Private and Public Patients (Medicare-Eligible)

It is our aim to provide all patients with the highest quality and standard of care. The income we receive from your health fund helps to improve hospital facilities, update equipment and provide staff education and training.

• Privately insured Medicare eligible patients are not liable for health fund excesses or co-payments at South Australian public hospitals.
• If you have valid hospital cover, your health fund should cover the costs associated with your accommodation and prostheses charges.
• Medicare and your health fund will cover 100% of medical service fees if your doctor charges the Medicare scheduled fee or participates in a Gap Cover Scheme with your fund.

Note: medical service fees are fees that may be charged by your doctor, surgeon, anaesthetist and/or pathology and radiology departments.

Where possible, the hospital will lodge all of your claims with Medicare and your health fund on your behalf. Once hospital accounts are paid, you will receive a patient claim statement from your health fund providing details of all charges paid.

Our Patient Liaison Officers can confirm your level of health fund cover and let you know whether you are covered for your hospital stay. Please contact the hospital’s Patient Liaison Officers (see contact details below) if you have any questions relating to your health fund cover or potential costs of your admission.

Yes, you can choose to be a self-funding private patient. You will be responsible for meeting any costs incurred during your hospital stay that are not covered by Medicare. If you are coming to the hospital as a self-funding private patient, we request that you contact the hospital’s finance team on (08) 8161 6147 during business hours to pay your hospital accommodation account prior to admission. The hospital accommodation charge is payable in addition to your specialist’s fees and other medical services’ fees.

If you would like to be admitted as a private patient, please let our staff know. A hospital representative will assist you to complete the necessary forms and to make an informed choice to be admitted as a private patient. You will also be required to provide your Medicare and health fund membership details.