Theatre & Accommodation Fees

Lower cost, high quality care

At Kingsgrove Day Hospital as a stand-alone facility, with fewer overheads
compared to large hospitals, more efficient processes and no overnight patients, we can
offer highly competitive day procedure rates.

For patients with private health cover

We have contracts in place with all the leading private health funds, offering you the
convenience of lodging claims on your behalf with little or no upfront costs.

For patients with no health cover, or those undergoing non-claimable procedures

Our day hospital set up means we can offer highly competitive day procedure rates
compared to larger hospitals.

Hospital Costs

The hospital fee for your procedure covers the use of the operating theatre, day-stay
accommodation and commonly used drugs and dressings. For some procedures, there will
also be a charge for prostheses or disposables.

If you have private health insurance, we
will claim directly from your health fund.

If you have an excess or gap with your cover you will need to pay this on admission. Your
health fund will have advised us directly of the cover they will pay.

If you do not have private health insurance
you will need pay the full account on admission.

One or two days prior to admission a staff member from Kingsgrove Day Hospital
will contact you to confirm any hospital costs for your procedure that need to be paid on
admission, known as your Informed Financial Consent.

The fee for your surgery cannot be claimed through Medicare.

Specialist, Anaesthetist and Pathology costs

In addition to the Hospital’s fee please be aware that your Specialist, Anaesthetist and
Pathologist will send their accounts for their services separately and directly to you.

The Hospital does not handle these accounts and you will need to pay them directly.

Please note that when you receive accounts from these doctors they will list the same
item numbers as on your Hospital account, but they are for your Doctor’s services not the
Hospital’s costs.

Health insurance

Prior to admission be sure to confirm your level of cover for hospital admission with your
health insurance provider.

if you have any questions about the costs associated with your procedure before then
please contact our friendly team who will be more than happy to assist you.

For patients with private health insurance

We have contracts in place with all the leading private health funds, offering you the
convenience of lodging claims on your behalf with little or no upfront costs.

Please provide the correct health fund details in your pre-admission forms. In the days
leading up to your admission, we will contact your health fund to establish your level of
hospital cover, if the waiting periods have been served, and f there are any out of pocket
payments (excess or co-payment).

Some procedures may be restricted or excluded from some levels of hospital cover, such as
obesity, and IF related procedures. After seeing your Specialist please contact your health
fund if you’re unsure what you are covered for.

You will need to know the item number corresponding to your proposed procedure(s), if you
do not know this please contact our team.

Here are some questions to ask when you contact your health insurance provider

Am I fully covered for an admission to a private hospital?
Have I served all current waiting periods?
Are all my premium payments up to date?
Does my policy have any restrictions, limitations or minimum benefits that may apply?
Do I have an excess or any co-payments associated with my policy?

Work Cover or a Third Party Claim

If your procedure is subject to Work Cover or a Third Party Claim, please forward full details
of the claim to KDH, including a letter from your insurance company accepting liability for
the admission.

If you have any questions about your health fund cover for your upcoming procedure please
contact our team who will be more than happy to assist you.