Hospital treatment
We can help pay for hospital treatment in the first 90 days after your accident. You do not need to contact us for approval first if:
- you have a TAC claim number
- your doctor or other health professional recommends it, and
- it is for your accident injuries.
How to get hospital treatment
- Tell the hospital you are a TAC client and give them your TAC claim number.
- The hospital will invoice the TAC for your treatment.
- We will pay for your treatment at the TAC rate.
We have contracts and arrangements with many private hospitals. If you are treated in a private hospital that charges more than our agreed rate, you may need to pay the difference.
Your hospital treatment options
Victoria’s hospital system is made up of public and private hospitals.
If you are admitted to hospital, you may be a:
- Public patient.
- Private patient in a public hospital.
- Private patient in a private hospital.
When you are a private patient you can choose which doctor treats you. You may also have more control over the timing of any surgery or treatment.
Effective 1 July 2023
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.
Some TAC clients may not have access to videoconferencing. Telephone consultations may be used if videoconferencing is not possible.
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $926.11 |
| 15 + Days | $712.64 | |
| General Surgical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $712.64 | |
| Special Medical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $702.43 | |
| General Medical Patients | 1 - 14 Days | $648.21 |
| 15 + Days | $597.90 | |
| Psychiatric Patients | 1 - 30 Days | $829.30 |
| 31 - 65 Days | $702.43 | |
| 66 + Days | $597.90 | |
| Rehabilitation Patients | 1 - 25 Days | $809.25 |
| 26 + Days | $617.98 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,262.04 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,386.90 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,018.44 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,402.83 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $229.41 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $320.23 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $464.44 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $53.62 | |
| Theatre Fees | ||
| Band | 1A | $128.90 |
| 1 | $405.17 | |
| 2 | $575.34 | |
| 3 | $722.63 | |
| 4 | $944.79 | |
| 5 | $1,275.04 | |
| 6 | $1,592.32 | |
| 7 | $2,144.68 | |
| 8 | $2,856.70 | |
| 9A | $3,120.30 | |
| 9 | $4,170.64 | |
| 10 | $5,700.59 | |
| 11 | $6,229.92 | |
| 12 | $7,842.74 | |
| 13 | $8,862.23 | |
| 0 (Lithotripsy) | $3,822.04 | |
| Electroconvulsive Therapy | $290.00 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $68.86 |
| Group Session | 99922 | $41.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $62.95 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $69.45 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $66.04 |
| Occupational Therapy | ||
| Individual Session | 99920 | $62.95 |
| Individual Session - Telehealth | 99920T | $62.95 |
| Group Session | 99919 | $37.85 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $62.95 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $62.95 |
| Physical Education | ||
| Individual Session | 99958* | $62.95 |
| Group Session | 99959* | $37.85 |
| Physiotherapy | ||
| Individual Session | 99913 | $68.86 |
| Individual Session - Telehealth | 99913T | $68.86 |
| Group Session | 99914 | $41.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $68.86 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $68.86 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $62.95 |
| Psychology | ||
| Individual Session | 99908 | $108.04 |
| Individual Session - Telehealth | 99908T | $108.04 |
| Group Session | 99907 | $64.85 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $704.51 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $267.93 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $59.96 |
| Group Session | 99937 | $35.76 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $62.95 |
| Group Session | 99952 | $37.85 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $60.51 |
| Group Session | 99936* | $36.21 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $62.95 |
| Group Session | 99929 | $37.85 |
^Reimbursements will be made only to hospitals with approved facilities
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $849.72 |
| 15 + Days | $653.86 | |
| General Surgical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $653.86 | |
| Special Medical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $644.49 | |
| General Medical Patients | 1 - 14 Days | $594.74 |
| 15 + Days | $548.58 | |
| Psychiatric Patients | 1 - 30 Days | $760.90 |
| 31 - 65 Days | $644.49 | |
| 66 + Days | $548.58 | |
| Rehabilitation Patients | 1 - 25 Days | $742.50 |
| 26 + Days | $567.01 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,075.46 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,107.53 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $1,851.95 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,287.12 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $210.49 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $293.82 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $426.13 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $49.20 | |
| Theatre Fees | ||
| Band | 1A | $118.27 |
| 1 | $371.75 | |
| 2 | $527.88 | |
| 3 | $663.02 | |
| 4 | $866.86 | |
| 5 | $1,169.87 | |
| 6 | $1,460.98 | |
| 7 | $1,967.78 | |
| 8 | $2,621.07 | |
| 9A | $2,862.92 | |
| 9 | $3,826.63 | |
| 10 | $5,230.38 | |
| 11 | $5,716.05 | |
| 12 | $7,195.83 | |
| 13 | $8,131.23 | |
