Our hospital cover gives you more choice on where you are treated - your hospital not ours.

Our hospital cover doesn't restrict you to any particular hospital- our benefits apply in all recognised hospitals for recognised services.

Emergency Services Health is committed to providing cover that represents the highest quality and the best value for our members. In meeting this commitment, we maintain agreements with over 500 private hospitals across Australia. These agreements ensure that an agreed schedule of fees (including in-patient accommodation, theatre, and special unit accommodation fees as appropriate) is charged by the hospital and paid by the Fund on the member’s behalf. 

Please note that a member’s benefit entitlements may be affected by factors such as their level and type of cover and the financial status of their membership.

 


Search for a Contracted Hospital

We strongly recommend you contact us on 1300 703 703 prior to your admission to confirm your benefit entitlement. If you choose a non-contracted hospital you may incur out-of-pocket expenses for hospital-related services irrespective of your level of cover.

Important information about our Hospital cover.

 Current Hospitals where our full benefits will not be covered in hospital expenses

  • Sydney Adventist Hospital 
  • San Day Surgery
  • Toowong Private Hospital

Sydney Adventist Hospital & San Day Surgery

Regrettably, following negotiations, through the AHSA, we have been unable to reach an agreement with Sydney Adventist Hospital and San Day Hospital on what we believe are fair fees. Reaching agreement on the level of fees they charge and we cover is important as it avoids unnecessary pressure being placed on your health fund premiums.

Sydney Advertist Hospital and San Day Surgery have now terminated our agreement effective midnight 7 February 2022. From this date, new and increased fees may be charged by them for the hospital services they provide. These fees are likely to be higher than what our Fund recognise for benefit payment purposes, resulting in a portion of their fees not being covered by us and being borne directly by you.

As part of this termination process, there are transitional arrangements in place to ensure that members with pre-booked services should not be affected by this termination. These arrangements are in place for the following scenarios:

  • Treatment has commenced prior to 7 February 2022
  • Treatment or procedures pre-booked within 6 months of 7 February 2022
  • Treatment currently undergoing (including chemotherapy, dialysis, psychiatric or rehabilitation) will continue to be covered until treatment is completed, up until 7 August 2022.
  • Prebooked maternity services between 7 February and 7 May 2022

In these circumstances the hospital will bill patients in line with the existing agreement and our Fund will pay its benefits.

A list of possible alternate hospital facilities can be found below. These are all hospitals with whom we have agreements over the fees they charge which will generally be covered by Emergency Services Health.

Some alternatives for Sydney Adventists Hospital:

  • Chatswood Private Hospital
  • Macquarie University Hospital
  • Mater Hospital
  • North Shore Private Hospital 
  • Northern Beaches Hospital

Some alternative hospitals for San Day Surgery:

  • Castlecrag Private Hospital
  • Northern Beaches Hospital

If you require or are planning treatment at Sydney Adventists Hospital or San Day Surgery please contact us to discuss how this could affect you. 1300 703 703

Toowong Private Hospital

Toowong Private Hospital have now terminated our agreement effective midnight 24 August 2017. From this date, new and increased fees may be charged by them for hospital services they provide. These fees are likely to be higher than what is recognised for benefit payment purposes, resulting in a proportion of their fees not being covered by us and being borne directly by you.

A list of possible alternate hospital facilities offering mental health programs and care nearby can be found below. These are all hospitals with whom we have agreements over the fees they charge which will generally be covered by our Fund.

Some alternative hospitals for Toowong Private Hospital

  • Brisbane Private - Brisbane
  • Belmont Private - Carina
  • New Farm Clinic - New Farm
  • North West Private Hospital - Everton Park
  • Pine Rivers Private Hospital - Strathpine

If you require or a re-planning treatment at Toowong Private Hospital please contact us to discuss how this could affect you. Likewise, if you have any questions regarding your hospital cover, please contact us on 1300 703 703.