Emergency Information

Fees for Medicare Ineligible Patients

Benalla Health is a public health facility. All patients utilising this facility for health care treatment must have a Medicare card. Those who are not eligible for Medicare benefits or have no Medicare card must organise payment for their treatment. Medicare ineligible patients are responsible for organising health insurance cover or money to cover their health care costs. The only exceptions are visitors who meet one of the following classifications:

Reciprocal Rights
The Australian Government has Reciprocal Health Care Agreements (RHCA) with the governments of the United Kingdom, New Zealand, Republic of Ireland, Sweden, The Netherlands, Finland, Belgium, Norway, Slovenia, Malta* and Italy*.

*Visitors from Malta and Italy are covered for Medicare for a period of six months from date of arrival in Australia.

These agreements may entitle a visitor to limited health services for medically necessary treatments whilst visiting Australia.

Asylum Seekers and Refugees
Asylum Seekers and Refugees are provided with free medical care (including diagnostics) in Victorian hospitals. Asylum Seekers and Refugees will need to produce appropriate documents to confirm their status from the Department of Immigration and Citizenship or a recognised asylum support agency, eg: Red Cross. Without documentation, payment will be expected for all medical costs but can be reviewed once documents are presented.

A Medicare Ineligible patient will be required to pay costs for any medical treatment received at Benalla Health. This includes treatment in the Urgent Care department, inpatient care and accommodation, and any outpatient visits. Benalla Health requires payment of fees prior to treatment (Emergency or Outpatient).

Diagnostic charges will be raised and payable to radiology and pathology service providers. Details of costs can be obtained from the respective service provider and will require payment on the day of service.

Urgent Care, Inpatient, and Outpatient fees: Effective 01/07/2017
(Fees subject to change – request an up to date quote on day of attendance or prior to admission)

  Urgent Care Attendance

  $ 500

  Day Stay admission – bed rate

  $ 1,100

  Overnight admission – bed rate

  $ 1,500

  Prosthesis fee

  Cost provided per procedure

  Medical fees-including pharmacy, anaesthetic, etc

  Full cost per service

  Outpatient clinic (per consultation)

  Cost available per clinic on booking

Maternity care charges are available separate to these rates. Maternity patients can be covered by health insurance or obtain rates for Medicare Ineligible maternity and baby admission by contacting us on (03) 5761 4222. You will be required to provide the following information:

  • Your passport
  • Contact information whilst in Australia
  • Health insurance details if applicable

Fees for Medicare Ineligible Maternity Patients
Maternity fees at Benalla health for uninsured overseas visitors are available on request from the Patient Liaison team in person by appointment.  Two options are available:

  • Normal delivery $6000 – based on three-day stay inclusive of bed fee and antenatal clinic visits.
  • Caesarean delivery $12,500 – based on five-day stay inclusive of bed fee, theatre fee, and antenatal clinic visits.

What is NOT included in these options?

  • Fees for the following services: attending Doctor's accounts, pathology, x-ray, other procedures, prosthetic items or pharmacy (medications). You will be billed separately for these items.
  • On occasion patients will require transfer to another facility for the birth of their baby. Costs associated with transfer to and time spent in another facility, are not included in the cost options provided at Benalla Health
  • Ambulance transport if required.

Is my newborn automatically entitled to Medicare?
No. Newborn babies take the eligibility of their mother. For further information please visit Department of Immigration and Citizenship website: www.immi.gov.au

Insured patients
If you have private health insurance please check with your health fund that you are covered for maternity care and that your baby will be covered. You will need to sign claim forms and invoices will be sent direct to your health fund.  You may have out of pocket expenses as noted above related to pathology, x-ray, discharge medications and pre or post-natal clinic attendances.