| 0 (Lithotripsy) | $3,506.78 | |
| Electroconvulsive Therapy | $266.08 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $63.18 |
| Group Session | 99922 | $38.10 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $57.76 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $63.72 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $60.59 |
| Occupational Therapy | ||
| Individual Session | 99920 | $57.76 |
| Individual Session - Telehealth | 99920T | $57.76 |
| Group Session | 99919 | $34.73 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $57.76 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $57.76 |
| Physical Education | ||
| Individual Session | 99958* | $57.76 |
| Group Session | 99959* | $34.73 |
| Physiotherapy | ||
| Individual Session | 99913 | $63.18 |
| Individual Session - Telehealth | 99913T | $63.18 |
| Group Session | 99914 | $38.10 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $63.18 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $63.18 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $57.76 |
| Psychology | ||
| Individual Session | 99908 | $99.13 |
| Individual Session - Telehealth | 99908T | $99.13 |
| Group Session | 99907 | $59.50 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $646.40 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $245.83 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $55.01 |
| Group Session | 99937 | $32.81 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $57.76 |
| Group Session | 99952 | $34.73 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $55.52 |
| Group Session | 99936* | $33.22 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $57.76 |
| Group Session | 99929 | $34.73 |
^Reimbursements will be made only to hospitals with approved facilities
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $926.11 |
| 15 + Days | $712.64 | |
| General Surgical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $712.64 | |
| Special Medical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $702.43 | |
| General Medical Patients | 1 - 14 Days | $648.21 |
| 15 + Days | $597.90 | |
| Psychiatric Patients | 1 - 30 Days | $829.30 |
| 31 - 65 Days | $702.43 | |
| 66 + Days | $597.90 | |
| Rehabilitation Patients | 1 - 25 Days | $809.25 |
| 26 + Days | $617.98 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,262.04 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,386.90 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,018.44 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,402.83 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $229.41 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $320.23 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $464.44 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $53.62 | |
| Theatre Fees | ||
| Band | 1A | $128.90 |
| 1 | $405.17 | |
| 2 | $575.34 | |
| 3 | $722.63 | |
| 4 | $944.79 | |
| 5 | $1,275.04 | |
| 6 | $1,592.32 | |
| 7 | $2,144.68 | |
| 8 | $2,856.70 | |
| 9A | $3,120.30 | |
| 9 | $4,170.64 | |
| 10 | $5,700.59 | |
| 11 | $6,229.92 | |
| 12 | $7,842.74 | |
| 13 | $8,862.23 | |
| 0 (Lithotripsy) | $3,822.04 | |
| Electroconvulsive Therapy | $290.00 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $68.86 |
| Group Session | 99922 | $41.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $62.95 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $69.45 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $66.04 |
| Occupational Therapy | ||
| Individual Session | 99920 | $62.95 |
| Individual Session - Telehealth | 99920T | $62.95 |
| Group Session | 99919 | $37.85 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $62.95 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $62.95 |
| Physical Education | ||
| Individual Session | 99958* | $62.95 |
| Group Session | 99959* | $37.85 |
| Physiotherapy | ||
| Individual Session | 99913 | $68.86 |
| Individual Session - Telehealth | 99913T | $68.86 |
| Group Session | 99914 | $41.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $68.86 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $68.86 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $62.95 |
| Psychology | ||
| Individual Session | 99908 | $108.04 |
| Individual Session - Telehealth | 99908T | $108.04 |
| Group Session | 99907 | $64.85 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $704.51 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $267.93 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $59.96 |
| Group Session | 99937 | $35.76 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $62.95 |
| Group Session | 99952 | $37.85 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $60.51 |
| Group Session | 99936* | $36.21 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $62.95 |
| Group Session | 99929 | $37.85 |
^Reimbursements will be made only to hospitals with approved facilities
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $849.72 |
| 15 + Days | $653.86 | |
| General Surgical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $653.86 | |
| Special Medical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $644.49 | |
| General Medical Patients | 1 - 14 Days | $594.74 |
| 15 + Days | $548.58 | |
| Psychiatric Patients | 1 - 30 Days | $760.90 |
| 31 - 65 Days | $644.49 | |
| 66 + Days | $548.58 | |
| Rehabilitation Patients | 1 - 25 Days | $742.50 |
| 26 + Days | $567.01 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,075.46 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,107.53 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $1,851.95 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,287.12 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $210.49 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $293.82 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $426.13 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $49.20 | |
