Regulatory oversight of private health insurance and private hospitals

Regulator function

The Department regulates private health insurers’ obligations relating to complying health insurance products and health insurance business (where those obligations do not fall within the prudential regulatory role of the Australian Prudential Regulation Authority). The Department also supports patients’ access to private healthcare services through the declaration of private hospitals and regulation ensuring benefits are provided by insurers for services delivered through private hospitals.


  • Private Health Insurance Act 2007
  • And associated subordinate Rules.

Regulated community

Private health insurers, private hospitals.


Health and Aged Care

Internal to department / external entity


Ministerial Statement of Expectations date

15 August 2023

Regulator Statement of Intent date

15 August 2023