Women's and Children's Hospital, Adelaide
Private and Public Patients

Private and Public Patients (Medicare-Eligible)

One of the important decisions you make when coming into hospital is to decide whether you would like to be treated as a private or public patient.

Private Patients

By electing to be admitted as a private patient at the Women's and Children's Hospital you will enjoy the advantages of:

  • No private health insurance co-payments or excesses;
  • Choice of doctor (providing the doctor has Rights of Private Practice at this hospital and is available).
    Note: Where your doctor of choice is unavailable, you can still elect a private admission in our hospital and be treated by the doctor on duty.

In addition, women patients have the following advantages:

  • Access to ‘free to air’ television at no cost (women only);
  • Free movie channels (women only);
  • Free internet (women only);
  • Free local telephone calls (women only) and;
  • Access to a single room (if available – women only).

How Will the Hospital Benefit?

It is our aim to provide all patients with the highest possible 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.

How Will You Be Affected Financially?

  • 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.

Accounts Made Easy

The hospital will lodge all of your claims to Medicare and your health fund on your behalf (where possible). Once hospital accounts are paid, you will receive a patient claim statement from your health fund providing details of all charges paid.

The Importance of Confirming Your level of Health Fund Cover

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.

Can I Still be a Private Patient if I Don't Have Private Health Insurance?

Yes, if you do not have private health insurance, you can still elect to be a private patient. As 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.

How Do You Elect to be a Private Patient?

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 will assist you 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.

How Can You Find Out Further Information About Becoming a Private Patient?

Our Patient Liaison Officers are available to assist Mondays to Fridays 08:00 am to 4.00 pm. Alternatively you may prefer to send an email:

Phone: (08) 8161 6753 or (08) 8161 8902
Email: HealthWCHNPatientLiaisonOfficer@sa.gov.au

Public Patients

Australian residents who decide to be a public patient are entitled to free treatment under Medicare. Your treatment will be carried out by doctors nominated by the Hospital, under the direction of an appropriate specialist.

last modified: 11 Oct 2019