| Theatre Fees | ||
| Band | 1A | $118.27 |
| 1 | $371.75 | |
| 2 | $527.88 | |
| 3 | $663.02 | |
| 4 | $866.86 | |
| 5 | $1,169.87 | |
| 6 | $1,460.98 | |
| 7 | $1,967.78 | |
| 8 | $2,621.07 | |
| 9A | $2,862.92 | |
| 9 | $3,826.63 | |
| 10 | $5,230.38 | |
| 11 | $5,716.05 | |
| 12 | $7,195.83 | |
| 13 | $8,131.23 | |
| 0 (Lithotripsy) | $3,506.78 | |
| Electroconvulsive Therapy | $266.08 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $63.18 |
| Group Session | 99922 | $38.10 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $57.76 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $63.72 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $60.59 |
| Occupational Therapy | ||
| Individual Session | 99920 | $57.76 |
| Individual Session - Telehealth | 99920T | $57.76 |
| Group Session | 99919 | $34.73 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $57.76 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $57.76 |
| Physical Education | ||
| Individual Session | 99958* | $57.76 |
| Group Session | 99959* | $34.73 |
| Physiotherapy | ||
| Individual Session | 99913 | $63.18 |
| Individual Session - Telehealth | 99913T | $63.18 |
| Group Session | 99914 | $38.10 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $63.18 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $63.18 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $57.76 |
| Psychology | ||
| Individual Session | 99908 | $99.13 |
| Individual Session - Telehealth | 99908T | $99.13 |
| Group Session | 99907 | $59.50 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $646.40 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $245.83 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $55.01 |
| Group Session | 99937 | $32.81 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $57.76 |
| Group Session | 99952 | $34.73 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $55.52 |
| Group Session | 99936* | $33.22 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $57.76 |
| Group Session | 99929 | $34.73 |
^Reimbursements will be made only to hospitals with approved facilities
Fees for services that public hospitals provide to TAC clients are agreed with the Victorian Department of Health and Human Services. Access the index for these fees on the department's website: Patient fees and charges for public health services.
For further information about TAC policies, contact us at 1300 654 329 or policy@tac.vic.gov.au
The Better Health Channel website has a range of information on the hospital discharge process and the range of services and support available to you as you make the transition from hospital to rehab or home.
Summary
This booklet provides information and assurance for clients moving into a rehabilitation facility about what to expect and how the TAC can assist. Topics include: how your rehabilitation program will help improve your ability to do things and increase independence; and preparing your Independence Plan of individual goals you want to achieve in the short and long term.
Summary
This booklet provides information and assurance for people with major injuries who are preparing to leave the rehabilitation hospital and return home. It explains the next stage of your rehabilitation and Independence Plan as well the support services that the TAC can fund to help with day-to-day tasks.
We’re here to help you get your life back on track after your transport accident. To help you recover from your injuries we will pay for services that you receive from any public or private hospital within Australia.
In the first 90 days after your accident, the TAC can help pay for your hospital treatment without the need for you to contact us for approval first.
When you need to contact us for approval
You or your provider need to contact the TAC for approval of your hospital treatment if:
- It is approaching or more than 90 days since your accident and we have not approved further treatment or services, or
- It has been more than 6 months since you’ve had any treatment or service paid for by the TAC.
When we can pay for hospital services
In the first 90 days after your accident, the TAC approves the hospital treatment you need because of your accident injuries. This includes the cost of your emergency, inpatient and outpatient services. We will also work with your hospital to ensure that you receive the services you require.
After the first 90 days, you will need TAC approval for more hospital treatment.
We may need to approve admissions for non-emergency treatment beforehand. For more information please see: Surgery and medical specialists.
Hospital treatment options
You may be admitted to a hospital as a:
- public patient
- private patient in a public hospital
- private patient in a private hospital
As a private patient you can choose which doctor treats you, and you may have a private room. However this service may cost more than our approved rate and you may need to pay any difference.
Hospital services you may need include:
- emergency services
- inpatient services, including hospital in the home or rehab in the home
- outpatient services
Other services you can use
We will also pay for support services to help you at home when you leave hospital.
We can also pay for your family’s visiting expenses if they live more than 100kms from the hospital and they visit you in hospital.
We can also pay for the cost of an application fee to obtain a Medical Treatment Visa if required due to transport accident injuries.
