⚠️ Health insurance premiums rise 1 April 2026 — average 4.41% increase. Review your cover now →
Tax & Rebates

Private Health Insurance Government Rebate

The Australian Government subsidises private health insurance for most Australians — reducing your premium by up to 24.288% in 2025–26. Here's exactly who qualifies, how much you get, and how to make sure you're claiming it.

24.288%
Max rebate (singles ≤$101k, under 65)
$101k
Singles income threshold for full rebate
0%
Rebate for singles earning $158,001+

What Is the Private Health Insurance Rebate?

The Private Health Insurance Rebate is a government contribution toward the cost of your private health insurance premium. It was introduced to encourage Australians to take out private cover and reduce demand on the public hospital system.

The rebate is income-tested — meaning higher earners receive a smaller percentage (or no rebate at all). It applies to both hospital and extras cover. You can claim it in two ways:

Premium reduction (recommended)
Your fund applies the rebate as a monthly discount. You pay less every month. Simpler — no forms at tax time.
Tax offset
You pay full premiums all year, then claim the rebate amount as an offset when you lodge your tax return.

2025–26 Rebate Rates by Income Tier

Current rates from 1 July 2025 to 31 March 2026:

TierSingles incomeFamily incomeUnder 6565–6970+
Base≤$101,000≤$202,00024.288%28.337%32.385%
Tier 1$101,001–$118,000$202,001–$236,00016.192%20.240%24.288%
Tier 2$118,001–$158,000$236,001–$316,0008.095%12.143%16.192%
Tier 3$158,001+$316,001+0%0%0%

Rates apply 1 July 2025 – 31 March 2026. Family thresholds increase by $1,500 per dependent child after the first. Source: privatehealth.gov.au — Private Health Insurance Rebate

Are you claiming your full rebate?

Our agents show you exactly what your cover costs after the government rebate — so you see the real price, not the sticker price.

See my rebate-adjusted price

What the Rebate Means in Real Dollars

On a hospital policy at $150/month before rebate, here's what you actually pay by tier:

Base (24.288%)
~$114/mo$432/yr saving
Tier 1 (16.192%)
~$126/mo$288/yr saving
Tier 2 (8.095%)
~$138/mo$146/yr saving
Tier 3 (0%)
$150/moNo rebate

†Example based on $150/month policy for singles under 65. Actual premiums vary by fund, policy, and state.

What to Do if Your Income Changes

Your rebate tier is based on your estimated income for the current financial year. If your income changes — promotion, redundancy, change in hours — your rebate entitlement changes too.

  • Notify your fund any time to adjust your nominated rebate tier
  • Claimed too much? You repay the difference at tax time via your return
  • Claimed too little? You receive the balance as a tax offset when you lodge

Our agents help you work out the right tier to nominate based on your estimated income — so there are no surprises at tax time.

Common Questions

Does the rebate apply to extras-only cover?+
Yes — the rebate applies to both hospital and extras (general treatment) policies. If you have combined hospital + extras cover, the rebate applies to the total premium.
How do I change my rebate tier with my fund?+
Contact your fund directly — by phone or online portal — and nominate your new tier. Most funds update this within 1–2 billing cycles.
What income does the ATO use to assess my rebate?+
The ATO uses your "income for surcharge purposes" — taxable income plus reportable fringe benefits and total net investment losses. This is calculated when you lodge your tax return.
Do seniors get a higher rebate?+
Yes — Australians aged 65–69 and 70+ receive higher rebate percentages at each tier. See the table above for exact rates by age group.

Compare cover with the rebate already applied

We show you what you actually pay — after your government rebate — so there are no surprises when your first bill arrives.