Frequently Asked Questions – Using your Private Health Insurance

Am I able to use my private health insurance in a public hospital?

Yes - You pay for your private health insurance and you are entitled to decide when and where you want to use it. This includes your admission into a public hospital.

Private rooms are primarily allocated to patients on the basis of clinical need. However, we will endeavour to accommodate Privately Insured Patients in private rooms whenever practical.

Are there any costs that I will have to pay for myself?

You will not have to pay anything extra for your ‘in hospital’ medical, surgical, anaesthetic or diagnostic services as Medicare and your private health insurance will fully cover the cost of these.

Yarrawonga Health will waive any excess that you would normally be required to pay under the conditions of your Health Fund cover.

After discharge, you may be followed up in your treating specialist’s private rooms. You may have to make a gap payment for this consultation.

You will have to pay charges for discharge prescriptions and for rehabilitation and other equipment that is not covered by your Health Fund. These charges apply to both public and private patients.

Who does the paperwork for my private health insurance in relation to Yarrawonga Health accounts?

Our hospital Patient Liaison Officer will attend to the relevant paperwork, which you will be required to sign. They will lodge all the claims associated with your admission, on your behalf. You are relieved of all other associated paperwork.

What do I do with the accounts from my doctors?

In event of receiving any accounts, you may return them to the Accounts Staff. We will submit it to Medicare and your Health Fund on your behalf. You will not have to pay anything.

What if I have been admitted initially as a public patient but later decide that I want to be a private patient, after having had more time to consider this option?

Ask to see a Patient Liaison Officer who can answer your queries and may be able to change your classification to private. This is more likely to apply to patients that have been admitted in an emergency. Electively admitted patients may also change from public to private if they feel that at the time of their admission they were too preoccupied about their forthcoming treatment to properly consider their option to be admitted as a private patient.

Will my being admitted as a private patient increase my Health Insurance Fund Premium?


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