News Coronavirus watch08 Apr 2020

Australia:Private health insurers to reap at least US$2.2bn in COVID-19 windfall

08 Apr 2020

Australia's private health insurers are set to enjoy a windfall of between A$3.5bn ($2.2bn) and A$5.5bn over the next six months, according to a study by the think tank, The Australia Institute.

The takeover of private hospitals by governments, social distancing and other policies to counter coronavirus mean that far fewer services will be provided to private health insurance policyholders,” said Mr Roy Harvey, report author and health finance expert.

Visits to dentists, physios, chiropractors and other services by policy holders will be significantly reduced as a result of social distancing rules and 'stay at home' advice to older Australians.

This means that the payments that private health insurers would usually make to cover the services provided to their policyholders will not be needed.

We estimate this will result in a saving to the private health insurers of between A$3.5bn and A$5.5bn, or up to 50% of their benefit payout.

Every policyholder will pay, on average, A$500 to A$750 for services their insurers know they will not be able to use.

The Productivity Commission should review this situation immediately and the government should require funds to implement their findings.

This review could take as little as two weeks - especially if governments were willing to make good any losses that funds might incur due to quick implementation. The Productivity Commission and APRA  should then monitor benefit  payments on a monthly basis and adjust premium levels.”

Mr Rod Campbell, report co-author and research director at The Australia Institute, said, “While insurance companies look set to gain billions, they show no signs of voluntarily returning this saving to their policy holders

Insurers claim to be supporting their members through the crisis by delaying premium increases, but they should be passing on these significant savings to households.”

If the Commonwealth does not ensure savings are passed on to customers, it will be one of the most egregious subsidies ever given to an industry already infamous for receiving handouts,” Mr Campbell said

Responding to The Australia Institute's report, consumer advocacy organisation, CHOICE ,says that health insurers should stop charging for benefits that aren't available and reduce premiums by at least 50% in light of the COVID-19 crisis.


 

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