NSW Health Insurance

Prices can vary by $359 a month, so it pays to compare health insurance in NSW.

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Finder is based in Sydney, so we get that NSW isn't a cheap state to live in — which is why every penny counts. By comparing NSW health insurance policies, you can pick out the benefits you need and save by ditching the stuff that you don't.

Compare NSW health insurance options

We've picked out some combined health insurance policies for you to compare below. All prices quoted are based on a single policy in Sydney to give you a good idea of what you can expect to pay.

Name Product Hospital treatments Extras included Hide More Info Button Hide CompareBox Price Per Month Apply
HCF My Future Basic Plus
    • 14 hospital services
    • Ear, nose and throat
    • Joint reconstructions
    • Dental surgery
    • $600 Combined extras limit
    • Physiotherapy
    • Chiropractic
$94.45
Get discounts on gift cards from Myer, Woolworths, Rebel & more.
Frank Freedom Saver Flexi-Bundle (Basic+)
    • 9 hospital services
    • Plus theatre surgery costs and shared or private room
    • Emergency ambulance
    • $700 combined extras limit
    • Plus 100% back on $150 Optical
$100.05
HBF Bronze Hospital Plus + Flex 50
    • 28 hospital services
    • Ear, nose and throat
    • Joint reconstructions
    • Dental surgery
    • $800 Combined extras limit
    • Physiotherapy
    • Chiropractic
$111.77
Join HBF by 30 June 2021 on eligible Hospital and Extras cover and get 6 weeks free after 6 months. T&Cs apply.
ahm lite flexi bronze plus
    • 24 hospital services
    • Ear, nose and throat
    • Joint reconstructions
    • Dental surgery
    • $800 Combined Routine dental
    • Physiotherapy
    • Chiropractic
$130.60
Medibank Bronze Everyday + Top Extras
    • 19 hospital services
    • Bone, joint and muscle
    • Eye (not cataracts)
    • Hernia and appendix
    • Ambulance services
    • $800 General dental
    • $200 Optical
$141.05
Get 6 weeks free + Waive 2 & 6 months waiting periods.
Peoplecare Bronze Hospital  & Mid Extras
    • 24 hospital services
    • Eye (not cataracts)
    • Pain management
    • Bone, joint & muscle
    • $200 Optical
    • $300 Pharmacy
    • Ambulance
$144
Finder Exclusive: Get 6 weeks free + Waive 2 & 6 months waiting periods.
Qantas Silver Hospital + Lifestyle Extras
    • 32 hospital services
    • Emergency ambulance cover
    • Dental surgery
    • Palliative care
    • $600 General dental
    • $350 Physiotherapy
    • $300 Chiro & Osteo
$166.05
Earn up to 110,000 points + Skip the waits for 2 & 6 month waiting periods.
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Compare up to 4 providers

What membership and coverage do NSW residents have?

According to the statistics from APRA, as at 31 December 2016, 11,327,512 people, or 46.6% of the Australian population, were covered by hospital treatment cover. This was down 0.2% compared to the September 2016 quarter, but was an overall increase of 19,048 people over the year since December 2015.

In NSW, the number of people with hospital cover was slightly higher than the national average, with 47.6% having cover as at 31 December 2016, although this was nowhere near as dramatic as in Western Australia (54.7%) or ACT (57.7%).

As at 31 December 2016, 13,463,257 people, or 55.4% of the Australian population, had some form of general treatment (extras) cover. This was an increase of 7,759 people compared to the September 2016 quarter and an overall increase of 110,093 people since December 2015.

In NSW, the percentage of those with general treatment cover was again above the national average at 57.4% and again overshadowed by WA (68.2%) and ACT (68.4%).

The largest health funds in NSW are Bupa, with a market share of 25.7%, followed by Medibank, with a market share of 23.5%, and HCF, with a market share of 19.8%.

What are the out-of-pocket payments in NSW?

APRA statistics reveal that, as at 31 December 2016, the average out-of-pocket (gap) payment for a hospital episode was $275, which is a 5.8% reduction year-on-year. The average out-of-pocket payment for general (extras) medical services was $48, an increase of 1.4% since 31 December 2015.

Overall, the average gap payment across all services was $18.06, compared with NSW where it was slightly higher at $23.54.

How is the gender split in NSW?

When broken down into gender, more women than men held both hospital and extras cover in Australia as at 31 December 2016, with 5,835,238 women having hospital cover vs 5,492,274 men and 6,324,101 women having general cover vs 5,920,939 men.

In NSW, this was also the case, with 1,906,034 women having hospital cover vs 1,798,661 men and 2,091,791 women having extras cover vs 1,975,623 men.

Do people choose hospital or extras cover?

The APRA statistics show that more Australians have extras cover (55.4%) than hospital cover (46.6%), but coverage rates remain reasonably healthy for both.

This is also the case in NSW, where those with extras cover make up 57.4% of the total population, while those with hospital cover only account for 47.6%.

What are the demographics

According to the APRA report, those Australians with private health insurance can be broken down into the following age groups:

  • 0-14 years: Hospital (17.9%) and extras (18.8%)
  • 15-64 years: Hospital (65.0%) and extras (66.2%)
  • 65+ years: Hospital (17.0%) and extras (15.0%)

The statistics show that the largest net increase in hospital cover was 5,495 for the 70 to 74 age group and the largest net decrease in extras cover was 15,068 for those in the 25 to 29 age group.

This age distribution is consistent across all states and territories including NSW, with the most noticeable aspect being an under-representation in the younger age categories, particularly the 25 to 29 age group.

Picture: Shutterstock

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