Settling Your Account
Hospital charges for private patients
Hospital charges you might have to pay as a private patient include:
accommodation
operating theatre fees
prostheses costs, for example dental implants and guides
medicines and dressings
If you have private hospital insurance the amount your insurer will pay for these depends on:
your policy
whether your insurer has an agreement with the hospital
Some policies pay only the Government mandated minimum amount for hospital charges for all or some types of treatment. This could mean you pay higher out of pocket costs.
The out-of-pocket cost to attend a hospital can vary widely based on several factors, including your insurance coverage, the type of medical and dental services you receive, and the specific terms of your insurance plan.
AOMS does not have any agreements with private health insurance companies. Therefore, you may have additional out-of-pocket expenses above that of any agreed excess with your health insurer for which you will be responsible.
Whilst your health insurer will continue to pay some benefits for your admission to AOMS, the benefit may not cover the full cost of your admission.
Even after you meet your deductible excess, you may still be responsible for additional out-of-pocket expenses.
AOMS will provide you with an estimate of fees outlining any out-of-pocket expenses you need to pay before admission.
AOMS is an Accredited day surgery facility, for all procedures performed under Local Anaesthetic or IV Sedation you will be ‘Admitted’ as a hospital patient.
AOMS will run an eligibility check with your health fund prior to your surgery for the hospital and theatre fees. It is your responsibility to understand the type and level of cover you have and to contact your health fund to ensure that you are covered for the booked procedure. If there are any gaps, co-payments, out-of-pocket expenses or agreed excesses* we will contact you to advise you of the outstanding amount and this will need to be paid on the day of your procedure.
An out-of-pocket cost is the difference between the amount a doctor or hospital charges for a medical service or procedure and what Medicare and any private health insurer will pay.
Out of pocket costs are also called gap or patient payments. Further information is available from the Department of Health: https://www.health.gov.au/topics/private-health-insurance/what-private-health-insurance-covers/out-of-pocket-costs
*This payment is what you have agreed with your health fund
Surgeon, Anaesthetist and Pathology Costs
In addition to the fees outlined above, please be aware that if you require surgery, the Anaesthetist and Pathologist will send their accounts for their services separately and directly to you. AOMS does not handle these accounts and you will need to pay them directly. If you have any questions about the costs associated with your procedure before then please contact a member of our team who will be more than happy to assist you.
No Health Fund Cover?
If you don’t have private health insurance, we’ll provide a written quote of all hospital costs. You’ll need to pay all fees on admission.