Dad pays $1,200 after health insurance mistake many people make

Private health insurance: it’s one of those things many of us pay for but rarely think about—until we need it.

With more than 15 million Australians forking out for private health coverage, you’d think we’d all be making the most of our policies.

But, as it turns out, a surprising number of us are letting our hard-earned dollars go to waste.


Take the story of Petrus Buys, a 29-year-old civil engineer and new dad living on the Sunshine Coast.

After the birth of his son Caleb, Petrus realised he wasn’t just responsible for himself and his wife anymore—he had a little one to look after, too.


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Private health insurance has been paid by many Australians without a single claim made in the past year, raising concerns about value for money amid rising premiums and living costs. Credit: Designer491 / iStock


That was the nudge he needed to finally sign up for private health insurance, paying $100 a month (that’s $1,200 a year) for hospital and extra coverage.

Here’s the kicker: Petrus hasn’t made a single claim since taking out his policy.

And he’s not alone. Recent research from Finder found that two in five Aussies with health insurance haven’t claimed a cent in the past year despite paying hundreds or even thousands in premiums.


Only 17 per cent of people surveyed had used both their hospital and extras cover in the last 12 months.

So, what’s going on? Are we just too busy to book that dental check-up, or are we simply forgetting what we’re entitled to?

According to Finder’s health insurance expert Tim Bennett, it’s a bit of both. 'Health cover is a valuable safety net for unexpected illness or injury, but for many, it feels like dead money,' he said.

'If you’re paying for it, use it. So many people forget they’re entitled to things like dental check-ups, physio visits or optical rebates—claiming just a few of these can make your policy far more worthwhile.'

With the cost of living rising faster than a loaf of bread in a hot oven, it’s no wonder many Aussies are questioning whether private health insurance is still worth it.

Premiums went up by an average of 3.73 per cent in April, and iSelect research shows that a third of us are now delaying routine check-ups—like dental, hearing, and cancer screenings—just to save a few bucks. Even GP visits are being put off by 31 per cent of people.


For families like the Buys, the financial pressure is real. After buying a house and welcoming a new baby, Petrus and his wife are spending about 40 per cent of their income on the mortgage.

Add in rising grocery bills, electricity, and water, and it’s no surprise they’re cutting back on holidays and visits to family overseas.

'You’re getting forced into a corner where you need to start considering doing second jobs and side hustles and ways of generating additional income,' Petrus admits.

But before you rush to cancel your policy, experts urge caution.

'No one wants to be caught out without cover when they really need it,' Bennett warns.

The peace of mind that comes with knowing you’re protected—especially for things Medicare doesn’t cover, like dental—can be worth its weight in gold.


If you’re paying for private health coverage, make sure you’re getting the most out of it.

Start by reading your policy—many people don’t realise it includes benefits like dental check-ups, physio visits, optical rebates, and even some alternative therapies.

Schedule those appointments before your benefit year ends, as unused extras often don’t roll over.

Don’t just stick with your current policy without checking if there’s a better option; insurers often compete for your business, especially before the financial year resets.

Use your cover for essential health checks to avoid more serious issues later. And if your needs have changed, update your policy—there’s no point paying for extras you don’t use.

Private health insurance can be a lifesaver, but only if you use it.


With premiums on the rise and the cost of living biting hard, it’s more important than ever to make sure you’re getting value for your money.

Don’t let your policy gather dust—book those appointments, claim your benefits, and review your cover regularly.
Key Takeaways
  • Many Australians pay for private health insurance but haven’t made a single claim in the past year, prompting concerns about the value of money as premiums and cost of living keep increasing.
  • Experts warn against ditching health insurance altogether, urging policyholders to use available extras like dental, physio and optical rebates, which are often forgotten and can make the cover more worthwhile.
  • Rising health insurance premiums and living expenses are causing some Aussies to delay important check-ups and consider cancelling or downgrading their policies despite the risks of being uninsured.
  • It’s a good time to review and compare health insurance policies to make sure you’re not paying too much for cover you don’t need, with insurers currently competing for new customers ahead of the financial year.
Have you found yourself paying for health insurance but not using it? Or have you scored a great deal by shopping around? We’d love to hear your experiences and tips—share your thoughts in the comments below.
 

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I want to know who the insurer is for $100 a month for Hospital and Extras!. Ours is $400 a month and thats with a co payment of $750 (paid only once a year for an admission to hospital). Use our extras claims to the maximum though. Have already recieved back more than our annual premium.
 
I applied for private health the premiums were $53 a month but turns out that if you have not held a policy the Government slaps $44 on top the said premium so you are now paying $97 a month and this is paid for 10 years to the Government and when you are on a fixed income that is a big chunk of change so for 10 years you pay nearly $14;000 for nothing getting private health is not worth it
 

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