Fees and Accounts

Ambulance Tasmania

Fees and Accounts

Ambulance services in Australia are not covered by Medicare (Australia’s public health care insurance scheme), therefore ambulance services across Australia operate under the control of their respective State Government and each service has a different policy regarding the use and payment for its services.

The absence of a uniform and comprehensive reciprocal agreement between all State and Territory governments creates a risk for all travellers in relation to the use of ambulance services whilst interstate.

To avoid potentially significant out-of-pocket expenses, it is recommended that all travellers, from within Australia and overseas, should consider obtaining appropriate travel or other insurance coverage. It should be noted that travel insurance for Australian residents travelling within Australia does not cover ambulance services.

Ambulance services can be classified as emergency road ambulance services, emergency air ambulance services, medical retrieval, inflight paramedic services, non-emergency ambulance transport and repatriation. Ambulance services in Tasmania also includes inter-hospital transfers and secondary triage services as a service billable to the patient. Secondary triage services includes the treatment and transport of patients by third parties.

Ambulance fees are incurred by the patient if treatment and/or transport is provided. Treatment may include professional medical assessment, care or advice for the benefit of the patient.

Ambulance fees for services provided in Tasmania are regulated by the Ambulance Service Act 1982, the Ambulance Service (Fees) Regulations 2011 and the Fee Units Act 1997.

The following provides general information to assist travellers in assessing the need for additional insurance coverage and guidance for those who have received invoices for ambulance services.

Key terms

Certified copy

A certified copy is a photocopy of an original document which has been certified by a Justice of the Peace, Commissioner for Declarations or, if overseas, a Notary Public. In Tasmania, a Commissioner for Declarations can be located at a police station, ambulance station, chemist, post office and local government offices. View full list of Commissioners for Declarations

Compensable incidents

Compensable incidents are incidents where compensation may be payable and include motor vehicle related incidents, workplace accidents, public liability incidents and other compensable incidents.

Principal place of residence

A person can only have one principal place of residence. If you reside in multiple states including Tasmania, your principal place of residency may be outside Tasmania. Determinants that your place of residence is Tasmania would be a Tasmanian driver licence, a Centrelink Card with Tasmania as the state of residence or a Tasmanian Government Personal Information Card. Owning a property in Tasmania is not proof of your principal place of residency.

Recoverable fees

Recoverable fees are fees recoverable through the Department of Veteran Affairs (DVA), ambulance cover, private health insurance or travel insurance. Further, ambulance fees may be recoverable from resident visa holders and international students.

Provision of Ambulance Services

The following sections provide specific information for ambulance fees based on the patient’s principal place of residence and where the ambulance service was provided:

  Tasmanian residents within Tasmania >

With the exception of where an incident is compensable or the ambulance fees are recoverable, the Tasmanian Government waives the fees for Tasmanian residents who require treatment and/or transport by ambulance within Tasmania and its islands, providing Ambulance Tasmania is able to determine you were a Tasmanian resident at the time the ambulance services were provided.

There are however some circumstances where you may receive an invoice from us:

Motor vehicle related incidents

If you are involved in a motor vehicle incident and treated and/or transported by ambulance, you may receive an invoice from Ambulance Tasmania with a Motor Accidents Insurance Board (MAIB) claim form attached. Please send the Ambulance Tasmania invoice and completed claim form to the MAIB. The MAIB will process your claim and, if eligible, the MAIB will pay the account.

If your MAIB claim is denied, return the invoice to us with a copy of the rejection letter and a certified copy of your Tasmanian driver licence or other proof of residency by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001 for a waiver of fees.

Workplace Incidents

If you get injured at work and are treated and/or transported by ambulance, you may receive an invoice from Ambulance Tasmania. Please send the ambulance invoice to your employer as part of your Workers Compensation claim.

If you do not make a WorkCover claim, you may return the invoice to us. Mark clearly on the invoice you do not wish to make a WorkCover claim. Sign & date and forward the endorsed invoice and a certified copy of your Tasmanian driver licence or other proof of residency by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001 for a waiver of fees.

If your WorkCover claim is rejected, you may return the invoice to us with a copy of the rejection letter and a certified copy of your Tasmanian driver licence or other proof of residency by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001 for a waiver of fees.

Public Liability Incidents

If you get injured in a public space as part of an event or organised activity, or injured as a result of a negligent business activity and are treated and/or transported by ambulance, you may receive an invoice from Ambulance Tasmania. Please send the ambulance invoice to the Proprietor/Organiser as part of your compensation claim.

If you do not make a claim for compensation, you may return the invoice to us. Mark clearly on the invoice you do not wish to make a claim. Sign & date and forward the endorsed invoice and a certified copy of your Tasmanian driver licence or other proof of residency by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001 for a waiver of fees.

If your claim is rejected, you may return the invoice to us with a copy of the rejection letter and a certified copy of your Tasmanian driver licence or other proof of residency by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001 for a waiver f fees.

