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Quarterly private health insurance statistics

Wednesday 1 March 2023

APRA publishes statistics on the private health insurance industry (PHI) on a quarterly basis. The statistics provides industry aggregate summaries of key financial and membership statistics. Specific sets of statistics are also provided in the areas of membership, coverage, benefits paid, medical gap, prostheses, and medical services.

Media release: APRA releases quarterly private health insurance statistics for December 2022.

The highlights provide an overall view of industry performance and insights into observed trends.

The private health insurance quarterly statistics contains industry aggregate summaries of financial performance, as well as key metrics and observed trends in the areas of membership and coverage, benefits paid, service utilisation, and out-of-pocket payments.  

Membership and benefits statistics

The membership and benefits statistics contains data on policies, benefits paid for services by age group and gender, number of services, and gap benefits, on a state and territory basis.

Membership and coverage statistics

The membership and coverage statistics contains data on the number of insured persons for hospital and general treatment, and the proportion of the population these persons represent, on a state and territory basis.

Medical gap statistics

The medical gap statistics contains data on in-hospital medical services, on a state and territory basis.

Prostheses statistics

The prostheses statistics contains data on prosthetic benefits paid, grouped by the major prosthetic categories, on a state and territory basis.

Medical services statistics

The medical services statistics contains data on benefits paid and gap payments, grouped by the major speciality blocks, on a state and territory basis

Statistical trends in membership and benefits

The statistical trends reports detail historical trends in the number of insured persons and benefits paid for hospital and general treatment.  

Next release date

24 May 2023 (March 2023 edition)

For more information

Email or mail to

Manager, External Data Reporting – Data Analytics and Insights
Australian Prudential Regulation Authority
GPO Box 9836, Sydney NSW 2001

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