Benefits are payable for the full cost of medically necessary ambulance services if, due to the nature of your medical condition, you could not have been transported by any other means. Benefits are payable when the services are provided by an ambulance provider approved by Medibank Private, in the following circumstances:
When you need to be transported in an ambulance to a hospital or other approved facility in order to receive immediate professional attention.
When, as an admitted patient, you are transferred to another hospital (excluding transfers between public hospital facilities as an admitted patient).
When an ambulance is called to attend to you, but having received immediate professional attention, transport by ambulance is not subsequently required.
Air ambulance where pre-approval has been obtained from Medibank.
Benefits are not payable:
Towards any ambulance costs that are fully covered by a third party arrangement such as an ambulance subscription scheme or a State/Territory ambulance transportation scheme (benefits may be payable, however, for any ambulance costs not fully covered by such schemes).
When you are transferred by ambulance between public hospital facilities whilst an admitted patient.
For ambulance transfers once you have been discharged from hospital.
When you are transferred to another hospital for treatment at the request of the admitting hospital because they do not have the medical facilities available to treat you (the admitting hospital may pay for this service).
When you’re aged 65 or over and live in WA, and are eligible for free or subsidised ambulance services. If eligible for subsidised services, you may be able to claim the remaining cost from Medibank.
When you live in NSW or the ACT and pay an ambulance levy as part of your hospital cover premium, and you’re entitled to cover under your state scheme. If you have a Commonwealth concession card you might be exempt from paying the ambulance levy.
When you live in Qld or Tas and are entitled to cover for ambulance transport under the State Government scheme. If you live in Qld or Tas and you have extras cover only, no benefits are payable.
For more information call us on 1300 117 120.