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Get Affordable Health Insurance for Your Children

You’ll be able to get affordable coverage for the whole family by signing up for a private health insurance policy. Generally, most private health insurance companies allow you to add children to your couples or family health plan at no additional cost. This implies “free” health care for children, making it more affordable to provide cover for your entire family.
Fact Checked

Updated: 19 May 2024

If you’re expecting a baby, have young children or teenagers or have children that are getting ready to leave home, you might be wondering which health insurance is the best for your family. Generally, Medicare will pay for most of your child’s immunisations. They may also provide certain subsidies for some of your child’s dental care, eye tests and certain treatments such as x-rays, pathology tests and eye tests. However, it doesn’t provide coverage for all of the medical procedures and general treatments that your children may need in the future. It is also important to note that you’ll be responsible for all of your children’s health care costs if you don’t qualify for Medicare.

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Do you need private health insurance for your child?

Children are more likely to need dependent health insurance coverage because of their accident-prone nature. They are also at risk of developing ailments like pink eye, asthma and ear infections. In addition to this, Medicare does not cover the costs of all of the medical expenses that your kids may require. This includes the fitting of braces, grommets and tonsil removal.

Benefits of health insurance for kids

Generally, some of the advantages of getting health insurance for your children can include:

Take note: Terms and conditions for adding children to your health cover may vary between funds, so check with your insurer to ensure that your kids meet the required criteria.

What happens if your child doesn’t have health insurance?

Generally, children are more likely to get sick or sustain an injury in an accident. Therefore, they are more likely to require hospital treatment. If they don’t have private health cover, they’ll be placed on a waiting list for general procedures. In addition to this, you’ll need to pay for common childhood Extras such as Dental or Optical. However, applying for private health insurance for your children will help you pay for these Extras and avoid waiting lists.

Can you get health insurance for your child only in Australia?

Buying child-only health insurance in Australia is quite uncommon. Select health funds may be willing to provide cover to your kids only. However, you’ll generally be able to include your children on your couple’s policy without having to pay an additional charge. This way, you’ll be able to provide your entire family with cover at an affordable price.

How to add children to your private health insurance:

If you’d like to add a child to your singles or couple’s policy, you’ll typically need to call your insurer and have your child added as a dependent. Although, you may need to upgrade to a family health insurance plan or a single parent policy, depending on your circumstances

Generally, upgrading from a singles plan to a policy with different or increased benefits may result in you paying a higher premium. Couples policies usually cost the same as a family policy, so upgrading won’t usually change your premium very much. However, you should take note that waiting periods apply to children as well.

It’s a good idea to contact your insurer early as some private health insurance funds require you to add a newborn before they are born while others take registrations in the first two months after the baby is born.

Important note: You may wish to upgrade your policy when you are first planning on having a child as there is generally a 12 month waiting period before you can claim any pregnancy and birth-related services.

How much is
health insurance
for a child?

Child health insurance costs are generally determined by the type and level of coverage you choose. For example, if you currently have a family or a couple’s policy, you might not have to pay any additional cost when adding children to your cover. However, upgrading from single’s cover to a family or single-parent plan will generally increase your premium.

You might want to gather some quotes and compare which policy will best suit your requirements and budget.

How long can your child stay on your health insurance plan?

Depending on your chosen health fund, your children will usually be covered until they turn 18 or 21. Once your child turns 21, they’ll generally have two months to find their own private health insurance. If your child is a full-time student, they’ll be able to stay on your policy as a dependent until they turn 25.

Health insurance rules for dependents

Child dependents on your health insurance will generally need to adhere to the following rules:

What to look for in a policy that covers your kids?

Whether for a single or two-parent household, health funds generally provide no excess or co-payments for children when being admitted to hospital. Depending on your requirements and what you can afford, the best medical insurance for children may include coverage for:

It may be worthwhile to look for a policy that offers no-gap extras for your kids and make sure that you’re current policy will cover you for pregnancy if you’re planning to have more children.

Health insurance for your baby

Frequently Asked Questions and Answers

If you’d like to buy health insurance for a child, you can request a health insurance quote for your child by completing the quote form. A specialist will give you a call to help you choose a policy that meets your requirements and budget. Alternatively, you can request a quote directly from the health insurance company of your choice by visiting their website, giving them a call or visiting your local branch.

Yes, you’ll generally be able to upgrade your singles or couples health insurance policy to include your children. However, it’s important to note that you may have to pay more on your premiums if you switch from a singles policy to a family policy. You may also want to take note of any waiting periods that may apply to your child’s cover.

Generally, yes. Although these kids might not be related by blood; foster kids and stepchildren are usually covered in the same way as biological children. However, to add a foster child, you may be required to provide evidence showing the date the child first came into your care. It’s always best to check with your respective private health fund on what information they need.

If you’d like to remove a dependant from your private health insurance, you should contact your health insurance provider directly. Generally, an authorised person can add or remove dependents from the policy at any time.

Some children in Australia may be eligible for the Child Dental Benefits Schedule (CBDS). Medicare will assist in covering some of the costs of dental services such as cleanings, x-rays, fillings, fissure sealing, extractions and root canals. Your child may be eligible for the CBDS if they are aged between 2 and 17 years, are eligible for Medicare or if you or they receive at least one eligible payment per year.

Several health funds such as AHM, Bupa and GMHBA will offer an age-based discount of up to 10% for those aged between 18-25 years old. You may also be able to find affordable health insurance policies specifically targeted to families.

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Specialist

Megan has extensive experience writing about health and life insurance in Australia. Megan has a special interest in health and wellness. She relies on her background in counselling psychology to convey the latest findings in a manner that is most beneficial to ComparingExperts readers. In every article she writes, Megan aims to uphold the standards of the Private Health Insurance Intermediaries Association (PHIAA) which ComparingExpert is part of.

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