Private Health Insurance rebate cut for the over-65s
The age-based uplift on the PHI rebate is being removed from 1 April 2027. For over-65s and over-70s, this means a meaningfully higher out-of-pocket premium cost.
The age-based uplift is being abolished
Currently, the PHI rebate has three age tiers: under 65, 65-69, and 70+. The rebate percentage is higher for older policy holders, recognising that they pay higher premiums.
From 1 April 2027, the higher age tiers are flattened back to the under-65 rate. Older Australians keeping private health cover will receive a smaller rebate, and therefore pay a higher out-of-pocket premium.
The change is expected to save the Government $3 billion over 4 years. Private Health Australia estimates the impact on premiums could be significant.
The Medicare levy threshold increase doesn’t come close to offsetting this
The Budget also lifts Medicare levy low-income thresholds by 2.9% — a routine annual adjustment that helps lower-income seniors continue to qualify for the levy exemption. But for most retirees who already pay the levy and rely on private health cover, the rebate change has a far larger annual dollar impact than the threshold adjustment.
Estimates from Private Health Australia (8 May 2026). The exact impact on your premium depends on your insurer, policy, and current age tier — worth checking with your insurer ahead of 1 April 2027.