What May Not Be Covered by My Health Fund?
- Pharmacy (medicines required during your admission and discharge medications)
- Pathology (e.g. blood tests)
- Assisting surgeon
- Other consultants
- Ambulance transfers
It is very important that you are well informed about your financial obligations prior to your admission to the hospital.
Please read the following information and contact Monash House Private Hospital if you have any concerns or queries.
Depending on your company and level of cover with your health fund, an out-of-pocket balance may occur for your planned procedure.
Private health insurance policies have 4 tiers: Bronze, Silver, Gold and Basic. With regards to pain management procedures, it is important to note the 2 key categories and where your procedure fits.
All estimated out-of-pocket expenses are payable before or upon admission.
You will be contacted by the various providers confirming rebates or out-of-pocket expenses:
Un-insured or self-funded patients are required to cover the following fees associated with the procedure at Monash House Private Hospital (MHPH) which includes the proceduralist, anaesthetist and imaging involved. Payment MUST be received prior to or on the day of Admission.
You will be emailed ESTIMATES by MHPH for the above providers. Please confirm via email or call your doctors’ rooms as soon as possible.
Total payment (aside from any ancillary charges) must be made on admission unless approval for admission has been confirmed by your insurance company.
Department of Veterans’ Affairs (DVA) patients will have their account directly sent to the DVA for payment.
Gold card holders are covered for all care. White card holders are covered subject to approval by DVA.
Workers’ Compensation patients need to ensure their Admission has been approved by the appropriate insurance company prior to Admission, and a copy of your approval has been provided to Metro Pain Group and Monash House Private Hospital.
For your convenience, payment of excess/co-payments may be made by cash, EFTPOS, Bank cheques, MasterCard or Visa directly to Monash House Private Hospital (MHPH) at the time of admission. If you have any further questions, please call us on 03 8394 0700.