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Medicare Ineligible Fees

A Medicare Ineligible Patient is someone who does not hold a valid Medicare card, is not an Asylum Seeker or is not a visitor from a country who has a Reciprocal Health Care Agreement with Australia.

Medicare Ineligible patients

If you choose to be treated as a Private patient but do not have Health Insurance you will be responsible for payment for all accounts.

An ineligible patient is one that does not hold a Medicare Card and is not a visitor from a country with a reciprocal health care agreement which are as follows: Belgium, Finland, Italy, Malta, Netherlands, Norway, Republic of Ireland, Slovenia, Sweden, United Kingdom

You will be required to pay for your healthcare before you are treated. Costs are outlined in Fees and Charges on the right.

East Wimmera Health Service will try to give you an accurate estimate of the cost of your healthcare, however sometimes costs may change due to the time you spend in hospital. There may also be extra costs for ambulance transfers, medication, equipment, diagnostic tests and procedures. You will be required to pay for any outstanding bills when you are discharged from the hospital.

Medicare Ineligible patients’ fees and charges

East Wimmera Health Service fees and charges may change from time to time. The following charges are effective at 31st December 2021.

Emergency Fees (per day $AUD)
Required to be paid upfront
Emergency presentation – $400

Inpatient Fees (per day $AUD)
Wards and Short Stay Units
Day only – single room – $500 / shared room – $400
Overnight – single room – $820 / shared room – $735

Outpatient Fees (per visit $AUD)
Outpatient clinic – Medical, Allied Health – $250

Other Services (per visit $AUD)
Hospital in the Home service – $320

There may be extra costs for medication, equipment, diagnostic tests and procedures. You will be billed for these separately and you will be expected to pay these costs or claim costs from your insurer. Ambulance transfers maybe billed separately.

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