2017–18 Private Health Insurance Statements

Category: Member news & services

Your Private Health Insurance Statement will be available in your member area from 14 July 2018. If you have not used your member area before, you can register now or reset your password if you have forgotten it.

Your tax information is sent to the Australian Taxation Office (ATO) by July 5. This means from July 5 if you see an accountant they may already have your tax information at your appointment, or if you do your tax online your health insurance details should be pre-filled.

Private Health Insurance Statements

At the end of each financial year, all health insurers are required to issue Private Health Insurance Statements for memberships that have held an appropriate level of cover at some point during the last financial year.

Frequently Asked Questions

Your Private Health Insurance Statement will be available in your member area no later than 14 July 2018. You will receive a notification via email or SMS when it has been uploaded even if you are not a current GMHBA member.

If you haven not registered your email address with us, we will post your Private Health Insurance Statement to you.

If you have held health cover this financial year, you will receive a Private Health Insurance Statement. The ATO requires health funds to send Private Health Insurance Statements to each adult on a health insurance policy. It is important to note that a dependant over 18 is not considered an adult. If your family situation has changed within the financial year, each adult that was listed on the membership during the year will receive an individual statement.

We’ve created a sample Private Health Insurance Statement which provides details about the information included on the statement.

Dependent children do not get their own statement because they cannot claim the rebate. As a dependent child, you may need to complete the private health insurance policy detail section of your tax return to ensure you are not charged the Medicare Levy Surcharge (if your income is above the threshold). To complete the private health insurance section of your tax return, you will need to obtain a statement from one of the adults covered on the policy.

Your Private Health Insurance Statement will only show the payments we received during the last financial year. If you paid for all, or most, of your premiums prior to 30 June 2017 this amount will not show on this Private Health Insurance Statement.

At the bottom of your Private Health Insurance Statement there are three boxes, Total payments for the policy, Total Australian Government rebate received by the fund and Total cost of policy.

For some members these figures may not add up. This could be because you have Lifetime Health Cover LHC loading on your policy and the rebate is not applied to the LHC loading portion of your premium. More information is available about LHC if you need it.

If you are on V Plus Bronze Package, V Plus Silver Package or a V Plus Gold Package you have access to the AIA Vitality program. The Australian Government Rebate does not apply to all your premium. The rebate can only be applied to the portion of your insurance that is considered a compliant health insurance product as determined by the Private Health Insurance Act 2007.

There are two rows of information on your Private Health Insurance Statement because of the way the private health insurance rebate is calculated.

On 1 April each year your rebate percentage is adjusted by a rebate adjustment factor. One row of information on your statement will be for the premiums paid and rebate received before 1 April, and the other row will be for premiums paid and rebate received from 1 April.

Each row will have a different benefit code

The LHC loading is a Federal Government initiative to encourage people to take out hospital cover earlier in life. For every year that you are aged over 30 and do not have eligible hospital cover, you incur a 2% loading on top of your base premium. If you have hospital cover or have held it at some time in the past financial year, you will receive a statement for your records - even if you don't have a loading.

More information is available about LHC if you need it.

Your CAE is based on the age you were on 1 July prior to you first taking out hospital cover. This is used to calculate your LHC loading.

This is any time that you have not held hospital cover within the financial year. This could be due to joining part way through the year, change of cover or the cancellation of your membership.

You have received an amended Private Health Insurance Statement as one of the following changes have been made to your Membership since we issued your previous Private Health Insurance Statement.

Refunds - If a refund was made on or after 1 July for premiums received on or prior to 30 June.

Dishonour of premiums - If a dishonour of premium receipt was processed on or after 1 July, for a payment that was received initially on or prior to 30 June.

Disbursing a receipt - If a receipt received in the previous financial year is reversed and disbursed (transferred) to another membership.

Backdated Membership Cancellation - If a cancellation of a policy was processed on or after 1 July, where the cancellation effective date was on or prior to 30 June.

Backdated Person changes - If a person termination or addition was processed on or after 1 July, where the effective date was on or prior to 30 June.

Backdated Plan change where hospital cover was dropped or added - If a plan change involving removal of hospital cover was made on or after 1 July, where the effective date of the change is on or prior to 30 June.

Since 2013, the ATO requires health funds to send Private Health Insurance Statements to each individual adult on a health insurance policy. A dependant is not considered an adult even if they are over 18. If your family situation has changed within the financial year, each adult that was listed on the membership will receive an individual statement.

I need more information regarding my statement/s, where is the best place to get it?

For more information regarding your Private Health Insurance Statement, we recommend that you:

  • contact your tax professional
  • call the ATO on 13 28 61 or visit the ATO website