What is Lifetime Health Cover (LHC) loading in Australia?
The Federal Government introduced the Lifetime Health Cover (LHC) loading to encourage Australians to take out private hospital cover at a younger age and encourage them to maintain it. If you delay taking out hospital cover, a loading may be added to your premium. This is known as LHC loading and is designed to promote continuous cover and reduce reliance on the public health system.
Does Lifetime Health Cover loading apply to everyone?
No, in some cases you may be exempt from Lifetime Health Cover LHC loading or fit into a special circumstances category. You may need to provide supporting documents to establish your LHC loading. Cases that may exempt you from LHC loading include:
- Are aged under 31 years old
- Have held continuous hospital cover since 1 July 2000
- Have held continuous hospital cover since turning 31 years old
- Have held continuous hospital cover within 1 year of becoming eligible for
Medicare - Were born on or before 1 July 1934
- Were overseas at the time of your LHC base date and joined Hospital Cover
within 12 months of your return. - Are a member of the Australian Defence Forces
- Are a Department of Veteran Affairs Gold Card Holder
How does the LHC Loading Calculator work?
Our LHC calculator helps you estimate whether lifetime health cover loading applies to your situation.
By entering your age, cover history, and Medicare eligibility details, the calculator provides an indication of:
- whether LHC loading applies
- how much loading may be added
- how it could affect your health insurance premiums
Supporting documents required to establish your LHC loading
To confirm your eligibility or LHC status, you will need to provide specific documents.
For continuous hospital cover:
You will need to supply a Clearance Certificate from your previous fund. We can contact your previous fund to request this on your behalf when you
share your previous cover details on your application to join HIF. Alternatively, you can complete and return our switching funds form at any time .
For overseas travel:
You will need to supply an International Movement Record, which you can request from the Department of Home Affairs.
For Medicare eligibility date:
You will need to supply your Medicare registration date letter; this document can be obtained from Medicare and is essential for determining your Lifetime Health Cover loading status.
How is Lifetime Health Cover loading applied?
In most cases, your Lifetime Health Cover (LHC) base day is the later of the 1 July following your 31st birthday, or the first anniversary of the date you became eligible for Medicare. If you join Hospital cover after your LHC base day, then for every year over the age of 30 that you don’t have private hospital cover, a 2% LHC loading is applied to the cost of your insurance (and increases each year until it reaches 70%).
Use our Lifetime Health Cover loading calculator to check your LHC loading, understand your health insurance costs, and make informed decisions about your cover.
Calculate your LHC
Lifetime Health Cover Loading LHC FAQS
Lifetime Health Cover loading applies if you do not take out private hospital cover before your LHC base day. For every year after the age of 30 that you delay joining, a loading may be added to your premium. This is known as private health insurance loading.
If LHC loading applies, you will generally need to pay it for 10 continuous years of holding private hospital cover. After this period, the loading is removed, provided you maintain your cover.
Yes, you can avoid LHC loading by taking out private hospital cover before your LHC base day, which is usually 1 July following your 31st birthday.
No, Lifetime Health Cover loading only applies to hospital cover. It does not apply to Extras cover or other types of health insurance.
Your LHC base day is the date used to determine whether loading applies. For most people, this is 1 July following their 31st birthday, or the first anniversary of becoming eligible for Medicare.
Yes, if you do not have private hospital cover, LHC loading increases by 2% each year you are over 30 without cover, up to a maximum of 70%.