Health Funds

Privately Insured Patients

Our Hospital has contract agreements in place with the majority of Australian health funds, however not all health funds cover the same components of hospital stay. Consequently, excess and out-of-pocket payments may apply on admission.

We strongly recommend that you contact your health fund prior to admission to confirm your level of cover and to understand what you may need to pay. Please check with your fund for the following:

  • If there are any excess, co-payments or gaps payable
  • If your policy covers the procedure that you are having
  • If your policy is up-to-date

The hospital account includes an accommodation fee, theatre fees and other chargeable items where applicable. For any hospital generated out-of-pocket expenses, the hospital will provide you with a detailed cost estimate. This estimate will need to be paid upon admission.

During your stay, you may be prescribed medications and most of these should be covered by your private health fund. However, you should be aware that some medications are not covered and these include any medication that you were taking prior to your admission to hospital and any medication that may be required at discharge. Charges for medication not covered by your health fund will be invoiced to you directly and will need to be paid on discharge.

We will conduct an eligibility check with your health insurance provider. You may find that your health fund may not fully cover your stay and that an out of pocket balance may occur. We will advise you if any excess or co-payment applies to your cover.

You will be provided with an informed financial consent form with an estimate of expenses before your admission. All charges are payable on admission.

Self-insured patients are required to pay an initial deposit based on an estimated length of stay. The admissions officer will provide you with further information about this requirement as part of your admission process.

If you are a Department of Veterans’ Affairs (DVA) member you may need approval from DVA for your admission if you do not hold a Gold card.

If you are a Workers Compensation patient, you will need to have your claim approved before being admitted.

There may be some costs that are incurred during your stay that are not covered by your health fund. These may include rental or purchase of items, drugs/pharmacy items and transport. These costs are to be paid on discharge.

Visa, MasterCard and EFTPOS facilities are available. Personal cheques are not accepted.