Accounts & Health Insurance

You will need to finalise your hospital account before leaving.

Estimate of Costs

Where time allows the hospital will provide an estimate of the gap between your health insurance cover and the hospitals costs prior to your admission. Otherwise an estimate will be provided at the earliest opportunity after your admission. This will be an ESTIMATE ONLY. The estimate is prepared using information supplied by your admitting doctor; it is subject to change without notice. Circumstances may also occur during your hospital stay that will result in changes to any estimates provided.

While no guarantee can be given, every effort will be made to accommodate your room request. If you are allocated a private room, a gap payment will apply if your health insurance cover does not include private room fees.

Payment of your estimated gap is required on or before admission. Western Private Hospital offers several options to pay your estimated gap or other accounts. These include Credit Card (Diners and American Express not accepted), Money Order or Bank Cheque, EFTPOS and cash. Personal cheques are not accepted.

Doctor Accounts

Accounts from your treating doctor are separate to the hospital account. Please contact your treating doctors directly for estimate of costs and/or to settle accounts.

Please let your doctor and anaesthetist know as soon as possible if your medical bills are to be paid by a third party such as worker’s compensation or the Department of Veterans’ Affairs.

Pharmacy Accounts

Any medication dispensed not related to your admission is required to be paid on discharge.

Radiology/Pathology Accounts

Accounts from these providers are separate to the hospital account. Please note that there may be an out of pocket expense for services received by these providers.

Privately Insured Patients

Prior to sending in your admission form, please check with your private health fund that your insurance is up to date. The hospital will check on your behalf whether you have an excess or co-payment to pay or if your level of cover or waiting period excludes you from receiving health benefits for some conditions. However, it is important that you also check with your private health insurer as co-payments and costs for excluded procedures are your responsibility.

You may be liable for the total cost of treatment or part thereof if any of the following apply:

  • Pre-existing condition. If your condition was present prior to you joining your health fund or changing tables a waiting period may apply
  • Exclusion: where the procedure performed is listed as an exclusion under your table of cover
  • Basic Cover: Where your level of cover is insufficient to meet private hospital costs
  • Uninsured patients will be liable for the full costs of accounts

Uninsured Patients

If you do not have health insurance, you will be required to pay the full estimate of your account on or before the day of your admission. Fees for additional or unplanned services are payable on the day of discharge.

Veterans

Every effort will be made to accommodate your room request. As DVA does not cover veterans for private room accommodation, a gap payment will apply to each day you occupy a private room. All veterans will receive a hospital estimate highlighting the potential out of pockets expenses associated with private room accommodation.

The hospital will ensure that prior approval is received for White Card holders. Gold Card Veterans’ Affairs patients do not require approval prior to admission.

If you require transport to or from hospital, you will need to contact the Department of Veterans’ Affairs to make arrangements.

Workers’ Compensation, TAC and Third Party Patients

All Workers’ Compensation, TAC, public liability and third party patients require approval from their insurer prior to admission. If approval is not received, the patient is required to pay the estimated amount on or before the day of admission.

Account Enquiries

For all account enquiries please phone 03 9304 7318 during the following hours

Monday to Friday  8.30am – 4.30pm