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Contracted Hospitals

You may have heard private health funds refer to agreement hospitals, contracted hospitals or even members hospitals. These are hospitals that private health funds have contracts with and generally for members to receive their full benefit entitlement they need to go to these hospitals.

Police Health has contracts with the majority of Australia's private hospitals. These contracts cover the vast majority of hospital admissions for our members and help keep the cost of your hospital insurance down. These arrangements ensure that an agreed schudule of fees (including in-patient accommodation, theatre and special unit accommodation fees as appropriate) is charged by the hospital and paid by Police Health on the member's behalf.

However, with Police Health, if you need to be admitted to a non-contracted hospital, we'll still provide you with full cover for recognised services you receive in that hospital. So you still get to choose the hospital for the treatment you require with total peace of mind.

Naturally, we'd prefer members to use one of our contracted hospitals, but as location and choice of specialist can sometimes limit your options, we'll leave that choice to you.

If for any reason we cease to recognise a hospital for full benefits, we will provide details of that hospital(s) on this web page.

Non-recognised Hospitals

Regrettably following negotiations, Police Health through the AHSA have been unable to reach agreement with Toowong Private Hospital on what we believe are fair fees. Reaching agreement on the level of fees they charge and we cover is important as it avoids unnecessary pressure being placed on your health fund premiums. 

Toowong Private Hospital have now terminated our agreement effective midnight 24 August 2017. From this date, new and increased fees may be charged by them for the hospital services they provide. These fees are likely to be higher than what Police Health recognise for benefit payment purposes, resulting in a portion of their fees not being covered by us and being borne directly by you. 

Transitional arrangements are in place to provide protection for our members at this hospital if before 25 August 2017: 

  • Treatment has commenced
  • Treatment has been pre-booked and will be performed prior to 24 February 2018
  • A course of treatment has commenced (includes treatments for up to 6 months)

In these circumstances the hospital will bill patients in line with the existing agreement and Police Health will pay its benefits. 

A list of possible alternate hospital facilities offering mental health programs and care nearby can be found below. These are all hospitals with whom we have agreements over the fees they charge which will generally be covered by Police Health. 

  • Brisbane Private - Brisbane
  • Belmont Private - Carina
  • New Farm Clinic - New Farm
  • North West Private Hospital - Everton Park
  • Pine Rivers Private Hospital - Strathpine

If you require or a re planning treatment at Toowong Private Hospital please contact us to discuss how this could affect you. Likewise if you have any questions regarding your hospital cover, please contact us on 1800 603 603 or send us an email.

Find Contracted Hospitals

Police Health has agreements with most private hospitals that are likely to be accessed by members. These agreements ensure that an agreed schedule of fees (including in-patient accommodation, theatre and special unit accommodation fees as appropriate) is charged by the hospital and paid by Police Health on the member’s behalf. Please note that a member’s benefit entitlements will be affected by factors such as their level and type of cover and the financial status of their membership. This will affect the amount Police Health will reimburse to the hospital.

Police Health strongly recommends the member contact them on 8112 7000 (Adelaide Local ) or 1800 603 603 (Other Areas) to confirm their benefit entitlement prior to receiving hospital treatment.

NB. Members who choose a non-agreement hospital may incur out-of-pocket expenses for hospital related services irrespective of their level of cover.

Click here to find contracted Hospitals


Access Gap Cover Doctor Search

Police Health's Access Gap Cover eliminates, or substantially reduces, the sometimes large out-of-pocket expenses that are part of a hospital stay for people with private health insurance.

Police Health have arrangements with a majority of doctors around Australia where, in the vast majority of cases, our members will be fully covered for in-hospital medical treatment, or will at least be advised prior to treatment of any gaps that might still exist.

You can call us on 1800 603 603 to find out if your specialist has agreed to participate in Police Health's Access Gap Cover. Alternatively, by clicking on the Access Gap Cover link below, you can conduct your own search for participating doctors by specialist group, doctor name, and locality.

Please note some doctors have requested not to be published in the following search engine, if you cannot find a particular doctor please contact Police Health or the doctor to verify if you will be covered in the Access Gap Scheme before treatment.


Click here to find an Access Gap Cover doctor


Find Complementary Therapies Provider

Police Health provides benefits for a broad range of complementary therapies.

In an area where the qualifications and skills of service providers can vary considerably, Police Health employ the services of the Australian Regional Health Group (ARHG). The ARHG apply a rigorous and well considered criteria to the acceptance of individual therapies  and service providers, giving confidence to health funds and their members.

Please note not all therapies are accredited for Police Health Benefits, and some service providers have requested not to be published in the following search engine, if you cannot find a particular service provider please contact Police Health or use the following brochure for more information.

Complementary Therapy Brochure

Click here to find a Complementary Therapies provider

HICAPS Provider

The following search facility is provided by HICAPS. It includes all health providers with the HICAPS on the spot `eftpos-style' claiming service.


Members are advised that claims for the following service groups are not available for on the spot `eftpos-style' claiming; orthodontic, occupational therapy, naturopathy, acupuncture, complementary therapies, dietary, psychology and speech therapy.

This search facility may include health providers who are not recognised by Police Health for the provision of on the spot claims, and, if this is the case, you will need to lodge claims for these health providers by mail, email or fax. It may also include health providers who are not recognised with Police Health for the payment of benefits and are therefore not covered by Police Health. These situations are rare however members may wish to confirm that their health provider is recognised for benefits by contacting Police Health.

Click here to find a HICAPS provider



Recognised & Registered Service Providers

While the vast majority of private service providers registered and practicing in Australia will be recognised by us for benefits, not all providers are recognised. If you wish to ensure your provider is recognised by Emergency Services Health, please phone us on 1800 603 603 prior to treatment.