A future where every journey is a safe one

Hospital treatment

You can get hospital treatment immediately after your transport accident without initial approval from the TAC. This includes treatment in a public or private hospital.

How to pay for hospital treatment

  1. If it’s been more than 6 months since you had any treatment paid for by the TAC, call us to find out if we can pay for more treatment
  2. Tell the hospital you are a TAC client and give them your TAC claim number.
  3. The hospital will invoice the TAC for your treatment.
  4. 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.

Private hospital (non-arrangement) services fees

Effective 1 July 2019

For private hospital services provided on or after 1 July 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate

INPATIENT SERVICES

Advanced Surgical Patients 1 - 14 Days $779.00
15 + Days $599.45
General Surgical Patients 1 - 14 Days $697.58
15 + Days $599.45
Special Medical Patients 1 - 14 Days $697.58
15 + Days $590.86
General Medical Patients 1 - 14 Days $545.24
15 + Days $502.93
Psychiatric Patients 1 - 30 Days $697.58
  31 - 65 Days $590.86
66 + Days $502.93
Rehabilitation Patients 1 - 25 Days $680.70
  26 + Days $519.82
Intensive Care Unit^ 1 - 4 Days $1,902.73
5 + Days Original Patient Classification or High Dependency Unit 
Intensive Care Unit (Metropolitan)^ 1 - 4 Days $2,848.91
5 + Days Original Patient Classification or High Dependency Unit
Coronary Care Unit^ 1 - 4 Days $1,697.83
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 $1,180.00
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.  
 $192.97
Same Day Patient Bed Fee
Only applicable if a procedure or operation is performed.
 $269.36
Bed Leave / Hospital Leave Fee   75% of the applicable bed fee
Hospital in the Home HIT $390.66
Facility Fee - Emergency Department Patients
A facility fee is only payable to hospitals with an approved Emergency Department.
 $45.10
Theatre Fees   
Band 1A $108.43
  1 $340.81
  2 $483.94
  3 $607.83
  4 $794.72
  5 $1,072.51
  6 $1,339.39
  7 $1,804.02
  8 $2,402.93
  9A $2,624.66
  9 $3,508.17
  10 $4,795.09
  11 $5,240.34
  12 $6,596.97
  13 $7,454.52
  0 (Lithotripsy) $3,214.93
  Electroconvulsive Therapy $243.94
  (Individual approval is required for electroconvulsive therapies)  
Therapy Services Refer Outpatient Services
^Reimbursements will be made only to hospitals with approved facilities

OUTPATIENT SERVICES
These fee and item numbers also apply to therapy services provided to Inpatients.

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 $57.93
Group Session 99922 $34.93
Dietician
Individual Session 99917 $52.96
Driving Assessment
Driving Assessment by Occupational Therapist 99921 $58.42
Driving Instruction By Driving School (30 minutes) 
(charge in 30 minute units) 
99957* $55.55
Occupational Therapy
Individual Session 99920 $52.96
Group Session 99919 $31.84
Worksite / Home Assessment & Report (charge in 30 min units) 99967 $52.96
Physical Education
Individual Session 99958* $52.96
Group Session 99959* $31.84
Physiotherapy
Individual Session 99913 $57.93
Group Session 99914 $34.93
Worksite / Home Assessment & Report
(charge in 30 min units)
99966 $57.93
Podiatry   
Individual Session 99941 $52.96
Psychology
Individual Session 99908 $90.88
Group Session 99907 $54.55
Rehabilitation Assessments & Reports
Initial Assessment and Preparation of Rehabilitation Plan 99904 $592.60
Medical & Like Report / Reviews (Only payable when requested by TAC) 99905* $225.38
Rehabilitation Counselling
Individual Session 99928 $50.43
Group Session 99937 $30.07
Social Work
Individual Session 99940 $52.96
Group Session 99952 $31.84
Special Education / Accredited Teacher
Individual Session 99912* $50.90
Group Session 99936* $30.45
Speech Therapy
Individual Session 99930 $52.96
Group Session 99929 $31.84

^Reimbursements will be made only to hospitals with approved facilities

For private hospital services provided between 1 July 2018 and 30 June 2019
Service DescriptionTAC Item NumberMaximum
Payment
Rate

