Every Medicare registered Australian has the right to access the public hospital system at no cost. We all pay for this service through our Medicare Levy. Therefore, public hospitals can’t insist on treating you as a private patient and cannot refuse to treat you if you do not agree. If you do choose to enter a public hospital as a private patient, both you and your health insurer are likely to incur additional costs.
In general, private rooms in public hospitals are allocated to people who medically require them, which may also affect their availability.
If you choose to be treated as a private patient in a public hospital and there is a private room available, we will pay a fixed private room benefit of $70 per day for all eligible admissions. This is in addition to a standard shared room benefit, guided by the minimum rates set out by the Government. We made this private room benefit standard for all TUH members across Australia from 1 July 2019 to ensure consistency in benefits being paid across different states.
If the hospital accommodation charges are greater than the TUH benefit, you’ll be required to pay the balance as an out-of-pocket expense. Please note, your policy inclusions and exclusions will apply in the same way they would for admission to a private hospital.
The hospital and your doctor should always provide you with written informed financial consent with emergency admissions being the only exception. If you are unsure about anything please feel free to give us a call on 1300 360 701 so we can talk you through it.