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What you need to know
Hospital waiting times for elective surgery are longer in the public system compared to private.
The average public hospital waiting time was 48 days during 2020–21.
Hospital waiting times for most procedures increased between 2019–20 and 2020–21 due to COVID-19.
Which treatments have the longest waiting lists?
Of the 25 most common surgeries in Australia during 2021–22, the longest waiting times in public hospitals were for:
Septoplasty
Surgery to correct a damaged nose bone: 315 days
Total knee replacement
Replacement of weight-bearing surfaces of the knee: 293 days
Myringoplasty
Repairing a hole in the eardrum: 259 days
Here's a breakdown of the longest median waiting times for specific treatments in Australia over the past 5 years:
Treatment
2017–18
2018–19
2019–20
2020–21
2021–22
Cataract extraction
87 days
84 days
98 days
172 days
158 days
Cholecystectomy
45 days
45 days
48 days
56 days
53 days
Coronary artery bypass graft
17 days
17 days
18 days
18 days
19 days
Cystoscopy
24 days
24 days
23 days
26 days
24 days
Haemorrhoidectomy
48 days
49 days
57 days
70 days
77 days
Hysterectomy
57 days
61 days
63 days
80 days
74 days
Inguinal herniorrhaphy
56 days
59 days
67 days
76 days
77 days
Myringoplasty
195 days
200 days
214 days
292 days
259 days
Myringotomy
66 days
62 days
65 days
76 days
72 days
Prostatectomy
46 days
44 days
44 days
54 days
48 days
Septoplasty
248 days
241 days
277 days
330 days
315 days
Tonsillectomy
121 days
125 days
130 days
253 days
168 days
Total hip replacement
119 days
119 days
120 days
179 days
153 days
Total knee replacement
198 days
209 days
223 days
308 days
293 days
Varicose vein treatment
101 days
108 days
129 days
223 days
208 days
Public hospital waiting times from state to state
Public hospital waiting lists in Victoria (25 days) were less than half that of those for Tasmanians (62).
Public hospital waiting lists in New South Wales were more than a fifth longer (55 days) than public hospital waiting lists in Queensland (36).
It takes twice as long to get elective surgery in the ACT (43 days) compared to the Northern Territory (30 days), on average.
State
Median elective surgery wait times (2021–22)
Public hospital waiting times in ACT
43 days
Public hospital waiting times in NSW
55 days
Public hospital waiting times in NT
30 days
Public hospital waiting times in QLD
36 days
Public hospital waiting times in SA
48 days
Public hospital waiting times in TAS
62 days
Public hospital waiting times in VIC
25 days
Public hospital waiting times in WA
43 days
State
Median elective surgery waiting times (2010–11)
Median elective surgery waiting times (2014–15)
Median elective surgery waiting times (2018–19)
Median elective surgery waiting times (2020–21)
ACT
76 days
45 days
48 days
49 days
NSW
47 days
54 days
56 days
68 days
NT
33 days
32 days
29 days
32 days
QLD
28 days
27 days
41 days
42 days
SA
38 days
37 days
41 days
50 days
TAS
38 days
55 days
57 days
65 days
VIC
36 days
29 days
28 days
28 days
WA
29 days
29 days
40 days
46 days
How do surgery hospital waiting lists work for public vs private patients?
Public hospitals
Public hospitals are often very busy, so they need to prioritise treatment in order of urgency.
You only need to go onto a waiting list for elective surgery (a procedure that isn't considered an emergency) such as cataract surgery or hip replacement.
If you choose to go through Medicare, you can access free or low-cost hospital care. Your elective surgery can be booked once you've received a specialist medical assessment. After the doctor has confirmed that you need surgery, you'll be placed on a waiting list.
Private hospitals
Private hospitals do have waiting lists for elective surgeries, but they're shorter than public waiting lists, on average. Private hospitals also allow you to choose the doctor you want and offer more flexibility on when you're treated, plus you can often get your own room.
The catch? Unlike Medicare, it's not free. You'll need a hospital insurance policy and if it's a pre-existing condition you want treatment for, like a bad knee, you'll need to have a policy for 12 months before you're covered.
Can wait times be waived if I'm a public patient?
Sometimes, wait times can be waived if you're a public patient, but only if your condition worsens and is considered an emergency. In most cases, the specialist will decide how urgently your procedure is needed and assign you to a specific urgency category. These are:
Category 1: Surgery recommended within 30 days.
Category 2: Surgery recommended within 90 days.
Category 3: Surgery recommended within 365 days.
What category are you?
You can use My Hospitals to find out how long you will likely have to wait for the surgery you need. If you feel your condition has worsened, contact your specialist and you may be reassigned to a more urgent category.
How can health insurance help me to meet the cost of a private treatment?
Once you've served the waiting periods (2 months for most conditions and 12 months for pre-existing conditions), your private health insurance policy will pay for 25% of the MBS fees associated with your procedure and Medicare will pay for the other 75%.
You may still have out of pocket expenses because doctors and surgeons can charge more than the MBS fee. For many people though, the price is worth it because you can get treated sooner.
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Frequently asked questions
The average wait time for elective surgery in a public hospital in Australia was 48 days in 2020–21, according to stats from the Australian Institute of Health and Welfare (AIHW). This was an increase from 41 days the previous year, largely due to restrictions put in place due to COVID-19.
The type of surgical procedure you need and the availability of services in your area will also impact wait times. Despite these mitigating factors, public waiting times are still painfully high for many across Australia.
Yes, you will still need to serve a waiting period as a private patient in a public hospital. However, you may not have to wait as long as a public patient. A report by the AIHW showed that the median waiting time for elective surgery was 42 days for public patients in a public hospital and 20 days for private patients.
Of course, private health insurance usually lets you get treated at a private hospital. Because public hospitals are generally much busier than private hospitals, this might be a better option if you want to get treated sooner.
Gary Ross Hunter is an editor at Finder, specialising in insurance. He’s been writing about life, travel, home, car, pet and health insurance for over 6 years and regularly appears as an insurance expert in publications including The Sydney Morning Herald, news.com.au, The Telegraph, Explore Travel and Escape. Gary holds a Kaplan Tier 1 General Insurance (General Advice) certification and a Kaplan Tier 1 Generic Knowledge certification which meets the requirements of ASIC Regulatory Guide 146 (RG146).
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