’s so typically short sorted. The average Australian couple will be penalised, not the high income earners! The level which the means test is set at is what a couple has to earn to pay record high mortgages. Look after the ‘Average’ Australian Julia, this is ridiculous. I ask the question, if the money is been put back into ‘general revenue’ let the public see an itemised summary of where it will be spent or we can kiss it goodbye, like the carbon tax.

  • Jason Rolph
    15 February 2012

    It took about 30 seconds for HCF to send me a “please don’t go” email and about 35seconds to lodge my request for my health fund to completely cancel my membership.

  • Ian McKenzie
    14 February 2012

    So the health minister, Tanya Plibersek wants to means test the health insurance rebate and says it’s not appropriate for lower and middle income Australians to be subsidising the health insurance of millionaires. My family has 2 incomes, 5 kids, a mortgage and will have our rebate cut under her plans – and I am certainly not a millionaire (or even close). And I am quite sure lower and middle Australia is not subsidising my health care. In fact when we go to hospital we use private hospitals – so public beds are available for those who genuinely can’t afford health cover.

    I’d go so far as to suggest that if my family and the many families like mine chose not to have private cover – but instead relied on the public system, Ms Plibersek’s lower and middle income Australians would either pay a lot more in the form of the compulsory Medicare levy or God forbid, wait even longer for the free treatment the Government is supposed to provide – and most likely both.

    I’m afraid Ms Plibersek has been spending way to much time with the Government spin doctors. My $3600 per year health cover premium (paid out of my pocket in after tax dollars) eases the financial burden on the Government and in fact helps keeps Medicare affordable for lower and middle income Australians who cannot afford, or choose not to have private cover.

  • Kay Harwood
    9 February 2012

    By means testing the rebate many people will simply drop out and the impact on an already overworked public system will be huge Wake up Julia unlike you the average Australian can’t print money and go into debt

  • David Douglass-Martin
    16 July 2011

    This is scary! Partly self funded retirees like myself who are already struggling to provide adequate insurance cover for our own expected health costs will be adversley affected by any increase that results from the Govt. proposed attack on the rebate. It makes no sense to penalise those who wish to provide for themselves rather than rely on an already overstretched public health service. Rather the Govt. should be doing all that it can to encourage private health insurance & by so doing save on the cost to their health budget.




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