Eligible (including Reciprocal Health Care) and Ineligible Patient Fees
Fees for ineligible patients (not covered by Medicare including overseas patients), are set to achieve full cost recovery. Some overseas patients are entitled to financial assistance (reciprocal health care agreements).
Circular 23/2009 addresses which countries have reciprocal health care agreements with Australia.
Ineligible Admitted Patient Fees
|Patient Classification||Accommodation Fee Rates for 2019-20|
|Medical same day*||$1,000 per day|
|Medical overnight / Rehabilitation per day*||$1,250 per day|
|Obstetrics Vaginal/Caesarean – total fee||$4,500 / $11,000|
|Surgical – total fee (Contact CFO and HIM urgently)||DRG weight x $6,000|
|Hospital in the Home per day*||$750 per day|
|Prosthesis||$ cost recovery|
* The following items will be separately charged to the fee listed above:
- Medical Imaging
Ineligible Emergency Department Fee
Ineligible for Medicare patients attended to in the ED only will be charged a fee of $600 per attendance (Note: This is inclusive of the facility fee but excludes diagnostics which should be charged separately).
Ineligible Outpatient Fees
|Allied Health||$100 per hour|
|Antenatal care||$100 per hour|
|Postnatal care||$100 per hour|
|Home Nursing Care||$100 per hour|