Do You Need Ambulance Cover? Understanding Australian Health Options

Ambulance Cover: Do You Need It?

Do I need ambulance cover in Australia if Medicare doesn't include it?

The information on this website is general in nature and does not take into account your objectives, financial situation, or needs. Consider seeking personal advice from a licensed adviser before acting on any information.

Medicare in Australia doesn't cover ambulance services or emergency transport. These services are more often covered by private health insurance. However, private funds are not the only ambulance and emergency transportation service providers available.

State governments also have their own ambulance and emergency transport services for community residents, and the costs of these services depend on the state in which you live. In some states, these services are free, but in others they may be costly enough for you to consider adding ambulance cover to your health insurance plan.

Ambulance cover can be confusing, especially when you consider that there are four different rules for emergency medical transportation services across Australia's seven states. If you live in QLD, NSW, or TAS for instance, ambulance services may be provided either through your local government or through the payment you make on your electricity bills.

Insuring your most valuable asset

While many people would consider their home or their car to be their most valuable asset, it's your ability to earn an income that is most important in shaping your financial future. Statistically, two thirds of working Australians will suffer an injury or illness that will sideline them for 90 days or more. The majority of these people would not be able to pay their mortgage or meet car finance and other loan commitments without adequate income insurance.

... compare rates & options ...

Even still, these states do not pay 100 percent of the ambulance or emergency transportation costs, and you may not be covered at all outside of your home state, another reason to consider adding this service to your health insurance plan.

Of course, there are private health care funds that offer 100 percent ambulance cover, so you never need to worry about the cost of being transported to hospital in an emergency, no matter where you are.

By comparing health plans, you can find a policy that will pay for ambulance services and that meet your other health care needs as well, a real plus when you consider the bill for an ambulance can run $130 and more.

Residents of ACT, VIC, SA, NT and WA can purchase affordable ambulance cover through their local government.

However, the requirements to receive benefits for the full cost of the transport dictate that the ambulance service be medically necessary.

In other words, due to your condition or as a result of your medical emergency, you cannot be transported to hospital by any other means if you need immediate medical intervention. If ambulance cover is provided in your health insurance policy, make sure to read it carefully to understand if there are limitations on ambulance transport and if so, what they are.

Some health insurance funds provide ambulance cover automatically in certain specific policies they offer, so it is important to compare health insurance plans to see which provide this service in addition to other services you may want to secure.

Again, make sure you understand the terms of your ambulance cover, as many will have requirements for calling an ambulance to transport yourself or a loved one to hospital only when it is deemed medically necessary according to the terms of your health insurance provider.

Meeting the "medically necessary" requirement can mean any one or all of the following:

You must be transported to hospital or other approved medical facility by ambulance in order to receive immediate medical attention.
As an already admitted patient, you must be transferred to a separate hospital or facility for certain medical procedures.
You have called for an ambulance, but before it arrives you have received immediate professional care, then ambulance transport is no longer going to be covered.
An ambulance has been called, but in the meantime you receive immediate professional attention, then transport to the hospital is no longer covered.
When an air ambulance is required, you are covered when pre-approval has been obtained.

Ambulance Benefits are not payable under the following circumstances:

When any ambulance expense in already fully covered by private ambulance cover or state/territory ambulance plan. However, excess costs may be covered when the existing ambulance plan does not pay for the full amount of the services.
When you are transferred from one public hospital or approved center to another by ambulance while an admitted patient.
Once you are discharged from a hospital, you may not collect ambulance benefits for transportation.
When, as an admitted patient, you must be transported to another hospital for treatment because the admitting hospital does not have the facilities to care properly for you. Sometimes, the admitting hospital that orders your transfer will pick up the ambulance bill for you.
If you are 65 and live in WA, you are eligible for free or subsidized ambulance services. If you are eligible for subsidized services, you may be able to claim any uncovered cost from Medibank.
Residents of NSW ACT who already pay an ambulance levy as a part of your health insurance premium, and you are entitled to state ambulance cover, and if you have a Commonwealth concession card, you may be exempt from paying the state ambulance fee.

Of course, it's best to check with your local or state government to find out exactly what is and what is not covered under the ambulance transport scheme.

Remember, if you choose to purchase ambulance cover, or add it to your existing private health care plan, compare ambulance covers to find one with the most comprehensive coverage that fits within your budget.

