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Most health funds let you suspend your health insurance cover. That said, the minimum and maximum times for which you can suspend cover varies between brands. You'll need to check the fine print, but these rules are typical:
Eligibility rules for temporarily suspending your health insurance policy vary between funds. However, to qualify for this option you will typically need to:
Every Australian health insurance provider has the option to suspend your coverage. However, some health funds are more flexible with their suspension policy than others. Finder makes it easy to compare health insurance from these funds for free.
Fund | Can I suspend my cover because of financial hardship? | Can I suspend my cover if I become unemployed? | Minimum amount of time to be overseas | Maximum time to suspend cover |
---|---|---|---|---|
AAMI Health Insurance | Not mentioned | 2 months |
| |
ahm Health Insurance | 30 days |
| ||
HCF | 30 days |
| ||
Medibank Private Limited | Not mentioned | 2 months |
| |
nib Health Funds Ltd. | Not mentioned | 2 months |
| |
Qantas Health Insurance | Not mentioned | 2 months |
| |
Suncorp Health Insurance | Not mentioned | 2 months |
| |
ACA Health Benefits Fund | Not mentioned | 12 weeks |
| |
Australian Unity Health Limited | Not mentioned | 2 months |
| |
Bupa Australia Pty Ltd | 2 months |
| ||
CBHS Corporate Health Pty Ltd | Not mentioned | 6 weeks |
| |
CBHS Health Fund Limited | Not mentioned | 6 weeks |
| |
Defence Health Limited | Not mentioned | 28 days |
| |
Doctors' Health Fund | Not mentioned | Not mentioned | 1 month | Not mentioned |
Emergency Services Health | Not mentioned | 14 days |
| |
GMHBA Limited | Not mentioned | 1 month |
| |
HBF Health Limited | Not mentioned | 2 months |
| |
Health Care Insurance Limited | Not mentioned | 28 days |
| |
Health Partners | Not mentioned | 3 weeks |
| |
HIF | 2 months |
| ||
Hunter Health Insurance | Not mentioned | Not mentioned | 2 months |
|
Latrobe Health Services | 14 days |
| ||
Mildura Health Fund | Not mentioned | Not mentioned | 2 weeks |
|
National Health Benefits Australia Pty Ltd (onemedifund) | Not mentioned | Not mentioned |
| |
Navy Health Ltd | Not mentioned | 1 month |
| |
Nurses & Midwives Health | 2 months |
| ||
Peoplecare Health Insurance | 1 month |
| ||
Phoenix Health Fund Limited | Not mentioned | 3 weeks |
| |
Police Health | Not mentioned | 14 days |
| |
Queensland Country Health Fund Ltd | Not mentioned | 1 month |
| |
Railway and Transport Health Fund Limited | 28 days |
| ||
Reserve Bank Health Society Ltd | Not mentioned | 3 months |
| |
St.Lukes Health | Not mentioned | Not mentioned | 1 month |
|
Teachers Health Fund | 2 months |
| ||
TUH | 2 months |
| ||
Westfund Limited | 2 months |
|
While suspending your health insurance policy can save you money on your premiums, there are other tax implications that you may face by not have adequate coverage, depending on your circumstances. The main ones you need to worry about are the Lifetime Health Cover Loading and the Medicare Levy Surcharge.
If you're 31 years or older, you can go without hospital cover for a total 1,094 days (around 3 years) without affecting your Lifetime Health Cover Loading. However, once you've used up 1,094 days without cover, the loading will kick in again, adding 2% to your future premiums for each year you're not covered.
If you earn over $97,000 per year, you're probably required to pay the Medicare Levy Surcharge, an additional levy on your tax of between 1% and 1.5%. If you suspend your policy, you may have to pay the MLS in your tax return for that financial year.
People suspend their health insurance for many different reasons. Financial hardship is a major reason people do this. If you've lost your job or are battling debt problems and struggling to meet your premium payments, your health fund may agree to let you suspend your membership for a temporary period.
Another common reason for suspending a policy is overseas travel. Australian private health funds are unable to provide any cover for medical expenses you incur overseas – you’ll need overseas travel insurance for that sort of protection – so if you’re going to be out of the country for a couple of months or more, suspending cover makes good financial sense.
When your health fund agrees to allow you to suspend your membership for a temporary period, you will not have to re-serve any waiting periods when you resume cover at a later date. You will also be able to maintain the level of cover that suits your needs and keep the current benefit limits that apply to your policy.
But if you decide to cancel your health insurance and then take out a new policy sometime in the future, you will have to serve the full waiting periods set by the fund before you can claim any benefits. This could have a serious impact on your ability to access the health care you need, especially if you develop any health problems which will then be classed as pre-existing conditions by your new fund.
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I have an HBF policy, I’m currently overseas and won’t be back for at least 6 months. I didn’t cancel it before I left so I’m still paying for it fortnightly, can I suspend it whilst I’m overseas? Thanks :)
Hi Cat,
Thank you for reaching out.
Yes, it shows that HCF allows policy suspension if you are overseas for a minimum of 30 days and maximum of 2 years. You can contact them by phone, email or post, or by filling out an online application form if available. You will usually be sent a confirmation letter or email when your application for suspension has been approved.
Hope this helps! 😊
Kind Regards,
Mai
What if I decide to not come back for good in Australia but will just be coming to visit or for holidays with a maximum stay of 3 months?
Hi Mar,
Thank you for getting in touch with Finder.
You can normally only suspend your health insurance for 2-3 years max.
If you’re leaving long term – it could work out better to consider something like ex-pat health insurance depending on your planned return visits. Please use our comparison table to help you find the health fund that suits you. When you are ready, press the “Go to site” button of your preferred insurer to request a quote or purchase a policy.
Before applying, please ensure that you read through the relevant Product Disclosure Statements/Terms and Conditions when comparing your options before making a decision on whether it is right for you. You can also contact the provider if you have specific questions.
I hope this helps.
Thank you and have a wonderful day!
Cheers,
Jeni