Other Compensable Incidents

Ambulance fees resulting from asbestos related incidents, victims of crime and other compensable incidents recoverable from other parties.

If you have received an invoice from Ambulance Tasmania and have questions, please contact us on 6166 1954 or by email to ambulance.finance@ambulance.tas.gov.au

DVA card holders

If you have used any ambulance service from Ambulance Tasmania, please provide your DVA number by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001.

International Students

If you have received an invoice from Ambulance Tasmania and your visa conditions requires you to maintain Overseas Student Health Cover (OSHC) then you are not eligible for a fee waiver as a Tasmanian resident. Please forward our invoice to your OSHC provider.

If your visa provides access to free healthcare or ambulance services then please contact us by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001.

Resident Visa Holders

If you have received an invoice from Ambulance Tasmania and your visa conditions exclude free healthcare or ambulance services then you are not eligible for a fee waiver as a Tasmanian resident.

If your visa provides access to free healthcare or ambulance services then please contact us by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001.

Interstate Commuters

If you have received an invoice from Ambulance Tasmania and you consider that you are a Tasmanian resident then please provide a certified copy of your Tasmanian driver licence or other proof of residency, for our consideration, by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001.

  Tasmanian residents visiting interstate >

Disclaimer: The following information is subject to change. Please recheck this information immediately prior to travelling.

Ambulance Tasmania recommends Tasmanian residents visiting interstate obtain appropriate insurance that suits their needs, to avoid potentially significant out-of-pocket expenses.

Tasmanian residents who are treated and/or transported when interstate may receive an invoice from the attending ambulance service.

Where the ambulance fee is not compensable or recoverable, informal reciprocal arrangements are in place covering the cost of emergency road ambulance services between most states and territories. The exceptions being South Australia and Queensland where there are no reciprocal arrangements.

The reciprocal arrangements apply to emergency road ambulance services only and generally do not cover emergency air ambulance services, medical retrieval, inflight paramedic services, non-emergency ambulance transport or repatriation to Tasmania.

Tasmanian residents visiting South Australia or Queensland

The governments of South Australia and Queensland do not participate in the reciprocal arrangements. Tasmanian residents are personally responsible for any ambulance accounts issued by these ambulance services. There are no circumstances in which the Tasmanian Government will pay for ambulance services for Tasmanian residents, including pensioners, who are visiting South Australia or Queensland.

Tasmanian residents visiting Victoria

Reciprocal arrangements cover all ambulance services with the exception of non-emergency ambulance transport.

Tasmanian residents are personally responsible for non-emergency ambulance transport.

If you receive an eligible invoice from a participating interstate ambulance service in the reciprocal arrangements, please forward the invoice with proof of your Tasmanian residency to Ambulance Tasmania by email to ambulance.finance@ambulance.tas.gov.au or by mail to GPO Box 125, Hobart, TAS, 7001 and we will contact the relevant ambulance service and request a waiver of fees on your behalf.

Tasmanian residents visiting New South Wales

Reciprocal arrangements only cover emergency road ambulance services and emergency air ambulance services.

Tasmanian residents are personally responsible for all other ambulance fees and charges.

If you receive an eligible invoice from a participating interstate ambulance service in the reciprocal arrangements, please forward the invoice with proof of your Tasmanian residency to Ambulance Tasmania by email to ambulance.finance@ambulance.tas.gov.au or by mail to GPO Box 125, Hobart, TAS, 7001 and we will contact the relevant ambulance service and request a waiver of fees on your behalf.

Tasmanian residents visiting Australian Capital Territory or Western Australia

Reciprocal arrangements only cover emergency road ambulance services.

Tasmanian residents are personally responsible for all other ambulance fees and charges.

If you receive an eligible invoice from a participating interstate ambulance service in the reciprocal arrangements, please forward the invoice with proof of your Tasmanian residency to Ambulance Tasmania by email to ambulance.finance@ambulance.tas.gov.au or by mail to GPO Box 125, Hobart, TAS, 7001 and we will contact the relevant ambulance service and request a waiver of fees on your behalf.

Tasmanian residents visiting Northern Territory

Reciprocal arrangements only cover emergency road ambulance services and non-emergency ambulance transport.

Tasmanian residents are personally responsible for all other ambulance fees and charges.

If you receive an eligible invoice from a participating interstate ambulance service in the reciprocal arrangements, please forward the invoice with proof of your Tasmanian residency to Ambulance Tasmania by email to ambulance.finance@ambulance.tas.gov.au or by mail to GPO Box 125, Hobart, TAS, 7001 and we will contact the relevant ambulance service and request a waiver of fees on your behalf.

  Tasmanian residents visiting another country >

Ambulance Tasmania recommends all Tasmanian residents who travel overseas to obtain appropriate travel insurance that suits their needs and carefully check the level of cover provided, to avoid potentially significant out-of-pocket expenses for ambulance transport and related medical costs.

