This page provides information to medical providers about the Department of Veterans’ Affairs (DVA) hospital arrangements.
Patients holding a Veteran Gold Card, a Veteran White Card or a written authorisation for treatment are eligible to receive health care under DVA’s hospital arrangements.
DVA will pay for all necessary hospital treatment for Gold Card patients.
DVA will pay White Card patients’ hospital treatment costs required for:
- an accepted war or service caused injury or disease;
- malignant cancer (neoplasia);
- pulmonary tuberculosis; and
- any mental health condition
If your patient is a Commonwealth or allied veteran, please see our Commonwealth and other allied veterans page for eligibility and treatment information.
Any medical practitioner or specialist can refer a patient to a:
- public hospital;
- DVA contracted private hospital;
- DVA contracted private hospital for mental health services; or
- DVA contracted day procedure centre.
Under DVA’s hospital arrangements, you must contact DVA for approval before admitting your patient to a:
- non-contracted private hospital;
- non-contracted private hospital for mental health services; or
- non-contracted day procedure centre.
Please confirm specialists have admitting rights to DVA preferred hospitals before making referrals.
A list of DVA contracted private hospitals, mental health hospitals and day procedure centres is available on the DVA website at: Hospitals, Day Procedure Centres and Mental Health Private Hospitals.
The costs of hospitalisation will be at your patient’s expense. DVA will be unable to reimburse any out of pocket expenses that may occur. This may include costs for any intensive care and rehabilitation services that may arise. These costs could be substantial so you should discuss it with your patient before making a decision.
You will need to seek approval from DVA before admitting your patient to a non-contracted facility. DVA may request the following information to determine your request:
- your provider details;
- your patient’s details;
- the condition(s) being treated;
- your patient’s degree of pain or discomfort;
- the clinical necessity and urgency of the admission;
- the waiting times of public or contracted hospitals in your area; and
- if you have sought admission to a public or contracted facility.
Hospitals send their accounts to the Department of Human Services (DHS).
Your patient can be admitted to the nearest hospital in an emergency. They should only be admitted to the emergency department of a non–contracted hospital when it is the closest facility available.
If possible, confirm your patient’s treatment entitlements before arranging admission to a non-contracted hospital. If this is not possible, obtain DVA’s approval on the next working day after the admission.
Yes. When referring a country resident to a metropolitan hospital or day procedure centre, you should contact DVA first to confirm their travel assistance entitlements. DVA will not pay for unapproved travel.
Entitled persons should be treated at the nearest local facility. DVA may not pay travel assistance to patients who choose to travel to other facilities when local care is available. For more information, please refer to Factsheet HIP80 Transport Information for Health Providers.
As a GP you are the most appropriate post-discharge care coordinator for your patient; as such you are responsible for:
- providing advice to hospital discharge planning staff about the management of your DVA patients' hospital care; or
- providing advice to hospital discharge planning staff about your DVA patient (when other health care professionals are managing your patients' hospital care); and
- continuing the medical care of your DVA patient following their discharge from hospital.
DVA general enquiries
Phone: 1800 550 457 *
GeneralEnquiries [at] dva.gov.au (Email): GeneralEnquiries [at] dva.gov.au
DVA Prior Approvals and Eligibility for Treatment
Phone: 1800 550 457 *
Email: Health.Approval [at] dva.gov.au
* Calls from some mobile phones and pay phones may incur additional charges.