Private Health Insurance

There are many private insurance policies available and all with different levels of coverage. Therefore, it’s best to give your health fund a call prior to your admission and find out exactly what you are covered for and whether your policy includes any additional costs such as an excess or co-payments.

Before you call, you may also want to ask your doctor(s) for the item number(s) relating to your surgery.

  • Do I have to bill my private health insurer?

    Epworth will submit a claim to your private health insurer for the cost of hospital related expenses.

    Epworth will also submit claims for Department of Veterans Affairs (DVA) patients, WorkCover, TAC and other third party claims as long as a letter of liability is provided.

  • What if I'm self-insured?

    If you do not have private health insurance an estimate of your admission costs will be calculated for you. You are required to pay your estimated account prior to or on your admission. The actual cost incurred may differ from the estimate, due to a change in treatment or a longer stay in hospital than originally planned. If treatment costs exceed the estimated amount, you will be asked to pay the difference before going home. For further information, please contact the patient service centre of your admitting hospital.

  • What does Epworth charge?

    Epworth HealthCare is Victoria’s largest not for profit private hospital group and charges fees for services. Hospital services include nursing care, accommodation, fees for operating theatre use, meals and housekeeping.

    Epworth has agreements with the major Australian health insurance funds. Most hospital fees are covered by private health insurance, with the exceptions of excesses, co-payments or exclusions.

  • What non-hospital fees do I need to look out for?

    All fees relating to medical practitioner care (excluding hospital fellows) and other non-hospital fees (see below) are charged separately.

    Non-hospital fees will be billed separately and may include:

    • Allied Health practitioners
    • Ambulance charges
    • Anaesthetist fees
    • Cardio-pulmonary bypass (perfusion)
    • Medical services
    • Pathology
    • Pharmacy
    • Physiotherapy (where no arrangement exists between Epworth and your health fund)
    • Radiology/X-ray
    • Surgeon fees

    Medicare refunds some non-hospital charges and your health fund may also cover a further portion, but you will be required to pay the balance. If you have any questions regarding these charges, please check with Medicare and your health fund.

  • What if I still have account enquiries?

    Our friendly patient service centre teams can answer any further queries you may have:

    Epworth Cliveden

    Phone: 03 9419 7122
    Email: [email protected]

    Epworth Eastern and Eastern Kew

    Phone: 03 8807 7772
    Email: [email protected]

    Epworth Freemasons

    Phone: 1800 337 453
    Email: [email protected]

    Epworth Hawthorn

    Phone: 03 9415 5720
    Email: [email protected]

    Epworth Richmond

    Phone: 03 9426 8844
    Email: [email protected]