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Western Australia Health Insurance

If you live in Western Australia, then you are privileged to experience the best health standards in the world. A state that also boasts of having one of the longest life expectancies. That said, 66% of Western Australians are obese and overweight, the drinking behaviour is considered risky, and the healthcare system is under pressure from an ageing and expanding population.
Fact Checked

Updated: 28 May 2024

While Medicare does cover more comprehensive services like health management programs, weight-related surgery, rehabilitation, joint surgery, and osteoporosis treatment, private health insurers do.

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Use this guide to find out which health insurance fund in Western Australia might offer you the cheapest premium. While price shouldn’t be your only consideration, we’ll also compare the features and benefits of some of the top health insurance funds available to you.

Who offers cheap health insurance in WA?

Western Australians can expect to pay higher Extras premiums than the rest of the country, with families paying around $1,898.00 in yearly premiums. Hospital cover will cost families around $4,112.85 per year, while combined packages for families are generally cheaper compared to other states, with annual premiums of around $6,145.54.

While premiums are largely dependent on your personal needs and circumstances, generally they are influenced by the cost of running a health fund, the level of competition between health funds, the cost of living, health trends in your area, and the demographics in your state. Because of all these variables, you’ll only find the cheapest health cover in WA by comparing different policies from different companies.

WA health insurance
levies and rebates

Private health insurance is not only a means of effectively covering the cost of quality healthcare but also helps you avoid certain levies.

Get money back through rebates

The Australian Government encourages you to get private health insurance to alleviate demand on the public health care system (Medicare), by giving you a rebate. This is paid to you in the form of a percentage of the cost of your premiums, up to a maximum of 34.579%.

Your rebate percentage is based on your taxable income, your age, and how many dependents you have. You can either claim your rebate directly from your fund through reduced premiums or back on your annual income tax return from the Australian Taxation Office (ATO).

Save money by avoiding levies

When you buy private health cover, you can save up to 1.5% in tax by avoiding the Medicare Levy Surcharge (MLS). MLS is an additional tax amount that you pay if you earn over a certain amount and you don’t have private health insurance.

The Government also charges a 2% additional tax through the Lifetime Health Cover (LHC) loading if you don’t get private cover before the 1st of July following your 31st birthday. LHC is charged incrementally for every year that you have not had private cover for since you turned 30 (up to a maximum of 70%).

Exclusions and waiting periods

Private health insurance is considered an effective way of covering the cost of a wide range of medical treatments and services. However, it is important that you know the terms and conditions of your policy before buying, especially the exclusions and waiting periods.

Exclusions

Exclusions refer to the conditions and services your health insurer does not cover, and while these are mostly standard throughout the industry, each insurer can decide on their own set of exclusions.

Read your product disclosure carefully. Some general exclusions your policy might have, include:

Waiting periods

To prevent people from taking advantage and only purchasing or upgrading their cover when they need treatment, health funds are allowed to impose waiting periods. A waiting period is a length of time that must pass before you can access any services and treatments included with your policy.

While the maximum for Hospital waiting periods is set by the Government, waiting periods for Extras are set by individual health insurers.

General waiting periods for Hospital treatments:

General waiting periods for Extras treatments:

Frequently Asked Questions and Answers

The cost of ambulance cover in WA varies according to your specific location and what services the ambulance provides. For example, residents of the Perth metro area are encouraged to take out private health cover to help pay for specific ambulance fees. Life-threatening and urgent trips cost $932, non-urgent trips cost $500, and patient transfer costs $458 in metro areas.

Take note that aged pensioners receive free ambulance services, and senior citizens over 65 need only pay half the cost of normal ambulance expenses.

If you live in Western Australia and are between the ages 5-16, and a student at a school recognised by the Department of Education you’ll get free dental services from the School Dental Service, up until the end of year 11.

If you have a Pensioner Concession Card or Health Care Card, you are eligible to receive subsidised emergency and general dental care. The rate of subsidy is currently at 50% of the cost of treatment.

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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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