The amount you pay after the insurer pays its share of the cost. Check what your insurer pays.
Waiting period
The time before you can claim on a policy. From 1 January 2026, OSHC insurers are removing pregnancy waiting periods on policies of 2 years or more. Each insurer sets its own timing.
Emergencies
Call 000 or go to an emergency department. Waiting periods do not apply to emergency treatment.
Other treatment
Check with your insurer before you agree to treatment. If the policy does not cover it, you pay the cost.
Complaints
Contact your insurer first. If the issue is not fixed, contact the Private Health Insurance Ombudsman.
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Sources: Department of Health, Disability and Ageing, OSHC fact sheet (August 2026) · privatehealth.gov.au, Overseas Student Health Cover and Overseas Visitors Health Cover · Department of Home Affairs, Temporary Graduate visa (subclass 485) (updated 12 October 2026). Checked 20 October 2026. General information only: each insurer's policy documents set what a policy covers.