Checking your progress
We may contact your physical therapist to discuss your progress or request an assessment to make sure that:
- You have access to appropriate treatment and supports required for your transport accident injuries.
- You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
- You are moving towards getting your life back on track or being able to live independently.
How treatments and services are paid for
We pay for your hospital treatment:
- Directly to your hospital, when you have given them your TAC claim number, or
- If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.
This includes any allied health and medical services you need.
We will also pay for outpatient services, such as emergency department attendances, specialist rehabilitation services and mental health services you need because of your injuries.
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
Treatments and services we can't pay for
We can’t pay for services that:
- Do not treat your transport accident injuries
- Are not reasonable, necessary or appropriate
- Are not clinically justified, safe and effective
Incidental items that you may have chosen to get as part of your inpatient stay such as newspapers, cable television, entertainment systems, telephone calls and toiletries.
About Victoria’s hospital system
Hospitals provide services including emergency care, surgery and specialist clinics.
Victoria’s hospital system is made up of:
You can receive treatment as:
- An inpatient, when you are admitted to hospital
- An outpatient, where you are treated in hospital but are not admitted.
We deal with public and private hospitals in different ways. Public hospitals are mainly funded by both the state and federal governments, while private hospitals and day procedures are funded by a number of sources, including private health insurance and the federal government.
For more information, see:
How much we will pay
Public hospitals
We will pay the cost of treatment provided in public hospitals in Victoria in line with the Department of Health and Human Services Fees Manual.
Private hospitals
We will pay the cost of treatment provided in private hospitals in Victoria in line with arrangements and contracts we have in place with each provider.
When there is no existing arrangement in place, fees are paid in line with the Private hospital (non-arrangement) services fee schedule.
We will pay for your treatment and services according to our fee schedule. If your private hospital charges more than the TAC rate, you may need to pay the difference.
Contracted private hospitals:
- Epworth (all locations)
- Aurora Healthcare: (Brunswick Private Hospital, South Eastern Private Hospital and the Epping Private Hospital)
- Healthe Care Surgical: (Mulgrave Private Hospital formerly known as the Valley Private Hospital)
- Healthscope (Victorian Rehabilitation Centre and North East Rehabilitation Centre)
Arrangement private hospitals:
- The Avenue Private Hospital
- Bayside Private Hospital
- Donvale Rehabilitation Hospital
- Dorset Rehabilitation Hospital
- Jessie McPherson Private Hospital
- Knox Private Hospital
- The Melbourne Clinic
- Peninsula Private Hospital
- Cabrini Hospital (Malvern and Brighton locations)
- St John of God Ballarat
- Warringal Private Hospital
In other States and Territories of Australia, payment is made on a case-by-case basis.
For providers
If you are a private hospital provider please refer to our TAC provider guidelines or your relevant contract and arrangement documents.
We can help pay for hospital treatment in the first 90 days after your accident. You do not need to contact us for approval first if:
- you have a TAC claim number
- your doctor or other health professional recommends it, and
- it is for your accident injuries.
How to get hospital treatment
- Tell the hospital you are a TAC client and give them your TAC claim number.
- The hospital will invoice the TAC for your treatment.
- We will pay for your treatment at the TAC rate.
We have contracts and arrangements with many private hospitals. If you are treated in a private hospital that charges more than our agreed rate, you may need to pay the difference.
Your hospital treatment options
Victoria’s hospital system is made up of public and private hospitals.
If you are admitted to hospital, you may be a:
- Public patient.
- Private patient in a public hospital.
- Private patient in a private hospital.
When you are a private patient you can choose which doctor treats you. You may also have more control over the timing of any surgery or treatment.
Effective 1 July 2023
The TAC has extended the funding of temporary telehealth services previously scheduled to end on 30 September 2020 until further notice, giving clients the ongoing convenience and flexibility of accessing health services from home.
Some TAC clients may not have access to videoconferencing. Telephone consultations may be used if videoconferencing is not possible.
