Key takeaways
- Gold and some Silver Plus hospital policies cover dialysis for chronic kidney failure.
- Private health insurance for dialysis starts around $175 per month.
- All policies for this treatment have a 12-month waiting period.
How much is private health insurance with cover for kidney dialysis?
Below you can find sample quotes from Finder partner funds. All policies include treatments for chronic kidney failure. All prices are based on a single individual with less than $105,000 income and living in Sydney.
Finder survey: Which conditions have Australians made hospital claims for?
| Response | Female |
|---|---|
| Dialysis for chronic kidney failure | 0.38% |
Finder Score - Hospital cover health insurance
Each month we analyse our hospital insurance products and rate each one on price and features. What we end up with is a nice round number out of 10 that helps you compare hospital cover a bit faster.
Before we start scoring, we need to make sure we're comparing like-for-like. Just as it doesn't make sense to compare a bicycle with a Ferrari, it doesn't make sense to compare basic hospital policies to top-tier Gold policies. Each policy is given a price score and feature score. These are then combined to determine each policies's Finder Score.
What is kidney dialysis?
Kidney dialysis is a type of treatment that's used when a patient develops end-stage kidney failure. Dialysis helps to return the body to balance by preventing waste, salt and water from building up in the body. It also helps to maintain a safe level of chemicals in your blood and helps to control blood pressure.
How can I cover the cost of chronic kidney disease and dialysis treatment?
There are a number of ways for you to potentially receive benefits for chronic kidney disease and dialysis, both through the public and private health systems.
- Medicare. The government-funded universal health system includes dialysis treatment in the Medicare Benefits Schedule (MBS).
- GP Chronic Condition Management Plan (GPCCMP). If you need ongoing, structured care for kidney disease, your GP may prepare a GP chronic condition management plan, which can give you rebates towards allied health services. These plans replaced GP Management Plans and Team Care Arrangements on 1 July 2025, and there is no fixed list of conditions or six-month rule - eligibility is your GP's clinical judgement. If you had a plan in place before 1 July 2025, you can keep using it until 1 July 2027.
Below you can see the various types of dialysis treatment and surgical procedures covered by Medicare:
- Dialysis for chronic renal failure
- Haemodialysis
- Haemofiltration
- Haemoperfusion
- Peritoneal dialysis
- Surgical procedures
- Explorative kidney surgery
- Private health insurance. The amount of cover you receive for kidney related treatments will depend on how comprehensive your hospital insurance is:
- Gold policies always cover dialysis. "Dialysis for chronic kidney failure" is a minimum requirement of the Gold tier.
- Silver and Bronze policies only cover dialysis if that category has been added on top of the tier minimum, which insurers usually sell as a "Plus" policy. Without it, no benefit is payable.
- Basic policies do not cover dialysis unless the category has been added, and at Basic level an insurer is allowed to offer it on a restricted basis - meaning you are only covered as a private patient in a public hospital.
You can use the table below as a quick reference. Dialysis for chronic kidney failure is a minimum requirement of Gold only, while kidney and bladder surgery is a minimum requirement from Bronze up, so check which clinical categories your policy lists:
| Kidney treatment | Gold | Silver or Bronze | Basic |
|---|---|---|---|
Dialysis for chronic renal failure:
|
|
|
|
Surgical procedures:
|
|
|
|
Compare health insurance in just a few clicks
Frequently asked questions
-
All private health insurance policies have a 12-month waiting period for pre-existing conditions including dialysis for chronic kidney failure. This means you generally cannot claim for dialysis treatment for the first 12 months of your cover.
-
Yes you can still get private health insurance if you have a pre-existing kidney condition. However waiting periods will apply. For chronic conditions like kidney disease resulting in dialysis you will typically need to serve a 12-month waiting period before you can claim benefits for related hospital treatments. It is important to disclose all pre-existing conditions to your health fund when you apply for cover.
