Jul 22, 2026 – 5.00amThe rigid tiering of gold, silver and bronze basic levels of health insurance has made building a sustainable model for affordable top hospital cover “very difficult”, with warnings it could threaten the existence of the health insurance sector.“The trouble is that gold contains the cover for mental health and for maternity care, and if we can’t offer an affordable solution to those things, why would anyone under the age of 50 have private health insurance?” Rachel David, CEO of representative body Private Healthcare Australia, told the Financial Review Insurance Summit in June, describing the flight from top hospital cover as an “existential threat”.Subscribe to gift this articleGift 5 articles to anyone you choose each month when you subscribe.Subscribe nowAlready a subscriber? Fetching latest articles