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $926.11 |
| 15 + Days | $712.64 | |
| General Surgical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $712.64 | |
| Special Medical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $702.43 | |
| General Medical Patients | 1 - 14 Days | $648.21 |
| 15 + Days | $597.90 | |
| Psychiatric Patients | 1 - 30 Days | $829.30 |
| 31 - 65 Days | $702.43 | |
| 66 + Days | $597.90 | |
| Rehabilitation Patients | 1 - 25 Days | $809.25 |
| 26 + Days | $617.98 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,262.04 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,386.90 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,018.44 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,402.83 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $229.41 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $320.23 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $464.44 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $53.62 | |
| Theatre Fees | ||
| Band | 1A | $128.90 |
| 1 | $405.17 | |
| 2 | $575.34 | |
| 3 | $722.63 | |
| 4 | $944.79 | |
| 5 | $1,275.04 | |
| 6 | $1,592.32 | |
| 7 | $2,144.68 | |
| 8 | $2,856.70 | |
| 9A | $3,120.30 | |
| 9 | $4,170.64 | |
| 10 | $5,700.59 | |
| 11 | $6,229.92 | |
| 12 | $7,842.74 | |
| 13 | $8,862.23 | |
| 0 (Lithotripsy) | $3,822.04 | |
| Electroconvulsive Therapy | $290.00 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $68.86 |
| Group Session | 99922 | $41.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $62.95 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $69.45 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $66.04 |
| Occupational Therapy | ||
| Individual Session | 99920 | $62.95 |
| Individual Session - Telehealth | 99920T | $62.95 |
| Group Session | 99919 | $37.85 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $62.95 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $62.95 |
| Physical Education | ||
| Individual Session | 99958* | $62.95 |
| Group Session | 99959* | $37.85 |
| Physiotherapy | ||
| Individual Session | 99913 | $68.86 |
| Individual Session - Telehealth | 99913T | $68.86 |
| Group Session | 99914 | $41.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $68.86 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $68.86 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $62.95 |
| Psychology | ||
| Individual Session | 99908 | $108.04 |
| Individual Session - Telehealth | 99908T | $108.04 |
| Group Session | 99907 | $64.85 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $704.51 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $267.93 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $59.96 |
| Group Session | 99937 | $35.76 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $62.95 |
| Group Session | 99952 | $37.85 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $60.51 |
| Group Session | 99936* | $36.21 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $62.95 |
| Group Session | 99929 | $37.85 |
^Reimbursements will be made only to hospitals with approved facilities
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $849.72 |
| 15 + Days | $653.86 | |
| General Surgical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $653.86 | |
| Special Medical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $644.49 | |
| General Medical Patients | 1 - 14 Days | $594.74 |
| 15 + Days | $548.58 | |
| Psychiatric Patients | 1 - 30 Days | $760.90 |
| 31 - 65 Days | $644.49 | |
| 66 + Days | $548.58 | |
| Rehabilitation Patients | 1 - 25 Days | $742.50 |
| 26 + Days | $567.01 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,075.46 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,107.53 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $1,851.95 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,287.12 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $210.49 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $293.82 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $426.13 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $49.20 | |
| Theatre Fees | ||
| Band | 1A | $118.27 |
| 1 | $371.75 | |
| 2 | $527.88 | |
| 3 | $663.02 | |
| 4 | $866.86 | |
| 5 | $1,169.87 | |
| 6 | $1,460.98 | |
| 7 | $1,967.78 | |
| 8 | $2,621.07 | |
| 9A | $2,862.92 | |
| 9 | $3,826.63 | |
| 10 | $5,230.38 | |
| 11 | $5,716.05 | |
| 12 | $7,195.83 | |
| 13 | $8,131.23 | |
| 0 (Lithotripsy) | $3,506.78 | |
| Electroconvulsive Therapy | $266.08 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $63.18 |
| Group Session | 99922 | $38.10 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $57.76 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $63.72 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $60.59 |
| Occupational Therapy | ||
| Individual Session | 99920 | $57.76 |
| Individual Session - Telehealth | 99920T | $57.76 |
| Group Session | 99919 | $34.73 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $57.76 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $57.76 |
| Physical Education | ||
| Individual Session | 99958* | $57.76 |
