Introduction
The cost of NSW ambulance services are not covered by Medicare. If you need to use an ambulance there is a fee attached, unless you meet the exemption criteria.
Note: When you receive an invoice for your ambulance use, you claim your exemption via the Ambulance Service website's 'My Invoice' page, where you're able to:
- access a summary of your invoice
- make your payment, or
- request an exemption from paying.
Eligibility
You will be exempted from paying the ambulance fee if you:
- hold a:
- Health Care Card
- Pensioner Concession Card
- Commonwealth Seniors Health Care Card
- Gold Card from the Department of Veteran's Affairs (DVA)
- White Card from the DVA (if the ambulance service was related to the specific condition funded by the DVA)
- have private health fund:
- hospital cover, or
- ambulance cover only.
For other exemptions visit the NSW Ambulance website.
What you need
- your payment reference number
- the issue date
- your concession card, or other evidence of your exemption eligibility.
How to claim
- Check you meet the exemption criteria.
- Select the 'Manage your invoice' button.
- Enter your payment reference number and the issue date.
- Check the 'I'm not a robot' box.
- Select 'Next'.
- Follow the prompts and provide your exemption details.
If you need help with claiming your exemption:
- call 1300 655 200, or
- write to:
NSW Ambulance
Locked Bag 14
Rozelle NSW 2039.
More information
If you're having difficulty paying an invoice, or you wish to dispute the charge, you can apply for a fee review. For example, you may:
- believe you're entitled to an exemption
- believe your fee has been inaccurately calculated
- have arranged the ambulance service to help another person
- be financially liable for a patient who has since died after receiving the service
- be finding it difficult to pay the fee
- have some other grounds under the NSW Ambulance Patient Payment (Fee) Review Operating Procedure – PDF.
In cases of hardship, the review may result in one of the following:
- the fee being waived in full or in part
- an instalment plan
- an extension of payment plan
- some other payment arrangement being put in place.
Last updated: 3 March 2025