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Inpatients

Private patients with an agreed health fund will have no out-of-pocket expenses for most Pathology services and accounts will be billed directly to the health fund.

Agreed Health Fund partners are:

HCF
BUPA Funds
  • HBA
  • Mutual Community
  • MBF
  • NRMA Health
  • SGIC
  • SGIO
  • ANZ Health Insurance
  • Bupa Australia Health
 

 

 

 

AHSA Agreed Funds
  • ACA Health Benefits Fund
  • Australian Unity
  • CBHS Health Fund Limited
  • Central West Health Cover
  • CUA Health Limited
  • Defence Health
  • GMF Health
  • GU Health
  • Health Care Insurance Limited
  • health.com.au
  • Health Insurance Fund of Australia Ltd
  • Health Partners
  • Navy Health Ltd
  • onemedifund

 

  • Peoplecare Health Insurance
  • Phoenix Health Fund Limited
  • Police Health
  • Queensland Country Health Fund Limited
  • Reserve Bank Health Society Limited
  • rt health fund
  • Teachers Health Fund
  • Teachers Union Health
  • The Doctors' Health Fund
  • Transport Health
  • Westfund

 

Private patients with Non-Agreement Health Funds will receive an account to enable a claim from Medicare and their health funds. The out-of-pocket cost for private patients will be capped at $400 per admission for Medicare rebatable items.

The out-of-pocket cost for private patients with Pension or Concession Cards will be capped at $200 per admission for Pathology rebatable items.

There will be no out-of-pocket cost for current Cabrini Chemocard holders for Medicare rebatable items. 

Third Party Claims such as Workcover and TAC will be billed to the relevant authority. However, should the claim be rejected it is the patient’s responsibility to settle all outstanding accounts. An account will be sent to the patient for payment.

Department of Veterans Affairs (DVA) gold cardholders will be covered for most services. White cardholders authorisation is required to ensure that the service is related to specific entitlements.

Non-insured patients will be responsible for all out-of-pocket costs between the Medicare rebate and the private patient fee.

There may be additional costs if any of the tests are performed by other laboratories at the doctor’s request or if there are any specialist tests that are not covered by Medicare or if you do not hold a valid Medicare Card.

 

Outpatients

Pensioners, concession cardholders, Cabrini chemotherapy cardholders and Cabrini pre-admission patients will be bulk billed for the majority of Pathology Services.

Patients who are not eligible to be bulk billed will receive an account from Cabrini Pathology and will be responsible for the out-of-pocket (OOP) cost between the Medicare rebate and the fee charged. The maximum OOP cost is currently $110 per episode for rebatable items.

There may be additional costs if any of the tests are performed by other laboratories at the doctor’s request or if there are any specialist tests that are not covered by Medicare or if you do not hold a valid Medicare Card.

Overseas Students who have health cover with Medibank Private or OSHC Worldcare may have their insurance provider billed directly.

Overseas travellers without Medicare cover are required to pay upfront at the time of sample collection.

Non-rebatable Items: As Medicare does not cover some Pathology tests, patients will be liable for the full cost of these tests.

Third Party Claims such as Work Cover and TAC will be billed to the relevant authority. However, should the claim be rejected, it is the patient’s responsibility to settle all outstanding accounts. An account will be sent to the patient for payment.

Department of Veterans’ Affairs (DVA) gold cardholders will be covered for most services. For white cardholders, authorisation is required to ensure that Medical Imaging is related to specific entitlements.

Overseas Insurance is not accepted at Cabrini Health for outpatient services. As such, it is the patient’s responsibility to settle all outstanding accounts. An account and receipt will be provided.

 

For further enquiries, contact Cabrini Health Accounts on 9508 1377 between 8.30am to 4.30pm, Monday to Friday