| Group Session | 99959* | $34.73 |
| Physiotherapy | ||
| Individual Session | 99913 | $63.18 |
| Individual Session - Telehealth | 99913T | $63.18 |
| Group Session | 99914 | $38.10 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $63.18 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $63.18 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $57.76 |
| Psychology | ||
| Individual Session | 99908 | $99.13 |
| Individual Session - Telehealth | 99908T | $99.13 |
| Group Session | 99907 | $59.50 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $646.40 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $245.83 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $55.01 |
| Group Session | 99937 | $32.81 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $57.76 |
| Group Session | 99952 | $34.73 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $55.52 |
| Group Session | 99936* | $33.22 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $57.76 |
| Group Session | 99929 | $34.73 |
^Reimbursements will be made only to hospitals with approved facilities
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $926.11 |
| 15 + Days | $712.64 | |
| General Surgical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $712.64 | |
| Special Medical Patients | 1 - 14 Days | $829.30 |
| 15 + Days | $702.43 | |
| General Medical Patients | 1 - 14 Days | $648.21 |
| 15 + Days | $597.90 | |
| Psychiatric Patients | 1 - 30 Days | $829.30 |
| 31 - 65 Days | $702.43 | |
| 66 + Days | $597.90 | |
| Rehabilitation Patients | 1 - 25 Days | $809.25 |
| 26 + Days | $617.98 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,262.04 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,386.90 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $2,018.44 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,402.83 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $229.41 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $320.23 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $464.44 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $53.62 | |
| Theatre Fees | ||
| Band | 1A | $128.90 |
| 1 | $405.17 | |
| 2 | $575.34 | |
| 3 | $722.63 | |
| 4 | $944.79 | |
| 5 | $1,275.04 | |
| 6 | $1,592.32 | |
| 7 | $2,144.68 | |
| 8 | $2,856.70 | |
| 9A | $3,120.30 | |
| 9 | $4,170.64 | |
| 10 | $5,700.59 | |
| 11 | $6,229.92 | |
| 12 | $7,842.74 | |
| 13 | $8,862.23 | |
| 0 (Lithotripsy) | $3,822.04 | |
| Electroconvulsive Therapy | $290.00 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $68.86 |
| Group Session | 99922 | $41.53 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $62.95 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $69.45 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $66.04 |
| Occupational Therapy | ||
| Individual Session | 99920 | $62.95 |
| Individual Session - Telehealth | 99920T | $62.95 |
| Group Session | 99919 | $37.85 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $62.95 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $62.95 |
| Physical Education | ||
| Individual Session | 99958* | $62.95 |
| Group Session | 99959* | $37.85 |
| Physiotherapy | ||
| Individual Session | 99913 | $68.86 |
| Individual Session - Telehealth | 99913T | $68.86 |
| Group Session | 99914 | $41.53 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $68.86 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $68.86 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $62.95 |
| Psychology | ||
| Individual Session | 99908 | $108.04 |
| Individual Session - Telehealth | 99908T | $108.04 |
| Group Session | 99907 | $64.85 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $704.51 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $267.93 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $59.96 |
| Group Session | 99937 | $35.76 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $62.95 |
| Group Session | 99952 | $37.85 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $60.51 |
| Group Session | 99936* | $36.21 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $62.95 |
| Group Session | 99929 | $37.85 |
^Reimbursements will be made only to hospitals with approved facilities
| Service Description | TAC Item Number | Maximum Payment Rate |
|---|---|---|
INPATIENT SERVICES | ||
| Advanced Surgical Patients | 1 - 14 Days | $849.72 |
| 15 + Days | $653.86 | |
| General Surgical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $653.86 | |
| Special Medical Patients | 1 - 14 Days | $760.90 |
| 15 + Days | $644.49 | |
| General Medical Patients | 1 - 14 Days | $594.74 |
| 15 + Days | $548.58 | |
| Psychiatric Patients | 1 - 30 Days | $760.90 |
| 31 - 65 Days | $644.49 | |
| 66 + Days | $548.58 | |
| Rehabilitation Patients | 1 - 25 Days | $742.50 |
| 26 + Days | $567.01 | |
| Intensive Care Unit^ | 1 - 4 Days | $2,075.46 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Intensive Care Unit (Metropolitan)^ | 1 - 4 Days | $3,107.53 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| Coronary Care Unit^ | 1 - 4 Days | $1,851.95 |
| 5 + Days | Original Patient Classification or High Dependency Unit | |
