Private Health Insurance rebate cut for the over-65s
The proposal removes the age-based uplift on the PHI rebate from 1 April 2027, leaving an income-based rebate only. For over-65s and over-70s that means a meaningfully higher out-of-pocket premium. This is a bill before Parliament. It has not passed and it is not law — so the figures below are what would happen if it passes in its current form.
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.
Under the bill, the higher age tiers would be flattened back to the under-65 rate from 1 April 2027. On the base income tier that means the rebate falls from about 28.1% to about 24.1% for ages 65–69 (roughly 4 percentage points) and from about 32.2% to about 24.1% for ages 70 and over (roughly 8 percentage points). Anyone under 65 is unaffected — their rate does not change.
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, income tier and current age tier. Because the bill has not passed, we would not cancel or downgrade cover on the strength of it — but it is worth knowing your number so you can decide quickly if it does pass.