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Switching & saving · The guide

Is your old health insurance policy still worth keeping? How to tell if it is a closed product

The short answer

In 2026–27, a closed health insurance policy in Australia is one the insurer no longer sells but keeps renewing for existing members, as section 55-10 of the Private Health Insurance Act 2007 allows. It can be the cheaper one: the Ombudsman found one insurer's new Gold policies 14% to 21% dearer than the closed ones in 2023 and 2024.

Key facts

Health insurers in Australia often stop selling a policy without ending it. The people already on it keep it, renew it and pay the yearly increase, while new customers are offered something else. This page explains what that means in law, what changed in September 2026, and what to look at before deciding whether an old policy is still worth keeping.

What is a closed health insurance policy?

A closed policy is one an Australian insurer no longer sells but still renews for its existing members. PrivateHealth.gov.au’s glossary defines a closed policy as “a policy which is no longer available for sale, but which continues to cover existing members”. Section 55-10 of the Private Health Insurance Act 2007 is what allows it: closing a product, “such that the product will not be available to anyone except those persons, who at the time of closing, are insured under a policy forming part of the product”, is not a breach of community rating.

In Australian law, closing is different from terminating. A closed policy carries on for the people on it. A terminated policy ends for everyone, and its members are moved to another policy.

Closed policies are common. CHOICE counted more than 48,000 policies, 47% of all policies, closed to new members in an article last updated on 25 October 2022. As at 8 November 2026 no government body publishes a current count.

How can you tell if your health insurance policy is closed?

The plainest test is the Private Health Information Statement, the standard summary every Australian insurer must publish for each policy. On PrivateHealth.gov.au the statement for a closed policy says “Closed to new members” under the premium. The glossary calls this the policy’s status: “Available or Closed”.

One example, read on 8 November 2026: RT Health’s Silver Plus Advantage Hospital $700 Excess, single, NSW and ACT, shows a monthly premium of A$267.09 before any rebate, the words “Closed to new members”, and “Date statement issued: 01 April 2026”. It is used here only to show what the label looks like, not as a recommendation.

Other signs, each worth confirming with the insurer in writing:

  • The policy name does not appear among the covers on the insurer’s own website.
  • Your yearly statement arrives, but a friend asking for the same policy is offered something else.
  • A letter from the insurer says the cover is no longer available to new members.

The name alone proves nothing. Every hospital policy has had to sit in a Gold, Silver, Bronze or Basic tier since 1 April 2020, according to PrivateHealth.gov.au, so an old policy’s statement shows a tier like any new one.

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Is a closed policy cheaper or dearer than a new one?

It can be either, and no Australian government body publishes an average to settle it. As at 8 November 2026, neither the Department of Health, Disability and Ageing, APRA nor PrivateHealth.gov.au publishes premiums for closed against open policies.

The published evidence points one way. The Commonwealth Ombudsman reviewed Gold hospital policies in 2024 and found insurers had closed Gold policies and opened very similar ones in the same year. At one insurer, the new policy’s average premium was 21% higher than the closed one in 2023 and 14% higher in 2024. Those figures are quoted from the Parliamentary Library’s Bills Digest 26bd050, because the Ombudsman’s statement could not be opened at its original address on 8 November 2026.

The Ombudsman’s premium factsheet adds the other side: an increase “higher than the average” is “generally an indication that the particular health fund policy has been previously underpriced”. A closed policy whose yearly rise keeps beating the average is a reason to compare. A closed policy that is simply old is not.

What would a 14% or 21% gap cost on a real premium?

The table applies the Ombudsman’s two gaps to a real closed policy, RT Health’s Silver Plus Advantage Hospital $700 Excess (single, NSW and ACT), at A$267.09 a month or A$3,205.08 a year, from its statement issued 1 April 2026. It shows what a gap of that size is worth in dollars, not what any RT Health replacement actually costs.