| High Dependency Unit Hospitals must seek recognition of HDU's from the TAC prior to any payments being considered. | 1 - 3 Days | $1,287.12 |
| 4 + Days | Original Patient Classification | |
| Nursing Home Type Patient Applies when an Acute Care Certificate is not submitted to TAC for a surgical or medical patient after 35 days hospitalisation or each period up to 31 days thereafter. | $210.49 | |
| Same Day Patient Bed Fee Only applicable if a procedure or operation is performed. | $293.82 | |
| Bed Leave / Hospital Leave Fee | 75% of the applicable bed fee | |
| Hospital in the Home | HIT | $426.13 |
| Facility Fee - Emergency Department Patients A facility fee is only payable to hospitals with an approved Emergency Department. | $49.20 | |
| Theatre Fees | ||
| Band | 1A | $118.27 |
| 1 | $371.75 | |
| 2 | $527.88 | |
| 3 | $663.02 | |
| 4 | $866.86 | |
| 5 | $1,169.87 | |
| 6 | $1,460.98 | |
| 7 | $1,967.78 | |
| 8 | $2,621.07 | |
| 9A | $2,862.92 | |
| 9 | $3,826.63 | |
| 10 | $5,230.38 | |
| 11 | $5,716.05 | |
| 12 | $7,195.83 | |
| 13 | $8,131.23 | |
| 0 (Lithotripsy) | $3,506.78 | |
| Electroconvulsive Therapy | $266.08 | |
| (Individual approval is required for electroconvulsive therapies) | ||
| Therapy Services | Refer Outpatient Services | |
| ^Reimbursements will be made only to hospitals with approved facilities | ||
OUTPATIENT SERVICES | ||
| Fees are for 30 minute sessions unless otherwise stated. For times greater than 30 minutes, fees are charged in 15 minute units. | ||
| Hydrotherapy (by a Physiotherapist) | ||
| Individual Session | 99923 | $63.18 |
| Group Session | 99922 | $38.10 |
| Dietician | ||
| Individual Session - Face to Face or Telehealth | 99917 | $57.76 |
| Driving Assessment | ||
| Driving Assessment by Occupational Therapist | 99921 | $63.72 |
|
Driving Instruction By Driving School (30 minutes) (charge in 30 minute units) | 99957* | $60.59 |
| Occupational Therapy | ||
| Individual Session | 99920 | $57.76 |
| Individual Session - Telehealth | 99920T | $57.76 |
| Group Session | 99919 | $34.73 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99967 | $57.76 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99967T | $57.76 |
| Physical Education | ||
| Individual Session | 99958* | $57.76 |
| Group Session | 99959* | $34.73 |
| Physiotherapy | ||
| Individual Session | 99913 | $63.18 |
| Individual Session - Telehealth | 99913T | $63.18 |
| Group Session | 99914 | $38.10 |
| Worksite / Home Assessment & Report (charge in 30 min units) | 99966 | $63.18 |
| Worksite / Home Assessment & Report - Telehealth (charge in 30 min units) | 99966T | $63.18 |
| Podiatry | ||
| Individual Session - Face to Face or Telehealth | 99941 | $57.76 |
| Psychology | ||
| Individual Session | 99908 | $99.13 |
| Individual Session - Telehealth | 99908T | $99.13 |
| Group Session | 99907 | $59.50 |
| Rehabilitation Assessments & Reports | ||
| Initial Assessment and Preparation of Rehabilitation Plan | 99904 | $646.40 |
| Medical & Like Report / Reviews (Only payable when requested by TAC) | 99905* | $245.83 |
| Rehabilitation Counselling | ||
| Individual Session - Face to Face or Telehealth | 99928 | $55.01 |
| Group Session | 99937 | $32.81 |
| Social Work | ||
| Individual Session - Face to Face or Telehealth | 99940 | $57.76 |
| Group Session | 99952 | $34.73 |
| Special Education / Accredited Teacher | ||
| Individual Session | 99912* | $55.52 |
| Group Session | 99936* | $33.22 |
| Speech Therapy | ||
| Individual Session - Face to Face or Telehealth | 99930 | $57.76 |
| Group Session | 99929 | $34.73 |
^Reimbursements will be made only to hospitals with approved facilities
Fees for services that public hospitals provide to TAC clients are agreed with the Victorian Department of Health and Human Services. Access the index for these fees on the department's website: Patient fees and charges for public health services.
For further information about TAC policies, contact us at 1300 654 329 or policy@tac.vic.gov.au
The Better Health Channel website has a range of information on the hospital discharge process and the range of services and support available to you as you make the transition from hospital to rehab or home.
Summary
This booklet provides information and assurance for clients moving into a rehabilitation facility about what to expect and how the TAC can assist. Topics include: how your rehabilitation program will help improve your ability to do things and increase independence; and preparing your Independence Plan of individual goals you want to achieve in the short and long term.
Summary
This booklet provides information and assurance for people with major injuries who are preparing to leave the rehabilitation hospital and return home. It explains the next stage of your rehabilitation and Independence Plan as well the support services that the TAC can fund to help with day-to-day tasks.
We’re here to help you get your life back on track after your transport accident. To help you recover from your injuries we will pay for services that you receive from any public or private hospital within Australia.
