A state-by-state guide to ambulance cover in Australia

Updated 01/09/2021

Ambulance cover and costs vary between NSW, Victoria, ACT, Queensland, South Australia, Northern Territory, Tasmania, and Western Australia. Find out more.

Ambulance cover Australia: find the best private health plan for you

The cost of ambulance services varies across Australia – South Australian ambulance cover and NSW ambulance cover is different to how ambulance cover works for Queensland residents, for example. 

It means without the right ambulance insurance, you could be facing a large bill for a journey to hospital. 

Use this guide to understand what ambulance cover you need depending where you live and how cover works cross-state. It’s useful to compare your health insurance to make sure you’re getting the best possible price.  

Key Points

  • Medicare does not cover the cost of ambulance services.

  • Ambulance services are free to residents in Queensland and Tasmania but the cost in other states and territories varies.

  • Ambulance cover can be purchased as a standalone policy or as part of your private Hospital Cover.


What is ambulance cover?

Ambulance cover is a type of insurance that covers your costs if you need to call out paramedics and be taken to hospital in an ambulance. 

It’s really important to note that ambulance fees are very different depending in which state you live. We’ll get into that shortly.

What your ambulance cover includes can vary, depending on your policy and provider. Some offer cover for all ambulance-related services, while others only cover your costs if you need to travel in an ambulance (so they may not cover your callout cost for the paramedic if you don't need to be taken to hospital). That’s why it's a good idea to compare policies before committing to one. 

What are the benefits of ambulance cover?

The costs associated with an ambulance call out can be high. Some call-out fees cost upward of $1,900. That’s a hefty bill if you’re ill or injured enough to need a paramedic.

The right ambulance cover gives you peace of mind that you’re covered and won’t be facing a massive bill in the case of a medical emergency. 

Does health insurance include ambulance cover?


Most private health insurers provide Ambulance Cover.

This often comes as part of your Hospital Cover.

Even a lot of cheap Basic Hospital Cover policies will include a form of ambulance cover.

But the level of cover varies from insurer to insurer.

Some funds provide cover for all ambulance travel, while others may only cover the costs of the emergency transport to the nearest hospital.

That's why it's a good idea to compare policies before you buy.

Do pensioners get free ambulance cover Australia wide?


We cover this in more detail below for the differences across states. 

Which states offer free ambulance cover?

This is where it gets a bit complicated. Not every Australian needs Ambulance Cover.

Some states provide the whole service for free, while others have a more complex system of calculating your costs.

Here's how coverage varies from state to state.


QLD Ambulance Cover is provided by the state Government.

It covers residents for emergency pre-hospital ambulance treatment and transport all over Australia.

So if you're in the Sunshine State, you can stop reading now and get on with saving money on your health insurance.


Ambulance costs for Tassie residents are also covered by the state government, but only within Tasmania.

So if you never plan to leave the island, your government's got you covered.

There are reciprocal agreements between Tasmania and Victoria, WA, the Northern Territory and the ACT for emergency ambulance road travel.

You'll need to forward your invoice and proof of Tasmanian residency to Ambulance Tasmania and they'll take care of the invoice.

For other states -- NSW, Queensland, and South Australia -- there's no agreement in place, so you'll have to pay, unless you have the right insurance in place.

If you're a regular visitor to the mainland, it may be worth getting Ambulance Cover as part of your health insurance.

For one-off holidays, it may make more sense to include ambulance cover in your travel insurance.

New South Wales:

NSW only provides full Ambulance Cover for pensioners, providing you hold a valid Pensioner Concession Card, Health Care Card or Commonwealth Seniors Health Care Card.

There are other exemptions, including victims of sexual assault, domestic violence or child abuse, a child or young person under the care of the state, or anyone being involuntarily taken to a mental health facility.

Everyone else needs Ambulance Cover to avoid getting landed with a bill.

You can read more about NSW ambulance cover in our guide.

Australian Capital Territory:

Yes, ACT residents will need health insurance to avoid a bill.

ACT does have some very specific exemptions for residents.

These are:

  • Pensioners and Concession Card holders. There's no reciprocal ambulance agreements with QLD, WA and SA, so if you're travelling to these states, you may want to get cover.

  • School students who are ill or injured during school excursions.

  • People injured in a road accident on the ACT's roads.

  • Good Samaritans injured in the course of a "Good Samaritan act". You'll need to prove this though to get exemption from ambulance fees.

  • Victims of sexual violence or domestic assault.

  • If you die in the care of ACT paramedics while being transported to hospital.

Northern Territory:

NT residents who are Centrelink Pensioner Concession or Health Care Card holders are entitled to free ambulance transport services.

Ambulance services in the NT are provided by St. John Ambulance.

If you're a member of St. John Ambulance then you're also exempt from fees.

Everyone else will need to pay fees.


