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Chris Stanley

Chris Stanley

Updated 16/01/2025

Ambulance Cover in Australia

Key Points

  • Medicare generally doesn’t cover your ambulance costs.

  • Ambulance services are only free to residents of 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.

  • Purchasing extras-only health insurance may not cover you for ambulance 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.

Why is Ambulance Cover So Important?

Ambulance services in Australia are not covered by Medicare, and a single emergency callout can cost up to $1,200—or higher in some regions, such as rural or interstate areas. Without ambulance insurance, Australians face potentially overwhelming costs in medical emergencies.

Proper ambulance cover ensures you’re financially protected, whether through a standalone ambulance membership or as part of a private health insurance policy.

What Does Ambulance Cover Typically Include?

Ambulance cover ranges widely depending on the provider and policy you choose, but it generally includes:

Emergency Transport: Covers ambulance callouts for emergencies like accidents, strokes, or heart attacks.

Non-Emergency Medical Transport: Includes medically necessary transport for non-urgent care, like transfers between hospitals.

Road and Air Ambulance Services: Many policies also cover air transport if required during emergencies.

Pro tip: Check your policy’s inclusions for unlimited trips and whether coverage applies interstate or only within your home state.

Real-Life Example: Why Ambulance Cover Matters

Scenario:

Ben, a 35-year-old from Melbourne, experienced severe chest pain while visiting Brisbane. An ambulance was called, and he was transported to the nearest hospital. Without ambulance cover, Ben would have faced a bill of around $1,250 for the callout and transport.

With appropriate private health insurance that included nationwide ambulance cover, his costs were fully covered, giving him financial and emotional peace of mind. This example highlights the importance of confirming interstate coverage, especially for frequent travellers.

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How much can an ambulance trip cost?

This depends on the state ambulance service you’re using - and whether or not you actually live in that state. You could be travelling interstate for example, and need an emergency trip to hospital. In this case, you could be up for a significant bill, unless you have ambulance cover.

State/Territory

Callout Fee

$/Kilometre

ACT

$1,107 + $767 for any treatment

$14 for every km outside the ACT

NSW

$445 ($873 if visiting from interstate)

$4.02 ($7.88 if you’re visiting from interstate)

NT

$897 ($407 for non-urgent callouts)

$5.80 (per km greater than 10km)

QLD

Free for state residents

$0 for state residents 

SA

$1,171 ($262 for non-urgent callouts)

$6.70

TAS

Free for state residents

$0 for state residents 

VIC

$1,396 (Metropolitan), $2,059 (Regional)

$0

WA

$1,133 ($1,355 if you’re visiting from interstate)

$0

Source: Each state ambulance service. Prices are believed accurate as of October 2024. Excludes air ambulance services.

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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.

State

NSW

Free to residents

X

Free interstate

X

Concessions

✓ Eligible pensioners.

Other exemptions

+ Victims of domestic violence or sexual assault

+ Involuntary transport to a mental health facility.

State

VIC

Free to residents

X

Free interstate

X

Concessions

✓ Eligible pensioners

Other exemptions

Ambulance Victoria members

State

QLD

Free to residents

Free interstate

Concessions

All residents are covered across Australia

Other exemptions

N/A

State

ACT

Free to residents

X

Free interstate

X All other residents

✓ Eligible pensioners are covered in VIC, NSW, TAS and NT.

Concessions

✓ Eligible pensioners.

Other exemptions

+ Good Samaritans

+ Road accident injuries

+ Victims of domestic abuse or sexual violence

+ School students injured on excursions

State

SA

Free to residents

X

Free interstate

X

Concessions

X

Other exemptions

X

State

WA

Free to residents

X

Free interstate

X

Concessions

✓ Eligible pensioners over 65.

✓ Non-eligible pensioners get a 50% discount.

Other exemptions

+ St. John Ambulance members

State

NT

Free to residents

X

Free interstate

X

Concessions

✓ Eligible pensioners

Other exemptions

+ St. John Ambulance members

State

TAS

Free to residents

Free interstate

✓ Agreements with VIC, WA, NT, and ACT only

Concessions

All residents are covered across Tasmania

Other exemptions

N/A

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.

Victoria: 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.

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:

State

Costs

NSW

$401 starting cost for all call-outs

$3.62 cost per km travelled

ACT

$618 treatment, no transport

$13 cost per km travelled outside of the ACT

VIC

$564 treatment, no transport

$1,265 starting cost for transport in metro Victoria

$1,866 starting cost for transport in rural & regional Victoria

NT

$815 starting cost for all call outs

$5.25 cost per km after first 10km travelled

WA

$1,006 call out and transport costs (Perth only)

$57 cost of St. John Ambulance membership to cover regional WA residents

QLD

Free to residents

TAS

Free to residents

Ready to Compare Your Options?

Avoid the financial shock of ambulance transport bills by ensuring you have the right cover for your needs. Whether you’re after standalone cover or a private health insurance policy that includes ambulance benefits, Compare Club can help.

Let our specialists help you compare options# and find a great solution for your budget and lifestyle. Contact us today.

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Frequently Asked Questions

Is Ambulance Cover Part of My Health Insurance?

Many health insurance policies include ambulance cover, but the extent varies. Some offer unlimited trips, while others may cap claims. Always check your policy’s exact inclusions to avoid surprises.

Do Waiting Periods Apply to Ambulance Cover?

There is often no waiting period for emergency ambulance services. However, waiting periods may apply for non-emergency ambulance transport under certain policies.

Is Standalone Ambulance Cover Enough?

Standalone cover works well for people who don’t want private health insurance but need emergency transport protection. However, private health insurance gives you additional benefits, including broader coverage for other health needs.

Does Medicare cover ambulance journeys?

No, Medicare doesn’t cover emergency transport costs or any other ambulance services.

Can I use ambulance cover interstate?

This depends on which state you live in. The QLD government pays for ambulance cover Australia wide if you’re a resident, 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 wise to check with your state ambulance service, Concession Card provider or health insurer as to whether you’ll be covered for ambulance trips or not.

Sources: 

  • Ambulance Victoria

  • Australian Government Department of Health

  • Private Health Insurance Ombudsman

Things You Should Know

*As our customer you'll be provided with quotes directly from the insurer for the product you intend to purchase. We manage the application and deal with the administration work and insurer. We do not charge you a fee for the service we provide, the insurer simply remunerates us in return for setting up your policy. The financial and insurance products compared on this website do not necessarily compare all features that may be relevant to you. Comparisons are made on the basis of price only and different products may have different features and different levels of coverage. Compare Club does not compare all policies available in Australia and our partner insurers may not make all policies available to Compare Club.

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

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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Meet our health insurance expert, Chris Stanley

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