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.
We update our data regularly, but information can change between updates. Confirm details with the provider you're interested in before making a decision.
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.
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.
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