Going into hospital

It’s important to be well informed to make the best decision about your health care.

What will you have to pay?

Before you receive treatment as a private patient in hospital, you should ask your doctor, your hospital and TUH about any out-of-pocket costs you may incur. 

Ask your doctor to advise, in writing, how much the fee will be and if you will need to pay a gap. If more than one doctor will provide your treatment, your surgeon should advise how to contact them for fee information.

You should also check whether your doctors would charge you under Access Gap Cover.

In some circumstances, such as emergency admissions, it will not be possible for your doctor to provide financial information before treatment.

Inpatient/outpatient

'Inpatient' means you have been admitted into a hospital for treatment. There are many occasions, such as follow-up consultations after surgery, pre-natal visits, x-rays and the emergency department, where you may receive medical services but not be admitted. In these cases, you're known as an 'outpatient'.

Hospital benefits will only apply for medically necessary inpatient treatment as determined by law.

For medical services not related to inpatient treatments, such as a specialist appointment or a pathology test, Medicare will cover 85% of the Medicare Benefit Schedule fee. However, the law does not allow TUH to pay any remaining cost.

For answers to your most frequently asked questions click here.

Expecting a baby? See our handy guide: click here.

Making a hospital claim