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Hospital at Home

Hospital at Home
Hospital Treatments at Home

Experience tells us that some forms of care are better delivered in a home-based environment. When you care for someone in their own home, rather than in hospital, they’re in their most comfortable place at a time when they need to work on their health.

We have teamed up with several providers to ensure we can provide accessible in-home options for those eligible members who would prefer to be in their own home and not in a hospital, so that wherever possible you have a choice in how you are treated.

These treatments are called hospital-substitute treatment (or HST) because the treatment at home takes the place of treatment you’d have to visit, or stay in hospital for. 

Types of Hospital-Substitute Treatments

Intravenous (IV) therapy antibiotics
Complex wound care with negative pressure wound therapy
Rehabilitation after a hip or knee replacement
IV Chemotherapy

What treatment can I have at home?

If you’d normally be covered for the treatment in hospital, and your treating doctor agrees, you can have treatment at home instead. We will work with you, your doctor and hospital to cover the cost of the treatment at home for eligible members who need:

  • intravenous (IV) therapy antibiotics
  • complex wound care with negative pressure wound therapy
  • rehabilitation after a hip or knee replacement
  • IV chemotherapy. 

Please note: limits apply for HST services rendered. These limits sit with the Provider and your doctor should check these from the outset and advise you accordingly.

Depending on where you live and the treatment you need, you might also be able to choose your hospital-substitute treatment (HST) provider.

rt health has also been providing at-home support during COVID-19 to eligible members who have had hip or knee replacement surgery postponed.

What isn’t covered?

While we’re expanding services for treatment at home, we only cover specific treatments that we have contracts with providers to deliver.

If the reason you’re in hospital or need treatment at home is in any way related to an incident, accident or surgery you can claim compensation for from another party (like a workers compensation insurer, motor accident authority or a public liability insurer) then you won’t be covered by your private health insurance.

How long will I get treatment for?

We consider your treatment at home complete when the care you need can be given in the community, (like visiting a GP clinic or getting a referral to community nursing to have dressing changes that would've happened after you left hospital). When you finish your treatment, the HST provider will refer you to community services if you need them.

As an example, HST for complex wound care means rt health will pay for the treatment for the time you would have stayed in hospital. Our contracted HST providers will talk to you about when the transition to options in the community will happen.

How do I know if I am eligible?

Our Member Sevices team will firstly check the following to ensure you meet the initial eligibility:

  • be a current rt health member
  • have hospital cover and have served waiting periods for pre-existing conditions
  • be covered for the treatment you’re having if you were admitted to hospital

Our contracted HST providers will be able to assess your needs and tell your treating team if you’re eligible. Each type of treatment has slightly different criteria, but generally to be eligible, you’ll need to:

  • need treatment that you would have had to stay in hospital for
  • live in an area served by an rt health-contracted HST provider
  • have a suitable home environment to be treated in.

How do I access the service?

You can talk to your treatment team about at-home treatment options while you’re in hospital.

We’ve sent hospitals a list of providers that rt health has contracts with to give treatment at home to members, so the hospitals are familiar with the types of treatment at home we’ll cover for eligible members. This way we can refer you straight to a provider.

There are no out-of-pocket costs for treatment at home through rt health-contracted HST providers.

To find a Hospital at Home Provider
Interested in finding out more? Call our team and ask them about our Hospital at Home Treatments