Australia has one of the best health systems in the world (ranked 1st among 11 OECD countries in terms of equity and health outcomes and 3rd in overall health system performance (1)). Expatriates in Australia can therefore expect to have access to high-quality primary care as well as to specialist care and other health services.
(1) Commonwealth Fund healthcare report 2021
Health insurance for expats in Australia
How does the healthcare system work in Australia?
Australian and New Zealand citizens
permanent foreign residents
temporary residents covered by a Ministerial Order
citizens or residents of countries with a reciprocal healthcare agreement
Australia’s Medicare system allows its members to seek treatment in public hospitals throughout the country without having to pay upfront (however, beneficiaries are not able to choose their doctors). Medicare also covers 100% of general medical consultations, based on a basic fee (e.g., $75 for a 20-minute consultation) and 85% of the basic fee for specialist consultations. Additional fees for doctors (gap payments) are not covered and must be paid by the patient.
On the other hand, many services that are considered non-essential are not covered by Medicare. These include optical care, dental exams and treatment, speech therapy as well as many outpatient treatments, or out-of-hospital services.
For private, be it scheduled or emergency hospital care, Medicare covers only 75% of the basic fee, with patients being responsible for the remainder of fees, including any additional charges. The same applies for treatment in a public hospital if the patient wishes to choose their own doctor (they are then considered “private patients”).
How to choose health insurance in Australia: local or international?
In order to cover their out-of-pocket expenses, and in particular to be better reimbursed for care provided in the private sector, many Australian citizens and residents choose to take out private health insurance. In order to better regulate access to healthcare in Australia, the Australian government encourages people to use the private healthcare system if they have the possibility to do so; to this end, an additional tax is imposed on high-income people who do not have private health insurance.
Depending on their needs, expats moving to Australia in the medium to long term may be well advised to take out international health insurance. While local private health insurance options are available, international health insurance can cover expats in their home country or other countries, as well as in Australia, and provides dedicated benefits.