Victorians with a valid Pensioner Concession or Health Care Card can receive free transport if it's deemed clinically necessary transport, although this doesn't always apply if you're being transported from a private facility.

Otherwise you'll need private health cover or Ambulance Victoria membership.

Western Australia:

Western Australia pensioners over 65 get free emergency ambulance services.

If you're Over 65 but not drawing a pension or have a valid Pensioner Concession Card, you can get a 50% discount.

All other WA residents will need to pay the full fee.

South Australia:

South Australia doesn't offer any ambulance fee exemptions.

You'll need ambulance cover if you're an SA resident.


Which states charge you for ambulance journeys?

Queensland and Tasmania don’t charge residents for ambulance services. If you live in any other states, you’ll need ambulance cover to avoid paying fees for these services.

How much do ambulance services actually cost?

New South Wales:

New South Wales ambulance costs can be significant.

Luckily, residents are only billed for 51% of the ambulance fee -- the rest is subsidised by the NSW government -- but you'll still need health insurance or ambulance cover to avoid the rest of the fees.

Australian Capital Territory:

In general, ACT residents are responsible for paying their own way, you have health insurance.


Victorians will have to cover the costs of an ambulance ride if it's not covered through an Ambulance Victoria membership or a private health fund.

South Australia:

SA residents will be liable to pay for ambulance services, unless they're a member of the SA Ambulance Service or a private health fund.

Northern Territory:

Residents will have to pay for ambulance services unless they're a member of St Johns or have private health insurance.

Western Australia:

The same rules in the NT apply to WA.

Can I use ambulance cover interstate?

It really depends which state you live in. The Queensland Government covers emergency services for its residents Australia-wide, while Tasmanian residents can only get cover within their state.

Even exempt residents may not be covered outside of their home state, so if you’re travelling interstate, it’s best to check with your state ambulance service, Concession Card provider or health insurer as to whether you’ll be covered or not. 

We’ve got a bit more detail on this in the Which states offer free ambulance cover section.

What are the different types of ambulance cover?

You have two options:

Because different states have different rules around ambulance fees, it’s worth having a chat with one of our experts to help you find the right cover, at the best price available.  

What is the cost of an ambulance trip?

If you don’t have ambulance cover, here’s an idea of what you could be paying:

Are ambulance fees waived for COVID-19 patients?

Yes, in some states. Patients in New South Wales will not be charged a fee if they need ambulance for COVID-19 treatment or transport.

Ambulance charges do not apply for Queensland and Tasmanian residents in their home state. 

Victoria has also said that special consideration currently applies where an ambulance was called due to your positive COVID-19 status.

At the time of writing, South Australia, Western Australia, and the ACT and NT are not waiving fees for COVID-19 patients.

Is ambulance cover compulsory?

No, it's not.

But if you don't have ambulance cover or appropriate Hospital Cover, you'll need to pay the full cost of ambulance services.

Does Medicare cover ambulance journeys?

Medicare does not cover the cost of emergency transport or other ambulance services.

Is standalone ambulance cover worth it?

Standalone ambulance cover is definitely better than not having any cover at all if you want peace of mind that you won't have to pay any fees.

That said, you may get better overall value for money by taking out Hospital Cover that may also cover you for ambulance call outs and journeys.

That way, you'll also be covered for items such as getting a private room or be able to choose your own doctor.

Even if your main priority is to avoid the Medicare Levy Surcharge, a lot of Basic policies will come with ambulance cover.

Looking into Hospital Cover? We'd recommend reading our guide to Hospital Cover first.

Which health insurance policies include ambulance cover?

Most private health insurers include ambulance cover in their Hospital Cover policies, but it's important to be aware of any limitations and exclusions.

For example, does the cover include all forms of emergency transport, or is it only for road services?

The best way to find out what is and isn't included, plus get a great health insurance package, is by comparing with Compare Club.

Over the last 5 years, we've saved our customers an average of $300* off their annual health insurance cost when they switched policies through us.

The different state regulations means ambulance cover can be surprisingly confusing.

As a general rule of thumb, if you've got Hospital Cover then you'll likely be covered for some ambulance fees.

Check with Compare Club or your insurer to confirm.

Ready to get started on finding the cover you need? Compare policies with Compare Club and let our expert team get you the right cover at our best price.


This guide is opinion only and should not be taken as medical or financial advice. Check with a financial professional before making any decisions.

*Based on 136,746 customers between 1 Jan 2018 - 23 December 2022.

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*average savings based on 136,746 customers between 1 Jan 2018 - 23 December 2022

Chris Stanley is the sales & operations manager of health insurance at Compare Club. With extensive experience and expertise, Chris is a trusted leader known for his deep understanding of health insurance markets, policies, and coverage options. As the sales & operations manager of health insurance, Chris leads a team of dedicated professionals committed to helping individuals and families make informed decisions about their health insurance needs.

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Chris Stanley

Sales & Operations Manager for Health Insurance