
As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr specialises in finding the right private medical insurance for UK citizens. This guide covers your health cover options when relocating to Australia, ensuring you make an informed choice for your new life down under.
Swapping the rolling green hills of the British countryside for the sun-drenched beaches of Australia is a dream for many. The promise of a vibrant outdoor lifestyle, bustling cities, and new opportunities is incredibly appealing. But amidst the excitement of visas, removals, and farewell parties, one crucial aspect is often overlooked: your health.
Moving to the other side of the world means leaving the familiar comfort of the NHS behind. While Australia has a world-class public healthcare system, it operates very differently from what you’re used to. Understanding these differences is the first step to ensuring you and your family have the right protection in place.
This guide is designed for UK citizens planning their move to Australia. We'll demystify the Australian healthcare system, explain the limitations of reciprocal agreements, and show you why a specialised International Private Medical Insurance (IPMI) policy is your best bet for comprehensive peace of mind.
Australia's healthcare system is a hybrid model, combining a public system called Medicare with a robust private health insurance sector. As a UK expat, you'll need to navigate both.
Medicare is Australia's universal health care scheme. It provides Australian citizens, permanent residents, and visitors from certain countries (including the UK) with access to healthcare.
What Medicare typically covers:
Sounds great, right? However, there are significant gaps and financial incentives designed to encourage people to take out private cover.
The Australian government uses two main policies to encourage higher earners and younger people to purchase private health insurance:
Medicare Levy Surcharge (MLS): If you earn above a certain income threshold (A194,000 for families as of the 2024-25 financial year) and don't have an appropriate level of private hospital cover, you must pay an extra tax of 1% to 1.5% of your income. For many, the cost of a basic private policy is less than the surcharge, making it a financially sound decision.
Lifetime Health Cover (LHC) Loading: This is a financial loading applied to your private health insurance premium. If you don't take out private hospital cover by 1 July following your 31st birthday, you will pay a 2% loading on top of your premium for every year you are aged over 30. This loading can go up to a maximum of 70% and remains in place for 10 years of continuous cover. For new migrants, a grace period of 12 months from your full Medicare registration date is typically given to purchase cover without incurring the LHC loading.
These incentives mean that for many UK expats, particularly those on higher salaries or over the age of 30, private health insurance isn't just a 'nice-to-have'—it's a financial necessity.
A common point of confusion for Brits moving to Australia is the Reciprocal Health Care Agreement (RHCA). Many assume it's a 'get out of jail free' card for healthcare. This is a dangerous misconception.
The RHCA allows UK visitors on temporary visas and new residents to access medically necessary care as a public patient in a public hospital.
| What the RHCA Covers | What the RHCA Does NOT Cover |
|---|---|
| Medically necessary treatment in a public hospital | Ambulance services (can cost thousands of dollars) |
| Some prescription medicines at a subsidised cost | Dental care (very expensive in Australia) |
| Care that cannot wait until you return to the UK | Optical services |
| Private patient hospital costs (e.g., your choice of doctor) | |
| Treatment in a private hospital | |
| Physiotherapy, podiatry, and other allied health services | |
| Repatriation to the UK for medical reasons |
Real-life example: You're hiking in the Blue Mountains and fall, breaking your leg. The RHCA would cover your treatment as a public patient in the nearest public hospital. However, it would not cover the ambulance ride from the trail, any follow-up physiotherapy, or the ability to choose your own orthopaedic surgeon. Those costs would be entirely out-of-pocket.
The RHCA is a safety net for emergencies, not a substitute for comprehensive health cover.
If you have a private medical insurance UK policy, you might wonder if it can be extended to cover you in Australia. The simple answer is no.
Standard UK PMI policies are designed, priced, and underwritten for residents of the United Kingdom accessing private healthcare services within the UK.
To get the right level of protection for your new life in Australia, you need a policy specifically designed for people living abroad: International Private Medical Insurance (IPMI).
IPMI is the gold standard of health cover for expats. It’s designed from the ground up to provide comprehensive, flexible, and portable medical insurance for individuals and families living outside their home country.
Think of it as a global health passport, giving you access to the best possible care, wherever you are.
An expert broker like WeCovr can help you compare leading IPMI providers to find a plan that perfectly matches your needs and budget, giving you one less thing to worry about during your relocation.
Choosing the right IPMI policy can feel overwhelming. Here are the key factors to consider, broken down into simple terms.