Gap between a closed policy and its near-identical replacementExtra a year before the rebateExtra a year after a 24.118% rebate
4.41%, the 2026 industry average rise, for comparisonA$141.34A$107.25
14%, the Ombudsman’s 2024 findingA$448.71A$340.49
21%, the Ombudsman’s 2023 findingA$673.07A$510.74

Plain Cover arithmetic: A$267.09 × 12 = A$3,205.08; each gap is that figure times the percentage. The rebate column uses the ATO’s 24.118% base-tier rate for a single under 65 from 1 April 2026, down from 24.288% for the 2025–26 months from 1 July 2025 to 31 March 2026. Last verified 8 November 2026.

Why leaving a closed policy can cost more than staying

This is the mistake that cannot be undone. Under section 55-10, a closed product stays available only to the people on it when it closed. Leave it, and the insurer is not obliged to take you back, even if the replacement turns out dearer.

Three things are lost in the move, and none of them shows on the new policy’s price:

  1. The price itself, if the closed policy was the cheaper one, as the Ombudsman’s Gold finding shows can happen.
  2. Cover the new policy lacks. Waiting periods carry across only for treatments both policies cover. Anything the new one adds starts a new wait.
  3. Features no longer sold, such as a lower excess option. CHOICE noted in 2022 that many closed policies listed several excess levels, from A$0 to A$1,000.

A change inside the same insurer can count as leaving, depending on how the insurer has set up the policy. People in this situation typically ask the insurer, in writing, whether a change such as a different excess keeps them on the closed product before agreeing to it.

What changed for closed policies in September 2026?

Parliament passed the Health Legislation Amendment (Improving Choice and Transparency for Private Health Consumers) Act 2026, Act No. 90 of 2026, on 16 September 2026. It received assent on 18 September 2026 and its premium rules, Schedule 2, began on 19 September 2026.

Before then, insurers needed the Minister’s approval to raise premiums on an existing product, but could close a product and open a near-identical one at any price. The Bills Digest calls this “product phoenixing”. The Minister’s 17 February 2026 release described it as insurers that “close a product and open an identical one at a higher price”.

What the Act does, in order:

  • From 19 September 2026: a product subgroup first sold on or after that day needs the Minister’s approval of its premiums before it goes on sale.
  • From 2 April 2027: a “designated change” that cuts cover or benefits on an existing product needs approval too.
  • Unchanged: insurers can still close products. The Minister’s 2026 Statement of Expectations, quoted in the Bills Digest, says insurers keep the right to “close or terminate products at any time in order to protect against prudential risk”.

What happens if your insurer terminates a closed policy?

Terminating ends the product for everyone on it. Rule 9AA of the Private Health Insurance (Complying Product) Rules 2015, Compilation No. 62 in force from 1 July 2026, sets out what the insurer must tell each adult:

What the insurer must tell youRule 9AA
That the product is being terminated and you will be transferred(1)(a), (b)
The date by which the transfer happens(1)(c)
That you may move to any policy you choose before that date(1)(d)(i)
The statement for the default policy you will be moved to(2)(a)
The default policy’s premium, including any Lifetime Health Cover loading and discounts(2)(b)
Treatments you lose, and any excess or co-payment differences(2)(c)
That waits served carry across for treatments both policies cover(3)(a)

Last verified 8 November 2026. The rule also warns of a trap: if you accept the default policy and later move again, treatments the default policy did not cover can carry a new wait, even if your original policy covered them.

Do you re-serve waiting periods when you leave a closed policy?

Only for cover the new policy adds. Section 78-1 of the Private Health Insurance Act 2007 limits the wait on a new policy, for a treatment the old policy covered, to whatever was left of the wait under the old policy. A treatment the old policy did not cover carries the normal maximum under section 75-1: 12 months for a pre-existing condition or obstetrics, and 2 months for most other hospital treatment. The full rules for 2026–27 are in do you re-serve waiting periods when you switch.

Moving off a closed policy does not restart your Lifetime Health Cover loading as long as hospital cover continues without a gap. PrivateHealth.gov.au says transferring between insurers “will not affect your Lifetime Health Cover (LHC) entitlements, provided that you retain hospital cover”. The steps, and the 14-day transfer certificate, are in how to switch health insurance.

What to check on an old policy before deciding

Everything in this table is on the Private Health Information Statement, which an Australian insurer must send at least once every 12 months under section 93-20 of the Private Health Insurance Act 2007. Lay the closed policy’s statement beside the one for any replacement.

