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Your choices as a patient

​Royal North Shore Hospital (RNSH) and its associated health services meet the health needs of four local government areas - Mosman, Willoughby, Lane Cove and North Sydney.

RNSH is a principal tertiary referral centre as well as a NSW Trauma Centre. The state-wide services provided by RNSH are severe burns injury, spinal cord injury, neonatal intensive care and interventional neuroradiology.

In addition to providing care to public patients RNSH provides care to the following patients:

  • Private patients
  • Patients from countries that have reciprocal health care agreements with Australia
  • Patients without a Medicare card
  • Refugees and asylum seekers


See our PDF icon brochure on your choices as an admitted patient. We also have information in:

 Public patients

​As a public patient:
  • You must present your Medicare Card
  • You will be treated by a team of doctors nominated by the hospital and you will not be charged personally for medical or hospital services (except for the hire of some equipment)
  • No guarantee would be given that a procedure will be performed by a particular doctor.

 Private patients

​As a Medicare card holder, if you have a private health insurance then you can either be a public patient or a private patient in a public hospital.

As a private patient you will have the following benefits:

  • You may be able to choose your doctor
  • You will have the excess from your private health insurance waived
  • Follow-up care in doctors private rooms
  • You will have access to a single rom in our hospital if one is available and you have single room health cover. Patients who are ill will be given priority for a single room
  • Accounts made easy: we will lodge all of your hospital accounts with Medicare and your health fund on your behalf


For more information about using your private health insurance please contact our Patient Liaison Officers on 02 9463 2264 or email: [email protected]


Uninsured Maternity (Private Patients with Australian Medicare Card)

You are a private patient if you have your own Private Obstetrician for the birth of your child.

Being a private patient in a public hospital means that if you are not covered by Private Health Insurance for your admission, you can claim 75% of the Medicare Benefit Scheduled fee back for medical, pathology and diagnostic charges, but the costs incurred for hospital accommodation are not covered by Medicare. You may also incur other medical costs associated with your admission, for more information please speak with your Obstetrician or the Patient Liaison Office (details below). The fees schedule is as follows:


NSW health accommodation fees

  • Public Hospital (General Shared Ward): $370.00 (per day)
  • Public Hospital (Single room): $794.00 (per day)

The estimated accommodation fees are required to be paid prior to admission however any additional nights will be billed separately. As a general guide most maternity admissions range between 3 and 5 days. Post discharge you will receive detailed invoices in order to claim monies paid for any items covered under the Medicare Benefits Schedule.

To confirm if you are covered by your health insurance or in case you are required to pay, please contact Patient Liaison Office before your first clinic visit on Phone 02 9463 2264 or email [email protected]

 Workers Compensation / Motor Vehicle Accident and other compensable claims

Workers Compensation

If you are admitted under workers compensation then your costs are covered by your insurer. Please bring your claim number and insurance details with you when you come to hospital.


Motor Vehicle Accident Claims

If you are admitted as a result of a motor vehicle claim then please print out and bring with you the relevant form from the State Insurance Regulatory Authority External Link.


Public Liability and Compensation Claims

If you are admitted under a Public Liability or Compensation Claim then bring the contact details of your Solicitor when you come to hospital. 

If you are admitted under a Mesothelioma claim then please bring your 'Letter of approval' from the Dust Diseases Board.

 Patients from countries that have reciprocal health care agreements with Australia

​Reciprocal health care agreements have been negotiated between the Commonwealth of Australia and eleven other countries. These agreements govern access to free or subsidised health care for each country's residents when in the other country.

Countries that have a RHCA with Australia are:

  • Belgium
  • Finland
  • Ireland, Republic of
  • Italy
  • Malta
  • The Netherlands
  • New Zealand
  • Norway
  • Slovenia
  • Sweden
  • United Kingdom including:
    • England
    • Scotland
    • Wales
  • Northern Ireland
  • Isle of Man
  • Channel Isles:
    • Jersey
    • Guernsey


To be eligible for free or subsidised treatment under a RHCA:

  • The person must meet the eligibility requirements specified in the RHCA with their country.
  • The treatment must be medically necessary at the time of admission


Patients who may be eligible for reciprocal rights will also need to show a current passport or Reciprocal Health Care Card.

For any enquiries regarding eligibility and applications for a Reciprocal Health Care Card, contact Medicare on 13 20 11.

 Patients without a Medicare card

​As a Medicare Ineligible patient, you are required to cover the costs associated with your treatment if you;
  • Do not hold a valid Medicare Card
  • Are not covered under a Reciprocal Healthcare Agreement
  • Do not have valid private health insurance cover or travel insurance.



You will be asked to provide the following as a proof of identification:
  • Passport and Proof of Visa
  • Local and overseas residential address, phone numbers and email address
  • Health Insurance Policy Details

Presentation to Emergency Department

You will need to pay for services if you are visiting from overseas and there is no reciprocal health care agreement with the country where you are a resident. You will be charged for each medical consultation and if you need to be admitted to hospital, you may receive additional invoices from services if they are used by you e.g. surgeon, anaesthetist, prosthetics, accommodation, physiotherapists, nurses, pathology, diagnostic tests and any equipment used or provided.

The service you receive will be limited to medically necessary care unless you are able to provide one of the following:

  • Health Insurance payment guarantee
  • Upfront payment for the total fee estimate
  • A personal guarantee or a guarantee of payment from an Australian citizen/ permanent resident  whose identity is verifiable
  • An agreed payment plan verified with credit card or bank account details


More information about costs is in our PDF icon brochure. We also have information in:


Presentation through Booked Admissions

If you hold a valid insurance, please contact your insurance at the earliest and notify them of the surgery details. Hospital requires a guarantee of payment from your insurance prior to admission date.

If you are not covered by your insurance or require further information regarding costs, please contact our Patient Liaison Officers

 Refugees and asylum seekers

​If you are a Refugee or an Asylum Seeker, you will be subject to condition, you are eligible for free treatment.

You will require to provide supporting documentation confirming your status from the Department of Immigration and Citizenship or from a recognised asylum support agency such as Red Cross or ASAS. If the documentation is not produced you will be billed.

 Contact us

​If you require assistance in determining if you will be covered or to make a payment plan or require further information for your current stay at RNSH, please contact our Patient Liaison Officers on:

Phone: (02) 9463 2264

Fax: (02) 9463 2079

Email: [email protected]