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 Centre, inpatient care and accommodation, and any outpatient visits.  Benalla Health requires payment of fees prior to treatment (Urgent Care Centre 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 Centre, Inpatient, and Outpatient fees: Effective 01/07/2022
(Fees subject to change – request an up to date quote on day of attendance or prior to admission)

Urgent Care Centre attendance                                       $200 - $500
Day Stay Admission - Acute or Day Procedure Ward   $1,100
Overnight Admission - Acute Ward                                 $1,500
Prosthesis Fee                                                                     Cost provided per procedure
Doctors' fees, Anaesthetists, Pharmacy 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:  The full fee must be paid up front, and any adjustment paid prior to discharge.

  • Normal delivery $7,500 – based on three-day stay inclusive of accommodation and antenatal clinic visits.
  • Caesarean delivery $12,500 – based on five-day stay inclusive of accommodation, theatre, antenatal clinic visits.

What is NOT included in these options?

  • Fees for the following services: All attending Doctor’s fees, 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 a metropolitan 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 and no Medicare card you will need to provide your health insurance details including Health fund name and membership number.  We will do an eligibility check to ensure you are covered for your obstetric care at Benalla Health, and will discuss with you any out-of-pocket expenses you may incur.

Medicare Ineligible Private Insured Fees: (please note excluded fees are same as Medicare Ineligible Maternity Patients).

Obstetric Overnight    $2,500.00
Obstetric Same Day    $1,900.00