In the first 90 days after your accident, the TAC can help pay for your hospital treatment without the need for you to contact us for approval first.
When you need to contact us for approval
You or your provider need to contact the TAC for approval of your hospital treatment if:
- It is approaching or more than 90 days since your accident and we have not approved further treatment or services, or
- It has been more than 6 months since you’ve had any treatment or service paid for by the TAC.
When we can pay for hospital services
In the first 90 days after your accident, the TAC approves the hospital treatment you need because of your accident injuries. This includes the cost of your emergency, inpatient and outpatient services. We will also work with your hospital to ensure that you receive the services you require.
After the first 90 days, you will need TAC approval for more hospital treatment.
We may need to approve admissions for non-emergency treatment beforehand. For more information please see: Surgery and medical specialists.
Hospital treatment options
You may be admitted to a hospital as a:
- public patient
- private patient in a public hospital
- private patient in a private hospital
As a private patient you can choose which doctor treats you, and you may have a private room. However this service may cost more than our approved rate and you may need to pay any difference.
Hospital services you may need include:
- emergency services
- inpatient services, including hospital in the home or rehab in the home
- outpatient services
Other services you can use
We will also pay for support services to help you at home when you leave hospital.
We can also pay for your family’s visiting expenses if they live more than 100kms from the hospital and they visit you in hospital.
We can also pay for the cost of an application fee to obtain a Medical Treatment Visa if required due to transport accident injuries.
Checking your progress
We may contact your physical therapist to discuss your progress or request an assessment to make sure that:
- You have access to appropriate treatment and supports required for your transport accident injuries.
- You are getting proven, evidence-based treatment and not receiving treatment that isn't helping you recover.
- You are moving towards getting your life back on track or being able to live independently.
How treatments and services are paid for
We pay for your hospital treatment:
- Directly to your hospital, when you have given them your TAC claim number, or
- If you have to pay, use myTAC to send a copy of your receipt to us and we will repay you.
This includes any allied health and medical services you need.
We will also pay for outpatient services, such as emergency department attendances, specialist rehabilitation services and mental health services you need because of your injuries.
We pay for your services in line with our responsibilities under the Transport Accident Act 1986.
Treatments and services we can't pay for
We can’t pay for services that:
- Do not treat your transport accident injuries
- Are not reasonable, necessary or appropriate
- Are not clinically justified, safe and effective
Incidental items that you may have chosen to get as part of your inpatient stay such as newspapers, cable television, entertainment systems, telephone calls and toiletries.
About Victoria’s hospital system
Hospitals provide services including emergency care, surgery and specialist clinics.
Victoria’s hospital system is made up of:
You can receive treatment as:
- An inpatient, when you are admitted to hospital
- An outpatient, where you are treated in hospital but are not admitted.
We deal with public and private hospitals in different ways. Public hospitals are mainly funded by both the state and federal governments, while private hospitals and day procedures are funded by a number of sources, including private health insurance and the federal government.
For more information, see:
How much we will pay
Public hospitals
We will pay the cost of treatment provided in public hospitals in Victoria in line with the Department of Health and Human Services Fees Manual.
Private hospitals
We will pay the cost of treatment provided in private hospitals in Victoria in line with arrangements and contracts we have in place with each provider.
When there is no existing arrangement in place, fees are paid in line with the Private hospital (non-arrangement) services fee schedule.
We will pay for your treatment and services according to our fee schedule. If your private hospital charges more than the TAC rate, you may need to pay the difference.
Contracted private hospitals:
- Epworth (all locations)
- Aurora Healthcare: (Brunswick Private Hospital, South Eastern Private Hospital and the Epping Private Hospital)
- Healthe Care Surgical: (Mulgrave Private Hospital formerly known as the Valley Private Hospital)
- Healthscope (Victorian Rehabilitation Centre and North East Rehabilitation Centre)
Arrangement private hospitals:
- The Avenue Private Hospital
- Bayside Private Hospital
- Donvale Rehabilitation Hospital
- Dorset Rehabilitation Hospital
- Jessie McPherson Private Hospital
- Knox Private Hospital
- The Melbourne Clinic
- Peninsula Private Hospital
- Cabrini Hospital (Malvern and Brighton locations)
- St John of God Ballarat
- Warringal Private Hospital
In other States and Territories of Australia, payment is made on a case-by-case basis.
For providers
If you are a private hospital provider please refer to our TAC provider guidelines or your relevant contract and arrangement documents.
