FREQUENTLY ASKED QUESTION

What is 'community rating'?

In Australia, insurance is either 'community rated' or 'risk rated'. Health insurance is 'community rated'. Community rating is part of private health insurance legislation and dictates that everyone living in the same state is entitled to get private health insurance and pay the same base price for the same health insurance policies. This means health funds cannot set a person's health insurance premium using individual factors like age, gender, lifestyle or physical condition.