-
Medicare covers dialysis treatment in public hospitals for free as an inpatient but you may need to wait a long time. It also offers a limited benefit for home dialysis but this is often not enough to cover the full cost of equipment, supplies and support. Private health insurance, particularly Gold or some Silver Plus hospital policies, can cover the costs of dialysis in a private hospital allowing you to choose your doctor and potentially reduce waiting times. It can also provide more comprehensive support for home dialysis expenses.
-
Yes Gold level private hospital policies typically cover kidney transplants as part of their comprehensive benefits. This includes the hospital stay, surgeon's fees and anaesthetist's fees for the transplant surgery. There is usually a 12-month waiting period for pre-existing conditions like kidney failure before you can claim for a transplant. Ensure you check your policy details as specific benefits and any out-of-pocket costs can vary between funds.
-
With private health insurance for dialysis you may still face some out-of-pocket costs. These can include your policy excess or co-payments for hospital stays. There might also be gaps between what your health fund and Medicare pay and what your doctors specialists or anaesthetists charge. For home dialysis costs not fully covered by your private policy such as specific supplies or ongoing equipment maintenance may also be out-of-pocket expenses.
-
Some private health insurance policies, particularly those at the Gold or Silver Plus tiers, may offer benefits for home dialysis equipment and supplies. While Medicare provides a very limited benefit for home dialysis, private health funds can help cover the cost of machines consumables and nursing support. It is essential to confirm with your chosen health fund exactly what is included in their home dialysis program as coverage can vary significantly.
Sources
Gary Ross Hunter has over 6 years of expertise writing about insurance, including life, health, home, and car insurance. Having reviewed hundreds of product disclosure statements and published over 800 articles, he loves simplifying complex insurance topics for everyday readers. Gary has contributed to major outlets like Yahoo Finance, The Sydney Morning Herald, and news.com.au, and holds a Bachelor of Arts (Honours) in English Literature from the University of Glasgow, along with a Tier 2 General Advice certification, ensuring his work adheres to ASIC’s RG146 standards. See full bio
- Health, home, life, car, pet and travel insurance
- Managing the cost of living
James Martin was the insurance editor at Finder. He has written on a range of insurance and finance topics for over 7 years. James often shares his insurance expertise as a media spokesperson and has appeared on Prime 7 News, Insurance News, 7NEWS and The Guardian. An experienced journalist, James' work has featured in publications including The Irish Times, Companies100 and In Business. He holds a Tier 1 General Insurance (General Advice) certification and a Tier 1 Generic Knowledge certification, both of which meet the requirements of ASIC Regulatory Guide 146 (RG146). See full bio
- Car, home, life, health, travel and pet insurance
- Managing the cost of living
- Money-saving tips
Get rewarded $$ for switching with Finder Rewards
Find a better deal, save on your bills and get a free gift card. Sign up to be the first to hear about new Finder Rewards.
More guides on Finder
-
How does health insurance cover brain surgery?
Compare public and private health insurance for brain treatment.
-
Health insurance for endometriosis
Find health insurance for endometriosis. Compare Medicare and PHI options and see how affordable cover can be.
-
Varicose Vein Treatment
You can get cover for varicose vein treatment with Medicare or a Silver Insurance Policy, provided the treatment is medically necessary. Compare the costs of both below.
-
Health insurance for Colonoscopies
Colonoscopies can be a very common requirement as you get older, this guide walks you through your options.
-
Health insurance for excess skin removal
You've lost a lot of weight. Lose the extra skin with excess skin removal and reveal the shape you've built underneath.
-
Cataract surgery costs
We break down the cost of cataract surgery in Australia for those with and without insurance.
-
Health insurance tiers
Find out what health insurance tiers mean and how much you’ll pay.
-
How much does an MRI cost?
How much does it cost to have an MRI and how much of that expense is covered by Medicare and private health insurance? Find out here.
-
Health insurance for MRI scans
Does health insurance cover MRI scans, and if so, for what treatments?
-
Hospital waiting times
Find out how private and public hospitals compare in terms of wait times and safety. Can private health insurance get you treatment where public hospitals can't?