Claim on hospital procedures
The hospital procedures (including day surgeries) that you can claim on will vary depending on your level of cover:
Accommodation and theatre fees
Most private hospitals and day facilities have an agreement with Australian Unity, which guarantees that you’ll be covered for 100% of the accommodation and most other services like theatre fees.
Search the list of agreement hospitals
In most cases, the hospital will bill Australian Unity directly, and all you’ll need to pay is any excess or co-payment that applies to your cover.
The way you claim the bills from your surgeons and other doctors will vary depending on whether they’re participating in Australian Unity’s Gap Cover scheme.
Will send your bill to Medicare and Australian Unity for payment. You’ll only receive a bill if there is any money still owing after Medicare and Australian Unity have paid your doctor.
Will present you with a bill for payment. You then need to
If your surgeon requests full payment up front, you can follow the process described above for non-participating doctors. Just provide Medicare and Australian Unity with proof that the bill has been paid, and they’ll issue the cheques in your name.