Health Insurance for Over 55's

Select the level of over 55’s health insurance cover you need to compare and get a quote.
If you need a procedure having health insurance and going through private health means shorter wait times.
The higher your hospital coverage tier, the more you’re covered for
Annually check your policy to make sure it covers the things you need, and you’re not paying for the things you don’t need.
If you need a procedure having health insurance and going through private health means shorter wait times.
The higher your hospital coverage tier, the more you’re covered for
Annually check your policy to make sure it covers the things you need, and you’re not paying for the things you don’t need.

Find the Best Health Insurance for Over 55’s in Australia

As we grow older, our priorities shift, and we begin to focus more on protecting ourselves and our loved ones. Insurance provides a safety net, offering security and peace of mind during life's unpredictable moments. Most of us have things like life insurance, home & contents insurance for our valuables, car insurance policy, pet insurance, and even travel insurance when we’re lucky enough to book a holiday.

Having the right health insurance cover is also an important piece of that puzzle.

The thing is, the needs of Australians over 55 can be quite unique. That's why understanding the intricacies of over 55 insurance is essential. It's about finding the right policies that cater specifically to your stage of life, taking into account factors like retirement, health concerns, and the desire to enjoy your golden years to the fullest.

In this guide, we'll delve into everything you need to know about health insurance for over 55’s. We’ll provide you with a simple resource that not only helps you navigate the world of insurance but also empowers you to make informed decisions.

Over 55’s Health Insurance: What Should You Be Covered For?

As your children grow up and become independent, your insurance needs may change. Certain services and treatments that were once essential may no longer be relevant for you (or your partner).

For example, pregnancy and birth services or reproductive care, typically covered by Gold-tier hospital plans, may become unnecessary.

However, it's important to consider other procedures and treatments that can future-proof your health as you age and require additional medical services. These may include:

  • Eye surgery / cataracts
  • Joint replacements
  • Heart and vascular system
  • Implantation of hearing devices
  • Pain management with device
  • Occupational therapy
  • Physiotherapy
  • Chemotherapy

Just remember: with the right cover and proactive planning, you can ensure your insurance aligns with your evolving needs and provides the necessary support throughout your journey.

What Else Should You Look For?

As we age, there are certain health concerns that become more prevalent. For instance, tooth decay and vision impairments tend to affect many ageing Australians. You might also find yourself in need of hearing aids, joint replacements, or cataract surgery, all of which can be costly.

In addition to these typical age-related conditions, your family history and current health status can also influence the health issues you should watch out for. You're probably already aware of any hereditary conditions you may be at risk for, such as diabetes, prostate or breast cancer, or high blood pressure.

If you already have a pre-existing condition when you're starting a new health insurance policy, you can take comfort in knowing that it won't impact your health insurance premiums. However, you may still need to serve a waiting period before receiving treatment related to your condition.

If you're over 50, you should be reassessing your health insurance needs and making adjustments accordingly to make sure you’re getting the best value for your money. Remember, your health is unique, and finding the right coverage that aligns with your specific needs can provide you with peace of mind and financial security.

Is Private Health Insurance Worth It For Over 55s?

Is private health insurance worth it? Absolutely! Private health insurance is an investment that truly pays off when you need it the most. As you age, statistics from the Australian Prudential Regulatory Authority (APRA) consistently show that older Australians tend to utilise their health insurance more often than younger generations.

The cost of certain operations in private hospitals can reach tens of thousands of dollars. Having private hospital insurance coverage can significantly reduce your out-of-pocket expenses and excess compared to paying for treatment entirely out of pocket.

While it's possible to be treated as a public patient in a public hospital, opting for private hospital cover comes with several benefits that can make a difference in your healthcare journey. With private hospital cover, you can:

  • Avoid public hospital waiting lists for elective surgeries and treatment.
  • Access benefits for treatment in a private hospital, including the possibility of a private room if available.
  • Choose the doctor who will perform your operation, subject to availability.
  • Reduce the cost of private hospital treatment by claiming benefits from your health fund.
  • Avoid paying the Medicare Levy Surcharge (MLS) if you earn above a certain threshold.

Additionally, an extras policy provides coverage for treatments outside of a hospital setting that are not covered by Medicare.

Depending on the level of extras cover you choose, you can reduce your medical expenses for a variety of services, including dental treatment, prescription glasses, physiotherapy, chiropractic consultations, podiatry, psychology, medications not covered by the Pharmaceutical Benefits Scheme (PBS), and even gym memberships or weight loss programs if medically necessary.

The amount you can claim for extras will depend on the lifetime and annual limits of your chosen cover option. To have a complete understanding of the limits and exclusions, it's important to refer to your insurer's policy documents.

By having private health insurance, you can have peace of mind knowing that you have access to a broader range of healthcare options, timely treatments, and financial assistance for both hospital and extras services. It's an investment in your health and well-being that can make a significant difference when it matters most.

How Much Does Health Insurance for Over 55’s Cost?

The cost of your health insurance policy will depend on a range of factors, such as the policy terms, level of cover, minimum premium requirements, and the inclusion of optional cover. By exploring these options and tailoring your policy accordingly, you can find a plan that meets your specific needs while considering your budget.

Have Over 55 Health Insurance But Looking At Changing Health Funds? Let us Help!

Transitioning to a new policy with adjusted coverage can be a smart move as you enter this new phase of life. When reassessing your insurance coverage, you should explore different insurance products offered by different health fund providers.

The good news is that finding the best health insurance for over 55’s is quick and easy. With just a few minutes of your time, you can compare a range of options tailored to your specific healthcare needs.

Our user-friendly comparison tool will walk you through the process, ensuring that you find the policy that suits you best. So take a moment to explore your options and discover the ideal over 55’s health insurance plan for your well-being and financial security.


Does health insurance cover terminal illness?

Health insurance typically does not cover terminal illness directly. Terminal illness cover is usually offered as a separate policy or as an optional add-on to life insurance or income protection policies. It provides a lump sum payment if you are diagnosed with a terminal illness and meet the specified criteria.

Is funeral insurance part of over 55 health insurance?

Funeral insurance is generally not part of over 55 health insurance. Funeral insurance is a separate type of insurance specifically designed to cover the costs associated with funerals and related expenses.

Does life cover fall under health insurance cover?

No, life cover is a distinct type of insurance separate from health insurance. Life insurance provides financial protection to your loved ones in the event of your death. It offers a lump sum payment to the beneficiaries, helping them to cover expenses such as mortgage payments, debts, living costs, and future financial needs.