INPATIENT SERVICES

Advanced Surgical Patients 1 - 14 Days $755.94
15 + Days $581.71
General Surgical Patients 1 - 14 Days $676.93
15 + Days $581.71
Special Medical Patients 1 - 14 Days $676.93
15 + Days $573.37
General Medical Patients 1 - 14 Days $529.10
15 + Days $488.04
Psychiatric Patients 1 - 30 Days $676.93
  31 - 65 Days $573.37
66 + Days $488.04
Rehabilitation Patients 1 - 25 Days $660.55
  26 + Days $504.43
Intensive Care Unit^ 1 - 4 Days $1,846.41
5 + Days Original Patient Classification or High Dependency Unit 
Intensive Care Unit (Metropolitan)^ 1 - 4 Days $2,764.59
5 + Days Original Patient Classification or High Dependency Unit
Coronary Care Unit^ 1 - 4 Days $1,647.58
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 $1,145.08
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.  
  $187.26
Same Day Patient Bed Fee
Only applicable if a procedure or operation is performed.
  $261.39
Bed Leave / Hospital Leave Fee   75% of the applicable bed fee
Hospital in the Home HIT $379.10
Facility Fee - Emergency Department Patients
A facility fee is only payable to hospitals with an approved Emergency Department.
  $43.77
Theatre Fees   
Band 1A $105.22
  1 $330.72
  2 $469.62
  3 $589.84
  4 $771.20
  5 $1,040.77
  6 $1,299.75
  7 $1,750.63
  8 $2,331.81
  9A $2,546.98
  9 $3,404.34
  10 $4,653.17
  11 $5,085.24
  12 $6,401.72
  13 $7,233.89
  0 (Lithotripsy) $3,119.78
  Electroconvulsive Therapy $236.72
  (Individual approval is required for electroconvulsive therapies)  
Therapy Services Refer Outpatient Services
^Reimbursements will be made only to hospitals with approved facilities

OUTPATIENT SERVICES
These fee and item numbers also apply to therapy services provided to Inpatients.

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 $56.22
Group Session 99922 $33.90
Dietician
Individual Session 99917 $51.39
Driving Assessment
Driving Assessment by Occupational Therapist 99921 $56.69
Driving Instruction By Driving School (30 minutes) 
(charge in 30 minute units) 
99957* $53.91
Occupational Therapy
Individual Session 99920 $51.39
Group Session 99919 $30.90
Worksite / Home Assessment & Report (charge in 30 min units) 99967 $51.39
Physical Education
Individual Session 99958* $51.39
Group Session 99959* $30.90
Physiotherapy
Individual Session 99913 $56.22
Group Session 99914 $33.90
Worksite / Home Assessment & Report
(charge in 30 min units)
99966 $56.22
Podiatry   
Individual Session 99941 $51.39
Psychology
Individual Session 99908 $88.19
Group Session 99907 $52.94
Rehabilitation Assessments & Reports
Initial Assessment and Preparation of Rehabilitation Plan 99904 $575.06
Medical & Like Report / Reviews (Only payable when requested by TAC) 99905* $218.71
Rehabilitation Counselling
Individual Session 99928 $48.94
Group Session 99937 $29.18
Social Work
Individual Session 99940 $51.39
Group Session 99952 $30.90
Special Education / Accredited Teacher
Individual Session 99912* $49.39
Group Session 99936* $29.55
Speech Therapy
Individual Session 99930 $51.39
Group Session 99929 $30.90

^Reimbursements will be made only to hospitals with approved facilities

Public hospital fees

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.

These fees should be read in conjunction with our information on Hospital treatment.

For further information about TAC policies, contact us at 1300 654 329 or policy@tac.vic.gov.au

Better Health Channel - Major trauma - from discharge to recovery

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.

Rehabilitation - at the rehabilitation hospital

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.


Rehabilitation - preparing to go home

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.


Hospital treatment

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.

You can get this treatment immediately after your transport accident without initial approval from the TAC.

If it’s been more than 6 months since you had any treatment or service paid for by the TAC, you need to call us to find out if we can pay for this treatment.

When we can pay for hospital services

As hospital treatment is a TAC approved service, we will pay for your hospital treatment immediately after your transport accident, including 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.

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.

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)
  • Healthe Care (Brunswick Private Hospital, South Eastern Private Hospital and 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.