Published: Sunday, 1st Aug 2021
Author: 273

Insurance News

WFI Insurance and Farmsafe Australia Join Forces to Boost Farm Safety Standards

24 Dec 2025: Paige Estritori

In a significant move to enhance safety within the Australian agricultural sector, WFI Insurance has partnered with Farmsafe Australia. This collaboration is designed to raise awareness about farming hazards and advocate for the adoption of safer work practices among farmers. - read more

Argis Underwriting Partners with Pacific International to Expand Farm Insurance Offerings

24 Dec 2025: Paige Estritori

Argis Underwriting has announced a new partnership with Newcastle-based Pacific International Insurance, enabling the company to resume offering farm insurance coverage across Australia. This development comes after Argis ceased providing new business and renewal terms on its Farm Extra Insurance in April, following the conclusion of a five-year arrangement with HDI Global Specialty. - read more

WFI Insurance Reports Significant Decline in Farm Liability Claims

24 Dec 2025: Paige Estritori

WFI Insurance has reported a notable decrease in farm liability claims across most categories, signaling a positive trend in safety practices within the Australian agricultural sector. The insurer observed a 75% reduction in falls from height over the past year, alongside a 30% decline in impact injuries, marking the lowest level in four years. - read more

WFI Insurance Joins Forces with Farmsafe Australia to Boost Farm Safety Standards

16 Dec 2025: Paige Estritori

In a significant move to enhance safety within the Australian agricultural sector, WFI Insurance has announced a partnership with Farmsafe Australia. This collaboration is designed to raise awareness about farming hazards and advocate for the adoption of safer work practices among farmers. - read more

Argis Underwriting Partners with Pacific International to Expand Farm Insurance Offerings

16 Dec 2025: Paige Estritori

WFI Insurance Reports Significant Decline in Farm Liability Claims

16 Dec 2025: Paige Estritori

Click for more Insurance News

Farm Insurance Articles

When the Rain Doesn't Come: Financial Planning Tips for Persistent Drought

For farmers across rural Australia, the unyielding dry spells brought on by persistent drought conditions are not just an environmental concern but a significant financial challenge. Effective financial planning becomes a cornerstone strategy for ensuring the resilience and longevity of these crucial agricultural businesses. The prickling heat and parched earth serve as stark reminders of nature's capacity to impact livelihoods, especially when the rain doesn't grace the farmlands for extended periods. - read more

What You Need to Know About Crop Insurance for Your Farm

Farming is a risky business. As a farmer, you are at the mercy of the weather, pests, and other challenges that can threaten your crops and your livelihood. That’s where crop insurance comes in. Crop insurance can provide financial protection in case your crops are damaged or destroyed, allowing you to recover from losses and move forward with your farm business. - read more

Top 10 Ways Australian Farmers Can Slash Insurance Costs Without Risking Coverage

Welcome to our definitive guide for Australian farmers on managing one of the most crucial aspects of their business: insurance. As a cultivator of the land, you're no stranger to the unpredictability of nature and the market. From intense weather events to fluctuating market demands, your line of work comes with its unique set of risks. Hence, safeguarding your livelihood with the right insurance is not just important—it's essential. - read more

Is Your Farm Under-Insured? Tips for Assessing Bushfire Insurance Adequacy

The threat of bushfires looms large over the vast expanses of rural Australia, shaping the reality of farming in this sunbaked landscape. The risk, always present, escalates as the climate warms and dry conditions persist. It's not a matter of if, but when the land will be tested by fire's wrath. In this environment, the armor of insurance isn't just recommended; it's critical for survival. - read more

Livestock Insurance for Aussie Farmers: What You Need to Know

Livestock farming is a significant part of the Australian agriculture industry. As with any business, farmers face numerous risks such as disease, death, theft or extreme weather events, which could cause damage or loss to their livestock assets. Livestock insurance provides cover against these risks, ensuring that farmers are financially protected from any potential financial losses, which could devastate their livelihoods. - read more

Common Myths About Farm Insurance Debunked

Whether you're a seasoned farmer or just starting out, understanding farm insurance is crucial. It's more than just a safety net; it's a way to ensure that your farming business can withstand unforeseen challenges. By safeguarding your livelihood, farm insurance offers peace of mind amidst uncertainties. - read more

Need a Quote?

Start your free farm insurance quote comparison here.

Knowledgebase

Umbrella Policy:
An additional insurance policy that provides extra liability coverage beyond the limits of the insured's primary policies.