Payment Information

Overview

While we will ensure you have everything you need for your procedure and stay at our hospital, it is your responsibility to make arrangements to cover your hospital account.

The following is a guide to assist you. If you have any queries or concerns regarding your hospital costs, please get in touch with our Admissions staff on 02 9598 0380 or info@waratahprivate.com.au

General Information

Your hospital account includes an accommodation fees, theatre fees, prostheses, consumables and other chargeable items where applicable.

You will be provided with an Informed Financial Consent with an estimate of expenses before your admission. All charges are payable prior to or on admission.

There may be some costs, for example mobility aids and equipment, that are incurred during your stay that are not covered by Insurance. These costs are to be paid prior to discharge.

During your stay, you may be prescribed medications which are not covered by Insurance. This may include any medication that you were taking prior to your admission and medications prescribed to you on discharge. Charges for medication not covered by your health fund will be invoiced to you directly and will need to be paid directly to the Pharmacy prior to discharge.

In the event that you require an Ambulance or Patient Transport to another facility or appointment, the cost may not be covered by an Insurer or Medicare. You will be informed of these costs prior to our staff booking transport, unless in the case of a medical emergency.

You may incur costs from other service providers in addition to your hospital costs. Medical specialist fees are not included in the Hospital fees and this may include fees for the surgeon, assistant surgeon, anaesthetist and other medical officers. Please contact your Doctor’s rooms for further information.

Services such as pathology and radiology will be billed separately to your hospital account and may be claimable through Medicare, your private health fund or third party insurer. However, rebates may not cover the full cost of the services provided.

Private Health Insurance and DVA

Our Hospital has contract agreements in place with the majority of Australian health funds.

We strongly recommend that you contact your health fund prior to admission to confirm your level of cover and check if you have an excess or copayment that applies to your cover.

Please check with your fund for the following:
• If there are any excess, co-payments or out of pockets payable
• If your policy covers the procedure that you are having
• If your policy is paid up-to-date
• If you have any waiting periods or exclusions under your level of cover

Once we have this information, we will conduct an eligibility check with your health insurance provider. You may find that your health fund may not fully cover your stay and that an out of pocket amount may occur. We will advise you if any excess or co-payment applies to your cover prior to admission.

If you are a Department of Veterans’ Affairs (DVA) member you may need approval from DVA for your admission if you do not hold a Gold card. Your Surgeon’s rooms are responsible for obtaining this approval.

HCF Members and Your Hospital Admission

You may incur an out-of-pocket gap for your hospital stay at Waratah Private Hospital. Here’s why…

As your local private hospital, we’ve done everything in our power to negotiate an agreement with HCF to benefit their members, unsuccessfully.

Rest assured, we’ve negotiated agreements with all other major insurers and their members benefit from suitable cover during their stay without paying any gaps.

While we don’t have a contract – as a second-tier default facility – HCF is still required to provide a benefit for your stay here. They just won’t cover all the costs like our other contracted health funds.

We are painfully aware that HCF’s failure to contract with us affects you and your upcoming stay with us at
Waratah Private Hospital. Despite your private healthcare cover, a co-payment or gap for your hospital stay can be expected.

We’ll outline any costs upfront with you before admission. However medical or rehabilitation hospital stays incur the following out-of-pocket expense:
* 1-7 days $50 per night
* 8-14 days $75 per night (plus previous 7 nights $350)
* 15-21 days $100 per night (plus previous 14 nights $875)
* 22 days plus $350 per night (plus previous 21 nights $1575)

HCF members who require care transferred to respite or a nursing home placement whilst in our hospital, incur a gap of $700 per night. These costs do not cover any excesses or benefit restrictions with your fund.

All payments are required seven days in advance. Any over payment will be reimbursed on discharge.

For more detailed information pertaining to each night fee, see flyer.

HCF & Your Admission Flyer

Self Insurance

If you are paying the cost of your procedure or admission yourself, prepayment of the hospital fee is required.

Our Admissions staff can provide you with an estimate of costs for your admission, however, we need some information from your admitting Doctor to provide this to you.

Please ask your Surgeon for the following information:
• What is the item number or length of time in theatre for your procedure?
• Is your admission for day surgery or an overnight stay? How many nights are expected?
• Is the Doctor planning on using any prostheses during the surgery?

Please call or email our Admissions team with this information and we can provide you with an estimate of costs.

Workers Compensation or Motor Vehicle Accident cover

Your Surgeon’s rooms are responsible for obtaining approval for your procedure from your WC or CTP insurer. Please ensure that they have provided this information to the Hospital prior to your admission.

Cosmetic or procedures not covered by Medicare Benefits Scheme

Should your health insurer deem that your procedure is cosmetic or does not meet the rules of the Medicare Benefits Scheme they may not pay a benefit and you will be responsible for payment of the hospital costs.

Accepted payment options include:

On the day of (or up to 2 days prior to) admission:

For any hospital generated out-of-pocket expenses, the hospital will provide you with a detailed cost estimate. This estimate will need to be paid before or on admission.

Credit card and EFTPOS facilities are preferred and available for payment of hospital fees (surcharge may apply). Personal cheques are not accepted.

In addition to the above methods, we also accept direct credit to our nominated bank account:

Waratah Private Hospital

BSB: 083-088

Account No: 949529752

Reference: (Patient surname)

Other costs / payment options

Additional costs that may apply to your admission

Take home medications

You will need to pay for any take-home medication when you are discharged.

Mobility equipment

We have a variety of mobility equipment for hire or purchase (e.g. crutches and walking frames).

 

Terms and conditions of payment

Payment terms are 7 days following date of invoice.

Any balance remaining unpaid 1 month after the date of invoice will attract interest at the rate of 14% per annum. Interest will be calculated daily from the due date of invoice and may be added to the outstanding balance at the end of each calendar month, up to the actual date of payment.

Any debt collection, legal or other costs incurred in the collection of outstanding amounts will also be payable by you, known as the debtor. Any variation to these terms will be at the discretion of hospital management.

If there is a delay with your insurance claim, or another reason that you are not able to pay your account within 7 days (1 month for insurance claims) of the date of invoice, please ensure you contact us before the due date.

If you have any queries or concerns regarding your hospital account, please discuss these with our hospital accounts staff.