How does the private health insurance rebate work?
The Australian Government rebate is a contribution towards the cost of eligible private health insurance premiums, including hospital and extras cover. The amount you receive depends on your income, family circumstances and, under the current rates, the age of the oldest person covered by your policy.
You need to meet the eligibility requirements, including being eligible for Medicare and holding a complying policy with a registered Australian health insurer. Higher income tiers receive a lower rebate, with no rebate available in Tier 3.
On 1 April 2026, the base-tier rebate for policies where the oldest person covered is under 65 reduced from 24.288% to 24.118%. This can affect what you pay, separately from any change to your health fund's premiums.
The Government generally adjusts rebate percentages on 1 April using a rebate adjustment factor. This takes into account changes in the Consumer Price Index (CPI) and the industry weighted average premium increase.
If you're eligible, you can claim the rebate as a reduction in your premiums through us, or as a refundable tax offset when you lodge your annual tax return with the Australian Taxation Office (ATO).