Private patients

Thank you for choosing to use your private health insurance

Perth Children’s Hospital is committed to providing a high standard of care and treatment to every child and family. If you have eligible private health insurance, you may choose to be treated as either a public or private patient during your stay.

Regardless of financial status, all patients receive the same high quality of care and access to services. Choosing to use your private health insurance simply offers some additional benefits during your child’s admission.

Benefits of choosing private patient status

• $20 food vouchers per day of admission, redeemable at all food outlets within Perth Children’s Hospital, including the PCH Foundation Gift Shop
• one parking voucher per day, valid for a single exit
• a toiletries pack on admission
• no out of pocket expenses guaranteed for hospital services.

No out of pocket expenses for hospital services

This includes services such as:

• hospital accommodation
• theatre and ICU fees
• prosthetics
• pathology and radiology
• pharmaceuticals.

Medical fees

Your specialist doctor or consultant will provide medical care at no out of pocket expense, unless they advise you otherwise. If this occurs, your specialist will discuss any potential costs directly with you so you can make an informed decision.

Invoices and claiming

In some cases, you may receive invoices for services provided.

These should be forwarded to Medicare and your private health insurer for payment.

Clear instructions on how to submit claims will be provided by the Revenue Department, and assistance is available if required.

Can my child have a single room?

We understand that a single room is often a preferred option for families during their child’s admission.

While single room accommodation cannot be guaranteed – as the clinical needs of all patients are our first priority – if a suitable single room is available, we will do our best to accommodate your request.

Private health insurance in Australia is offered under a tiered system, which means the level of cover can vary between policies. It is important that you understand what services are included under your individual policy.

If you have ancillary/extras cover only, or ambulance only cover, this unfortunately cannot be used for a private admission to the hospital.

Our Revenue Liaison Officers are here to help. They can assist you to confirm:

• the type of private health insurance cover you have
• whether your policy applies to the specialist care your child will receive while at Perth Children’s Hospital.

If you have any questions or are unsure about your cover, we encourage you to speak with our team so we can support you and help make the process as simple and clear as possible.

The Revenue Liaison Officers are available (08) 6456 0033 7am – 8pm Monday to Sunday.

Admission Paperwork at Perth Children’s Hospital (PCH) for the Child and Adolescent Health Service (CAHS) and includes the following three forms:

1. Claim Type Form – this form confirms the patient/patient’s family choice to use their private health insurance at PCH.

2. HC21 Form – this form authorises PCH to bill their private health insurer directly on their behalf.

3. Assignment of Benefits (AOB) – this form enables a patient to authorise their health insurer to pay eligible hospital accommodation and treatment benefits directly to CAHS.

By signing the AOB form, the patient assigns their entitlement to health insurance benefits for the admission to CAHS, allowing Revenue Services to claim and receive payment directly from the insurer.

The arrangement streamlines the billing process, reduces administrative burden for patients and CAHS, and supports timely recovery of private patient revenue. Patients remain responsible for any charges not covered by their insurer, including excesses, co-payments, exclusions, or non-covered services.

Emergency Department admissions

Choosing to use your private health insurance means there will be no out of pocket expenses for your child’s hospital care, including services such as:

• pathology
• radiology
• pharmaceuticals.

If you are eligible, vouchers will be provided on admission.

Elective surgery admissions

If you would like to pre register your private admission, please contact the Revenue Liaison Officers on (08) 6456 0033 7am – 8pm Monday to Sunday.

When your child is admitted to Perth Children’s Hospital (PCH) as a private patient, the hospital guarantees that there will be no out of pocket costs, excesses, or gap payments payable to the hospital.

In most cases, you will not receive any invoices for your child’s stay at PCH.

The amounts paid by Medicare and your private health fund are accepted by the hospital as full payment.

HCF Insurance and Medicare two way forms

Medicare two way claim form (required at first admission)

The Revenue Liaison Officers will provide the form on admission and can assist with completing it if required.

Statements or cheques from your health fund

Alternatively, cheques may be mailed to:

Accounts Receivable

Perth Children’s Hospital
Child and Adolescent Health Service
Locked Bag 2010
NEDLANDS WA 6909

(Please leave the top portion of the patient details attached to ensure payments are allocated correctly.)

Specialist accounts

Pathology (PathWest laboratory accounts only)

Pathology services are provided separately from the hospital. If you receive an account from PathWest, please contact them directly on (08) 6457 1200.

You will need to provide your:

• child’s Medicare number
• private health fund details.

PathWest can lodge electronic claims with Medicare and your private health fund on your behalf.

If you receive cheques for pathology services, please forward them to:

PathWest Accounts Receivable

Locked Bag 2009
NEDLANDS WA 6009

Perth Children’s Hospital (PCH) is pleased to offer free daily parking vouchers to eligible private patients.

Free parking is available at the following locations:

• PCH Basement Car Park (Licence Plate Recognition enabled)
• QEII Multideck
• Carpark 7.

Important parking update – PCH Basement Car Park

What this means:

• faster and easier entry and exit
• boom gates open automatically when your vehicle licence plate is scanned
• no ticket required to enter the PCH Basement Car Park.

How private patient parking vouchers work

• You will receive your Private Patient Parking Voucher when you are admitted.
• A Revenue Liaison Officer will visit you as required and provide any follow up parking voucher(s).
• You are entitled to one parking voucher per family, per day, for each day you are visiting the hospital.
• For same day treatment as a private inpatient, you will receive one parking voucher.

Please keep your voucher with you at all times. Lost vouchers cannot be replaced.

Redeeming your parking voucher

PCH Basement Car Park (Licence Plate Recognition)

If parking in the PCH Basement Car Park:

1. Please ensure you know your vehicle licence plate number.
2. After your appointment or visit, go to the Information Desk during business hours.
3. Present your Private Patient Parking Voucher in exchange for a validated parking ticket.

At the pay station (if required):

• enter your licence plate number
• enter the validated parking ticket.

When exiting, the system will read your licence plate and the boom gate will open automatically.

QEII Multideck and Carpark 7

If parking in the QEII Multideck or Carpark 7:

• take a parking ticket on entry
• present your parking ticket and voucher at the Information Desk
• staff will exchange your voucher for a validated parking ticket
• enter the original parking ticket in the Wilson’s ticket machine first followed by the second validated parking ticket
• use the original parking ticket at the boom gate when exiting
• if assistance is required, parents should use the help/call button on the pay machine.

Information Desk hours (parking validation)

Monday to Friday: 6:30am – 11:00pm

• Saturday and Sunday: 7:00am – 11:00pm

Validated parking has no time limit. (For example, if validated at 8:00am, you may exit at any time, including 2:00am the following day.)

Please endeavour to validate your parking within Information Desk business hours.

If you need help

• contact Wilson Parking on (08) 9388 2546
• use the intercom at entry/exit points or pay stations.

Additional important information

Lost parking ticket

• you must pay the lost ticket tariff at an automatic pay station
• a receipt is required for any follow up assistance
• do not use contactless payment, as this does not generate a receipt.

Didn’t validate before 11:00pm?

To request a refund:

• Attend the Information Desk between 8:00am – 4:00pm (Monday to Friday)
• Bring your:
  • paid parking receipt
  • private patient parking voucher.
• Ask for the cashier to be contacted.

Please allow at least 15 minutes for the refund to be processed.