Under the State Concession Scheme, Victorians eligible for concessions receive free clinically necessary ambulance coverage throughout Australia. This coverage will provide free emergency and medically authorised non-emergency ambulance transport to the nearest and most appropriate hospital.
A person eligible for free clinically necessary ambulance transport will be:
- A person holding a current Pensioner Concession Card (including dependent children as listed on the card but excluding spouses).
- A person holding a current Health Care Card (excluding holders of a Health Care Card for Carer Allowance and Foster Care issued in the name of the child) and their dependents, including spouses as listed on the Card (in circumstances where the dependant is the patient).
- A child holding a current Child Disability Health Care Card (payment type CD) or Foster Care Health Care Card (payment type FO), but not their guardians/families as listed on the Card.
- A child under a Custody to Secretary Order.
- A child under a Guardianship to Secretary Order.
Concession benefits do not apply to:
- People who only hold a Commonwealth Seniors Health Card (e.g. they do not have a concession card noted above).
- An eligible individual being transported from a private healthcare facility defined by the department of health’s web site. Please note these costs are the responsibility of the private healthcare facility.
- A patient that requests to be repatriated or relocated to/from Victoria for non-clinical reasons (e.g. for their own or their family’s convenience or for social reasons). Repatriation back to Victoria must be authorised as clinically necessary and there must be a demonstrated clinical requirement for ambulance transport.
- Where another party is responsible for the account, for example:
–The Department of Veterans’ Affairs (DVA) where a person holds a Gold or a White Card (subject to the conditions of the card)
–The Transport Accident Commission (TAC).
–The Victorian WorkCover Association (VWA).
- Where a patient is being transferred to a private hospital for ongoing care and/or as part of a pre-existing arrangement between the transferring hospital and the private hospital and/or the transfer has been organised by Adult Retrieval Victoria (ARV). ARV patient transfers to private hospitals are predominately related to intensive care and coronary care beds.
- An eligible individual who initiates a transport from a public hospital to another public hospital or to a private hospital for their own choice (e.g. to receive care from a specified physician or in a specified location).
Evidence of concession entitlements
To access entitlements, a valid Pensioner Concession Card or Health Care Card number must be provided at the time of transport and be valid at the time of transport or when an invoice is received from Ambulance Victoria. Failure to do so will result in the account remaining the responsibility of the relevant individual, hospital or other party such as TAC, VWA or DVA as detailed in the guidelines.
For more information please refer to the Ambulance Transport Payment Guidelines