Line on the statementWhat to compare
Tier (Gold, Silver, Bronze, Basic, Plus)Same tier, or a different one? The tiers compared sets out what each must cover.
Clinical categories covered, restricted and excludedAny category on the old policy missing from the new one is cover you lose.
Excess and co-paymentsA lower excess on the old policy may not be sold any more.
Monthly premium and statement dateCompare premiums dated the same day, before the rebate.
“Closed to new members”If shown on the old policy, leaving is one-way.

The rebate does not change the comparison: the same percentage comes off both premiums, 24.118% for a single under 65 on the base tier in 2026–27. This page is general information, not personal advice; it does not take account of anyone’s objectives, finances or health needs.

Still wondering?

Common questions

The details worth clearing up before you decide.

Do closed health insurance policies go up in price faster than open ones?
There is no published average to say so. As at 8 November 2026 no government body publishes premiums for closed against open policies. The Ombudsman's factsheet says a rise above the average usually means the policy had been underpriced, and its 2024 review found closed Gold policies cheaper than their replacements at one insurer.
Can I go back to a closed policy after I leave it?
Usually not. Under section 55-10 of the Private Health Insurance Act 2007, a closed product stays available only to the people insured under it when it closed. Once you move off it, the insurer does not have to take you back, so check the replacement before you leave.
Will changing my excess move me off my closed policy?
It might, and the answer depends on how the insurer has set up the policy. If the excess you are leaving belongs to a closed option, you may not be able to choose it again. Ask the insurer in writing whether the change keeps you on the same closed product before agreeing to it.
How do I find the statement for my old policy?
Your insurer must send the Private Health Information Statement for your policy at least once every 12 months. PrivateHealth.gov.au also publishes statements for closed policies, marked Closed to new members, with the monthly premium and the date the statement was issued.
Does my insurer have to warn me before ending my policy?
Yes. If an insurer terminates a product, rule 9AA of the Complying Product Rules makes it tell each adult the transfer date, the policy you will be moved to, its premium, and any cover or excess you lose. You can choose a different policy before the transfer date.
Is product phoenixing illegal now?
It is now controlled rather than banned outright. From 19 September 2026 an insurer must get the Minister's approval for a new product's premiums, and from 2 April 2027 for changes that cut cover on an existing product. Insurers can still close products at any time.

Sources

  1. Private Health Insurance Act 2007, Compilation No. 42 (sections 55-10, 78-1 and 93-20), Federal Register of Legislation (Australian Government). Checked 8 November 2026.
  2. Private Health Insurance (Complying Product) Rules 2015, Compilation No. 62 (rule 9AA), Federal Register of Legislation (Australian Government). Checked 8 November 2026.
  3. Health Legislation Amendment (Improving Choice and Transparency for Private Health Consumers) Act 2026, No. 90, 2026, Federal Register of Legislation (Australian Government). Checked 8 November 2026.
  4. Bills Digest 26bd050: Health Legislation Amendment (Improving Choice and Transparency for Private Health Consumers) Bill 2026, Parliamentary Library, Parliament of Australia. Checked 8 November 2026.
  5. Bill progress: Health Legislation Amendment (Improving Choice and Transparency for Private Health Consumers) Bill 2026 (r7434), Parliament of Australia. Checked 8 November 2026.
  6. Glossary (closed policy; status), PrivateHealth.gov.au (Australian Government). Checked 8 November 2026.
  7. Product tiers, PrivateHealth.gov.au (Australian Government). Checked 8 November 2026.
  8. PHIS: RT Health Silver Plus Advantage Hospital $700 Excess, single, NSW & ACT (RTE/J9/NAKL10), issued 1 April 2026, PrivateHealth.gov.au (Australian Government). Checked 8 November 2026.
  9. Health Insurance Premium Increases (factsheet), Commonwealth Ombudsman. Checked 8 November 2026.
  10. Income thresholds and rates for the private health insurance rebate, Australian Taxation Office. Checked 8 November 2026.
  11. Is your health insurance policy the best possible deal? (last updated 25 October 2022), CHOICE. Checked 8 November 2026.
Written and fact-checked by the Plain Cover editorial team

See our editorial policy, methodology and corrections.

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