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Dump these overpriced Silver Plus health insurance policies

Many Silver and Silver Plus hospital policies cost more than some Gold policies but provide less cover. 

blue hospital bed
Uta Mihm
Last updated: 31 May 2020

Need to know

  • Silver policies with restrictions can cost hundreds more per year than Gold policies with full cover
  • The COVID-19 coronavirus health crisis means many people are experiencing financial hardship – now’s the time to dump these overpriced policies and switch to better value cover
  • Health funds including Medibank, Bupa, HCF, HBF and NIB charge more for policies without pregnancy cover

It's a good time to check if your policy is value for money. The COVID-19 coronavirus health crisis is making it harder to access care in the private system and many people are experiencing financial hardship. You may want to consider whether it is better to drop your health insurance altogether. If you decide to keep it, it is more important than ever to make sure your policy isn't a rip-off. 

The new Gold, Silver, Bronze system of health insurance introduced by the government last year ranks policies by cover, but there is no guarantee that a lower tier means a cheaper premium. 

In some states, the most expensive policy is a Silver Plus policy, not a Gold policy

We've found 232 Silver and Silver Plus policies that cost more than Gold policies from their competitors – and provide less cover. 

You might be surprised how much you can save when you compare health insurance. Our own CHOICE writer Pru Engel was told by her insurer her family would get moved to a new Silver Plus policy with less cover and a higher premium. 

Instead, she found a better Silver Plus policy that covers her needs and saves $1800 per year (without rebate).

Silver Plus policies allow you to tailor your health insurance, giving you the level of cover provided by a Silver policy, plus cover for one or more procedures usually only covered by Gold insurance.

Silver and Silver Plus policies give you less cover than Gold, so you'd expect them to cost less. But we've found Silver Plus policies that cost up to $800 more per year than the cheapest Gold policy in Queensland, SA and WA, up to $700 more in ACT/NSW, up to $900 more in Victoria and Tasmania and up to a shocking $1700 more in the NT.

silver plus between gold and silver worded

Silver Plus policies give you the level of cover provided by a Silver policy, plus one or more procedures usually only covered at Gold level

Why is Silver Plus often more expensive than Gold?

Unlike other types of insurance, like car insurance, you won't pay more for health insurance if you've had to make a claim in the past. However health insurers price their policies based on the likelihood that their members will claim and how expensive those claims will be. 

While pregnancy and birth cost the insurer around $10,000, a hip replacement costs three times as much.

Younger people who are planning a family may be less likely to go to hospital for other treatments, whereas older people may need a range of hospital treatments. Therefore, policies that cover procedures such as hip and knee replacements but don't cover pregnancy can cost more than Gold policies that cover everything. 

This makes older people the perfect targets for overpriced Silver Plus policies.

We care about accuracy. See something that's not quite right in this article? Let us know or read more about fact checking at CHOICE.

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