GMHBA Premium Review 2019

GMHBA is a not-for-profit organisation and every decision is made with our members in mind. Our comprehensive range of health insurance products provides you with peace of mind when it comes to your health.

Health insurance premiums are reviewed each year by every health insurer. Premium changes take effect from 1 April 2019. GMHBA is a not-for-profit organisation and every decision is made with our members in mind. Our comprehensive range of health insurance products provides you with peace of mind when it comes to your health. For further information check out our FAQ’s.


  • In the 2018 financial year, for every dollar received in premiums, 87 cents were paid to our members in benefits*
  • GMHBA agreements reduce out of pocket medical and pathology costs
  • Get help to navigate the complex health system and understand possible out-of-pocket costs
  • Choose your specialist
  • Avoid long public hospital waiting lists
  • Claim on extras services like dental and physio to keep you well
  • Access a range of programs as part of your membership, including preventative health, chronic disease management, post hospital support and new family programs
  • Free health seminars on a range of popular health topics by specialists
  • Access globally renowned health and wellness rewards program, AIA Vitality

Last financial year we:


Increased our benefits paid by $40m


Paid $158,204 for one an acute subendocardial myocardial infarction (highest claim of FY18)


Paid $562m in annual benefits


Increased optical benefits for members with extras products, exclusive to GMHBA Eye Care practices.


Partnered with to make dental care more affordable and accessible for our members across Australia.


Introduced our Health Navigation Line, for members to access information, guidance, referrals and health coaching.

Source: GMHBA Annual Report 2018 including all GMHBA Limited health insurance brands including


Why do health insurance premiums increase?

Put simply, health insurance premiums go up because healthcare costs increase year-on-year. Costs are driven by:


Growing demand on services with more people accessing more services than ever before


Increased cost of health service delivery


An ageing population and people living longer


Increases in chronic conditions


New medical technologies and treatments


The Australian Government Rebate tier percentage decreasing each year


Frequently Asked Questions

The industry average is calculated using the figures from all health insurers in every state, across all products. That’s why increases in the premiums of some products will be higher, while others will be lower.

We review the premium of each product individually and make changes based on the type of product (e.g. hospital or extras, level of cover), claiming activities and the state that members live in. These changes are needed to make sure the fund and our products are sustainable and we can keep paying claims.

Australia’s private health insurance is based on a system of community rating. All members pay the same premium for the same policy and insurers cannot discriminate against members based on health status or claims history. This system is intended to keep health insurance fair and accessible for all Australians.

Healthcare service costs and the CPI go up at different rates. Healthcare costs are currently rising faster than the average cost of the selected range of goods used to calculate CPI.

Review your cover

Make sure you’re only paying for what you’re likely to need. We can assess your cover and see if you’re on the right cover for your needs. We have a range of affordable policies to suit your needs and budget.

Contact us for a cover review 

Make the most of your extras - if you've got them

Check your cover to find out which extras you can claim benefits towards. Then you’ll get better value because you’ll use more of the benefits you’re entitled to.

Log in to Member Area

If you still haven’t received it by 1 April, you can find it by logging in to your member area in your communications area.

View your communications

The reforms are being introduced across the private health insurance industry. There are a number of mandatory changes which will affect all health funds. The reforms are designed to address the affordability of private health cover in Australia and make private health insurance easier to choose and use. For GMHBA members, there may be some changes to your health insurance policy as a result of the reforms.

For more specific information about the reforms to private health insurance, click here



*GMHBA Ltd AUstralian Health Insurance only.