Most insurers offer tiered plans, allowing you to tailor your cover.
You can choose a geographical area of cover, which directly impacts the premium.
An excess (or deductible) is the amount you agree to pay towards a claim before the insurer starts paying.
Underwriting is the process an insurer uses to assess your health and determine the terms of your policy. This is especially important if you have previous medical issues.
Crucial Point: Standard private medical insurance, whether for the UK or international, is designed to cover acute conditions (illnesses or injuries that are short-term and curable) that arise after you take out the policy. It is not designed to cover chronic conditions (long-term, manageable illnesses like diabetes or asthma) or pre-existing conditions you had before joining.
There are two main types of underwriting:
| Underwriting Type | How it Works | Pros | Cons |
|---|---|---|---|
| Moratorium (Mori) | You don't declare your full medical history upfront. Instead, the insurer automatically excludes any condition you've had symptoms of, or received treatment for, in the last 5 years. This exclusion may be lifted if you go for a set period (usually 2 years) without any symptoms or treatment for that condition after your policy starts. | Quicker and simpler application process. | Lack of certainty – a condition you thought was minor could be excluded. Claims can be more complex. |
| Full Medical Underwriting (FMU) | You provide your complete medical history on the application form. The insurer assesses it and tells you upfront what is and isn't covered. They may exclude specific conditions permanently or charge a higher premium to cover them (this is rare). | Full clarity from day one. You know exactly what you are covered for. | Longer application process. Can result in permanent exclusions for pre-existing conditions. |
For expats, Full Medical Underwriting is often the recommended path as it provides absolute certainty about your cover before you even land in Australia.
The IPMI market is served by several large, reputable global insurers. While costs vary based on your personal circumstances, here is a comparison of what the leading providers typically offer.
| Provider | Key Features & Strengths | Best For |
|---|---|---|
| Bupa Global | Extensive network, premium service, high benefit limits. Strong brand recognition in Australia. | Those seeking top-tier, comprehensive cover with excellent service. |
| Axa Global | Highly flexible and modular plans. Strong focus on digital tools and virtual doctor services. | Customising a plan to fit a specific budget and need. |
| Cigna Global | Excellent global network and customer support. Good range of plans from basic to comprehensive. | Expats who travel frequently and need reliable global access. |
| Allianz Care | Strong value proposition. Clear, straightforward policies and a reputation for efficient claims processing. | Individuals and families looking for a balance of cost and comprehensive benefits. |
Navigating the subtle differences between these providers' policies can be tricky. This is where using a specialist PMI broker is invaluable. WeCovr's expert advisors can provide a detailed comparison of the best PMI provider options tailored to you, ensuring you don't overpay or end up underinsured.
The cost of an IPMI policy varies significantly based on several factors:
As a rough guide for 2025, a healthy 35-year-old UK expat in Australia might expect to pay:
A family of four (two adults in their early 40s, two children) might look at premiums starting from £400 per month for a mid-tier plan.
In a complex market, expert guidance is priceless. Instead of spending hours trying to decipher policy documents from multiple insurers, you can use a specialist broker like WeCovr at no cost to you.
Embracing the Australian lifestyle also means adapting to its unique environment. Here are some tips to stay healthy and safe.
Be Sun-Smart: The Australian sun is famously harsh. The local mantra is "Slip, Slop, Slap, Seek, Slide".
Stay Hydrated: Dehydration is a real risk, especially during summer or when exercising. Always carry a water bottle with you.
Be Aware of Wildlife: Australia is home to some unique creatures. While incidents are rare, it's wise to be aware. Learn to identify common snakes and spiders. When swimming at the beach, always swim between the red and yellow flags where lifesavers are on patrol, as they monitor for dangers like jellyfish and rips.
Embrace the Outdoors Safely: Whether you're bushwalking, surfing, or cycling, let someone know your plans. Carry a fully charged phone and be mindful of changing weather conditions.
Look After Your Mental Health: Moving across the world is a huge undertaking. It's normal to feel a mix of excitement and anxiety. Build a support network, join local clubs or community groups, and don't hesitate to speak to a GP if you're feeling overwhelmed. Your IPMI policy will often include cover for mental health support.
Ready to take the next step? Secure your health and peace of mind for your Australian adventure.
Contact WeCovr today for a free, no-obligation quote. Our expert advisors will compare the market for you and find the perfect international private health cover for your new life down under.