The Australia Government's Reciprocal Health Care Agreement (RHCA) with the UK government entitles Australians to limited subsidised health services for medically necessary treatment while visiting the UK, including ambulance services as they are part of the UK's national health system. Regardless, all Tasmanian residents travelling to the UK should consider obtaining appropriate travel or other insurance to avoid potentially significant out-of-pocket expenses for ambulance and related health care costs along the way, travel interruption and other non-medical costs and/or repatriation to Australia.

  Interstate residents visiting Tasmania >

All interstate visitors who receive ambulance services whilst in Tasmania will receive an invoice from Ambulance Tasmania for those ambulance services.

Whilst there are reciprocal agreements between Tasmania and some other State and Territory governments, these agreements are limited to certain persons and certain ambulance services.

Ambulance Tasmania recommends all visitors to Tasmania to contact the ambulance service in their state or territory or their private health insurer to check their coverage. Additional insurance may be required in order to avoid potentially significant out-of-pocket expenses.

The following information may be of assistance if you have received an invoice from Ambulance Tasmania.

DVA Card Holders

If you have a DVA health card and depending on the type of card you hold and the circumstances under which ambulance treatment and/or transport was provided, you may be entitled to ambulance cover through the Department of Veterans Affairs; please write your DVA number on the Ambulance Tasmania invoice and return it to us by email to ambulance.finance@ambulance.tas.gov.au or by mail to GPO Box 125, Hobart, TAS, 7001 for processing.

Holders of Overseas Student Health Cover

If you hold Overseas Student Health Cover, please forward our invoice to your provider.

Resident and International Student Visa Holders

If your visa provides access to free healthcare or ambulance services then please contact us by email to ambulance.finance@ambulance.tas.gov.au or mail to GPO Box 125, Hobart, TAS, 7001.

Holders of Private Health Insurance with Ambulance Cover

If you hold private health insurance with ambulance cover, please forward the Ambulance Tasmania invoice to your insurer for processing.

Subscribers to Ambulance Services

If you subscribe to an Ambulance Service, please forward the Ambulance Tasmania invoice to your Ambulance Service for processing.

Commonwealth Pensioner Concession Card or Commonwealth Health Care Card Holders

With the exception of residents of South Australia or Queensland, if you are a holder of a valid Commonwealth Pensioner Concession Card or Commonwealth Health Care Card, you may be eligible for a fee waiver if you are treated and/or transported by emergency ambulance transport to a Public Hospital. Please forward the Ambulance Tasmania invoice and a copy of your Concession Card to your relevant state Ambulance Service for validation and processing of fee waivers on your behalf.

Seniors Card Holders

Irrespective of your place of residency, holding a Seniors Card does not make you eligible for a waiver of fees for ambulance services.

  Overseas residents visiting Tasmania >

Ambulance services provided to New Zealand residents visiting Tasmania

Australia's Reciprocal Health Care Agreement with the New Zealand Government does not cover ambulance services for New Zealand residents visiting Tasmania as these services are not included in Australia's national health care arrangements.

Ambulance Tasmania recommends New Zealand residents to obtain appropriate insurance that suits their needs, to avoid potentially significant out-of-pocket expenses.

Ambulance Services provided to United Kingdom residents visiting Tasmania

Australia's Reciprocal Health Care Agreement with the UK Government does not cover ambulance services for UK residents visiting Tasmania as these services are not included in Australia's national health care arrangements.

Ambulance Tasmania recommends UK residents to obtain appropriate insurance that suits their needs, to avoid potentially significant out-of-pocket expenses.

Ambulance services provided to other overseas residents visiting Tasmania

Tasmania has no reciprocal arrangement for ambulance services with any overseas country. Irrespective of any Reciprocal Health Care Agreement, Australia's Reciprocal Health Care Agreement does not cover ambulance services as these services are not included in Australia's national health care arrangements.

Ambulance Tasmania recommends travellers to obtain appropriate insurance that suits their needs, to avoid potentially significant out-of-pocket expenses.

Financial hardship

Patients who are experiencing difficulty in meeting their financial obligations to pay for their ambulance fees should refer to the Department of Health, Finance Department on (03) 6166 3865 (Press 5) to request an extension on the payment period or arrange a payment plan.

For patients experiencing financial hardship an application can be made to the Commissioner of Ambulance Services for consideration of a partial or full debt waiver, based on an independent assessment of your financial position. Please contact our office on (03) 6166 1954 or by email to ambulance.finance@ambulance.tas.gov.au for further advice.

Questions

If you have any questions relating to ambulance fees in Tasmania or if you have received an invoice from Ambulance Tasmania and have questions, please contact us on (03) 6166 1954 or by email to ambulance.finance@ambulance.tas.gov.au