ahm Ambulance Cover: What You Need to Know
ahm Ambulance Cover: What You Need to Know
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Long story short
Without insurance, ambulance costs can be high
An emergency ambulance trip can set you back at least $445 in NSW and $1,171 in SA, making ambulance cover essential for unexpected medical situations.
Coverage for emergency and non-emergency situations
ahm’s health policies include both ambulance cover for emergencies and medically necessary use, depending on which policy you choose.
One-day waiting period
Most ahm policies come with just a one-day waiting period for ambulance cover, so you’ll be covered almost immediately.
State-specific coverage
Ambulance coverage varies from state to state, with QLD and TAS providing some coverage through the state government. For other states, ahm can help fill ambulance coverage gaps.
Why is ambulance cover important?
Life’s unpredictable, and while we’re thankful for paramedics and quick ambulance response times, the bill afterward can be another unwelcome surprise.
Since Medicare doesn’t cover emergency ambulance trips, it means, without insurance, you could be forking out at least $445 for a single emergency trip in NSW or up to $1171 in SA.1Ambulance NSW – Accounts & Fees,2SA Ambulance Service – Fees and charges That’s why it’s worth checking whether your health policy includes ambulance cover. With just a one-day waiting period for most policies, you can have peace of mind knowing you’re covered when it counts.
It’s also worth looking into your health policy inclusions to see what exactly your state offers, since they all work differently. For those lucky people in QLD and TAS, you’ll get most emergency ambulance trips covered by the state government, while people in other states and territories will have to take out cover themselves.
What type of ambulance cover does ahm offer?
ahm want to make sure they’ve got your back for those unexpected moments when you need an ambulance. Across their range of different policies, there’ll be some form of ambulance cover, usually one of the following:
Medically necessary ambulance transport
This is for ambulance trips that are medically necessary (as well as emergencies). These trips are for getting you to the nearest hospital equipped to provide the care you need.
Whether your trip to the nearest hospital means travelling by road, sea, or air, ahm has a range of approved providers that are included in your hospital cover.
What this won’t include
- trips for tests
- when treatment happens at the scene, but no hospital admission is needed
- costs covered by state governments, WorkCover, or the Transport Accident Commission
- air ambulance trips that are fully subsidised
Emergency ambulance transport
This is for urgent medical emergencies, using ahm approved ambulances (road, sea, or air).
Emergency ambulance cover is included in ahm extras-only policies. But if you have a policy that covers medically necessary trips, you’ll also be covered for any medically necessary trips you need.
What this won’t include
- transfer between hospitals
- travelling from home or nursing home to hospital for tests
- going home after being discharged
Can I get ambulance-only cover with ahm?
While ahm doesn’t offer ambulance cover by itself, they’ll still have you covered through some health insurance policies for emergency or medically necessary situations.
- Hospital-only cover
These policies include medically necessary ambulance usage. Some policies limit the number of services available per financial year, so it’s worth double checking. - Extras-only cover
All extras-only policies include emergency ambulance services, with a one day waiting period. Just note that this is for emergencies only, so be sure to check what’s considered an ‘emergency’ in your policy. - Combined hospital and extras cover
These policies come with medically necessary ambulance cover, which also includes emergency use. Some even come with unlimited ambulance trips while others have caps per financial year, so always read the fine print.
Remember, ambulance cover isn’t the only benefit of these plans. Depending on your policy, you might also have access to private hospital treatment and a range of extras like dental, optical, and physiotherapy.
Can I get ahm ambulance cover in my state?
Each state has its own rules for ambulance cover, so knowing how it works where you live is key. For QLD and TAS, you’ll get most emergency ambulance trips covered by your state government. For other states, ahm policies can help bridge the gap in your coverage. All ahm extras policies include unlimited emergency ambulance cover, while hospital policies include all medically necessary trips. You can get either of these with just a one-day waiting period.
The table below gives you a general answer on whether you can get ahm ambulance cover in your state. If you do want to do a deeper dive, iSelect can help you understand all the ins and outs when it comes to ambulance coverage for your state.
State or territory | ahm Ambulance cover |
VIC | YES |
NSW | YES |
ACT | YES |
SA | YES |
QLD | NO – government provided |
WA | YES |
NT | YES |
TAS | NO – government provided |
Am I eligible for the Ambulance Levy Exemption?
In ACT, if you have private hospital cover, emergency ambulance trips are covered by a government levy of about $3.04 per person per week, which is included in your cover. 3ACT Revenue Office – Ambulance levy
Only pensioners and Concession Card holders can avoid this levy. That means that if you live in these states and hold one of these listed concessions cards, you’ll be able to get a lower health insurance premium. Just make sure everyone on your policy is listed on your concession card to qualify.
- Health Care Concession Card
- Pensioner Concession Card
- Pharmaceutical Benefits Concession Card
- Department of Veteran’s Affairs (DVA) concession card
- Commonwealth Seniors’ Health Care Card (NSW only)
- Ex-Carer Allowance (Child) Health Care Card
- Foster Child Health Care Card
- Low Income Health Care Card
How do I make an ambulance claim with ahm?
Making an ambulance claim with ahm is simple: you follow the same process as if you were claiming for a dentist or psych appointment. All you need to do is log into your account (online or on the app) and upload your invoice. Then the ahm team will have a look at everything, including your level of cover, and within five working days, your claim should be processed.
Why choose ahm?
Looking for reasons to take out health insurance with ahm? Here are a few.
No ambulance excess
When you need an ambulance, the last thing you want to worry about is paying excess fees. ahm doesn’t want to add to your stress by adding another cost on top of everything else, so if you have coverage for medically necessary transport, there’s no excess for ambulance callouts.
Mix and match your cover options
If you want cover for emergency ambulance trips, but you also want to add some dental work, and maybe some physio sessions on top of that, ahm can help. They offer a range of policy options, so whether you want just the basics or the whole kit and kaboodle, you can find a balance between cost and coverage.
Get more from your policy
Have you chosen optical or dental to bundle alongside your ambulance coverage? ahm could give you even more bang for your buck with up to 100% back on your annual optical limits and up to two dental check-ups per financial year.
How long has ahm been around?
With more than 40 years of experience, ahm is the insurer Australians come to for simple and trustworthy health coverage.
More than 950,000 members rely on ahm for hospital and extras health insurance (that’s more than double the population of the ACT).4 ahm – About us This isn’t just because ahm is part of Medibank – also, customers know they’re in safe hands with an insurer that can simplify the mumbo jumbo of health policies.
Want to find complete health coverage with ahm?
Understanding the ins and outs of ambulance insurance can be overwhelming, luckily iSelect’s health comparison experts are here to simplify all the technical terms for you. Compare a range of policies side by side and select one that meets your needs. Start comparing health insurance online today or call our comparison experts on 1800 784 772.