How to reduce out of pocket medical expenses

Sep 22
3
 min read
Last updated: 
September 22, 2023
A person falling off of a snowboard in the sand

Important note: The statements made in this paragraph about the cover provided by Flip insurance for accidental injuries and the amount of benefits payable relate to the Flip Active product dated 31 May 2023. That product was withdrawn and replaced with the new Flip Active product on 27 June 2023, which has a different scope of cover for accidental injuries. These statements do not describe the scope of cover under that new product. Please refer to the current Product Disclosure Statement for details of that cover.

Do you ever worry about how you’d pay for unexpected medical expenses if you injure yourself in an accident? We examine the latest data for out of pocket medical expenses and look at how Flip can help you enjoy your active lifestyle stress-free.

What is an out of pocket medical expense?

An out of pocket medical expense is the amount you have to pay yourself for a medical service. It’s the portion of the total cost that isn’t covered by Medicare or any private health insurance you might have.

Let’s say you fell off your bike and hurt your wrist. Here’s an example of what you could need and an estimate of average out of pocket fees. Ouch.

  • GP visit: $41.12
  • Diagnostic imaging: $115.27
  • Specialist appointment: $93.09 
  • Allied health appointment $55.29 

SOURCE

Why is medical treatment so expensive?

Australia has an excellent healthcare system, but it’s important to remember Medicare doesn’t cover everything. If we look at diagnostic imaging, several factors contribute to the high costs:

  • Lack of bulk billing: Many diagnostic imaging providers do not offer bulk billing, which means you’ll have to pay the difference between the Medicare rebate and the provider's actual fee.
  • High fees: Some diagnostic imaging providers charge much higher fees than the Medicare rebate, creating large gaps that patients have to cover out of their own pockets. Shop around and compare if you can.
  • Low rebates: The Medicare rebates for diagnostic imaging services have not kept up with inflation, resulting in lower patient reimbursements.

SOURCE

These rising costs can seriously impact your access to care and quality of life. For example, you might have to:

  • Delay or skip treatment: postponing or avoiding getting treatment can delay your healing.
  • Cut back on other expenses: sacrificing essential or discretionary spending to afford your treatment can affect your living standards and wellbeing.
  • Go into debt: borrowing money or using your savings to pay for treatment can cause financial stress.

But don’t worry. We’re here to help protect you from unexpected medical expenses without breaking the bank.

How Flip can help reduce out of pocket medical expenses

For as little as $7 a day, Flip offers cash payouts of up to $50,000 for eligible accidental injuries that happen while you’re covered. In an Australian first, you can flip your accidental injury cover on instantly when you need it, like before you play that rugby game or before you hit the slopes, and flip it off when you don’t.

So, for instance, if you get hurt while you’re covered by Flip and a Health Professional confirms the injury requires an MRI, you’ll get $100 cash. If a Health Professional confirms your injury needs two physio sessions, you’ll get $150. If your Health Professional confirms you need specialist care, you'll get $100. Your benefits will go a long way towards covering your out of pocket medical expenses, and they’re paid in cash so you can spend them however you want, including x-rays and crutches or even Ubers to appointments and pizza deliveries.

Learn more on our products page and read the PDS to see if Flip is right for you.

A snapshot of Australian injuries in Financial Year 2020

90%

of Aussies did some exercise at least once
team sport being Soccer followed by AFL & Rugby

1.75

million
injuries 

were estimated

52,300

sport injuries were serious
enough to require a
hospital stay

29%

were cycling injuries
(up by 18%)

Double

injuries in men
than women

15-24

years
highest decade of
injury

1/2

of main injuries were a
fracture, followed by soft
tissue injuries
The true cost:

$29.8

billion
paid by Aussies for
out-of-pocket* healthcare
costs


*not covered by Medicare or private health insurance
Note: All dates unless
otherwise stated refer to
Financial Year 2019-2020
Australian Institute of Health and Welfare, Sports injury hospitalisations in
Australia, 2019–20
Stuart Babbage and Dr. Dana Hutchins for PwC, Australia’s out-of-pocket healthcare problem
Flip Logo
That’s why we created Flip
Personal accidental injury cover from $7 for a single day
Previous Icon
Previous Icon
You should consider whether Flip Insurance is appropriate for you. It’s important to read our Product Disclosure Statement and Financial Services Guide and Target Market Determination before signing up, too. Issued by HCF Life.

Ready to give medical expenses the flip?

Tell me more about Flip

Drop us your email and we’ll tell you about the latest ways Flip is helping people do more of what they love.
Privacy: Flip collects your personal information that you provide in this form for the purpose of providing you with information about Flip products, services and promotions. If you don’t provide your email address, Flip won’t be able to contact you about these matters. How Flip collects, uses, discloses (including overseas) and keeps and secures personal information, how to request access to and correction of your personal information, how to complain about a privacy breach and how this is handled, and how to opt out of direct marketing, is explained in the Flip privacy policy.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Flip Logo

Tell me more about Flip? 

Drop us your email and we’ll tell you about the latest ways Flip is helping people do more of what they love.

Privacy: Flip collects your personal information that you provide in this form for the purpose of providing you with information about Flip products, services and promotions. If you don’t provide your email address, Flip won’t be able to contact you about these matters. How Flip collects, uses, discloses (including overseas) and keeps and secures personal information, how to request access to and correction of your personal information, how to complain about a privacy breach and how this is handled, and how to opt out of direct marketing, is explained in the Flip privacy policy.
Thank you, your submission has been received!
Oops! Something went wrong while submitting the form.