Financial Information
Monash Heart Private (operated by Jessie McPherson Private Hospital) will provide you with an estimate of costs for your stay. Your informed financial consent is required prior to admission.
You are responsible for the full cost of the hospital stay if your health fund does not cover your admission or if you are self-funded.
The information in this section covers:
- Private Health Insurance
- Self-funded (uninsured)
- WorkSafe and TAC
- Veterans’ Affairs
- Overseas Health Insurance
Private health insurance
Monash Heart Private (operated by Jessie McPherson Private Hospital) has contracts with all private health insurance funds.
Patients with private health insurance are required to contact their fund prior to admission to ensure they are covered. There are many policies which have restrictions and some patients may be surprised to find that they are not fully covered for the treatment they require.
When contacting your health fund you will need to know the item number/s if you are having a procedure, if you are not having a procedure you will need to know the admitting diagnosis. Your doctor will be able to provide this information.
You will need to check the following information in relation to your policy:
- Exclusions and restrictions
- Specific treatments and/or services that are not covered or only partially covered by your policy.
- Waiting periods/benefit limitation periods
- If your policy commenced less than 12 months ago or if you have changed your level of cover in the past 12 months your condition requiring admission might be deemed as pre-existing.
- Financial
- Your premium needs to be up to date for your entire hospital stay.
To help avoid any misunderstanding we recommend the following:
Check any out of pocket charges (including any excess and co-payments) that will apply by confirming your level of cover with:
- Your Health Fund
- Your Doctor
- Monash Heart Private Booking Office
You may receive accounts from other providers which are not included in the hospital fees, these may include:
- Doctors, Surgeons, Anaesthetists, Physicians, other medical practitioners.
- Pathology, Radiology, Pharmacy etc.
Self-funded (uninsured)
If you are not privately insured, you will be required to pay the estimated costs of your hospital stay prior to or on admission.
The estimate we will provide is based on information provided by your doctor prior to your admission. Every effort will be made to provide an accurate estimate of expenses, however, additional costs may be incurred during your hospital stay.
Post discharge, we will issue an invoice with any outstanding amounts which you will be required to settle.
WorkSafe or TAC
WorkSafe or TAC authorisation is required prior to your admission and treatment. Your doctor will be required to provide this information to the hospital.
Where approval has been given, your account will be forwarded to the employer/insurer for payment. Each admission relating to the claim requires separate approval. There will be a fee payable for a private room if it is by your request.
If your claim is not yet determined your account will be treated as self-funded and you will be responsible for payment of the estimated costs prior to or on admission.
Veterans’ Affairs
Accounts for gold card members will be forwarded to the Department of Veterans’ Affairs for payment. Any other DVA cardholders should contact the Bookings Office (see details below) to confirm your cover. If you request a private room, there will be a fee payable upon discharge.
Overseas health insurance
We only accept certain types of overseas health insurance, mainly those aligned with Australian health funds. For other overseas health insurance, including travel insurance, you will be required to pay for your admission as a Self-Funded (uninsured) patient – please refer to the Self-Funded section above. You may be able to claim a reimbursement from your overseas insurer.
If you have any further questions about your hospital account please call the Bookings Office between 8am-5pm Monday to Friday on (03) 9594 2555.
