Ambulance Cover In New South Wales

If you live in New South Wales (NSW) and require ambulance treatment or transport, it’s important to know that this service isn’t free of charge – you’ll need to pay a fee unless you’re eligible for an exemption, or hold an eligible private Health Insurance hospital policy or ambulance cover.  

Having ambulance cover can give you the peace of mind that you’ll be protected should you need the services of an ambulance. 

What is ambulance cover?

Ambulance cover reimburses you for the cost of ambulance transport and treatment¹. It can be provided as part of your existing hospital cover, or as stand-alone ambulance cover. 

How much do ambulance services cost in New South Wales?

Ambulance fees are based on a call out charge plus a charge per kilometre. In NSW, the state government doesn’t cover the full cost of ambulance services, but it does provide a subsidy – this means you’ll only be billed for 51% of the total charge if you don’t have a private hospital cover or ambulance cover². 

Here are the fees for road ambulance transport in NSW³, for emergency and non-emergency situations* (as of July 2022): 

As you can see, ambulance services can become costly if you don’t have hospital or ambulance cover.

Does Medicare cover ambulance fees in New South Wales?

No, Medicare doesn’t cover the cost of ambulance services in NSW, or anywhere in Australia⁴.

Who is exempt from paying ambulance fees in New South Wales?

In NSW, ambulance services are provided free of charge to holders of the following concession cards⁵.: 

• Health Care Concession Card
• Pensioner Concession Card
• Commonwealth Seniors Health Card

If you’re not eligible for a concession and would like to be covered for ambulance services in NSW, you’ll need to take out ambulance cover. This can either be through standalone ambulance cover, or it could be included in your private hospital cover.

Ambulance Cover in New South Wales: What to Look For

Each ambulance cover policy comes with its own set of inclusions and conditions. Knowing what to look out for will help you select a policy that best suits you. This includes checking what you’re covered for, as well as any limitations or exclusions. 

When choosing ambulance cover in NSW, it’s handy to consider the following: 

Are you covered for interstate travel?

Some policies will cover you in any state, while others will only provide cover within NSW. 

Does your cover apply to non-emergency situations?

Your policy may only cover you in emergency situations, so it’s important to check what you’re covered for and understand what an “emergency” means according to your policy.

Are call-out fees covered?

Not all policies cover ambulance call-out fees, which may apply if you’re treated at the scene of the incident but aren’t transported to hospital.

What about air ambulance and other transport?

Check which modes of transport are covered by your policy – some will provide cover for air ambulance and other state or private transport providers. 

What are the waiting periods (if any)?

A waiting period may apply before you can use your ambulance cover, so take a look at the conditions of the policy when comparing them.

Am I covered for the entire ambulance fee?

It’s important to check whether your policy covers you for the full amount of your ambulance costs, or whether you need to make a co-payment

Mark’s top tips for choosing ambulance cover Here’s what Mark Pangrazio, iSelect’s very own Commercial Executive has to say:  Check your policy at any time, not just when it’s renewal time.  Know what you’re covered for and ensure that when comparing, you are comparing options based on your needs.  Get an understanding of any changes to the renewal price.  Mark Pangrazio, Executive – Commercial​, iSelect

How do I choose the right ambulance cover in New South Wales?

If you’d like to find ambulance cover as part of your private hospital cover, start comparing health policies from iSelect's range of providers*. To find out more about choosing ambulance cover in NSW, contact our friendly team on 1800 784 772.

^{Sources:
1 Commonwealth Ombudsman of Private Health Insurance - How Health Insurance Works, Ambulance 
2 NSW Ambulance - Accounts and Fees 
3 NSW Ambulance - Accounts and Fees 
4 Commonwealth Ombudsman of Private Health Insurance - What Is Covered By Medicare? 
5 NSW Government - Hospital and ambulances}