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For healthcare providers

Check a member’s hospital eligibility

Our Hospital Eligibility Checking service is available 24 hours a day, 7 days a week, excluding scheduled maintenance periods (typically completed on Sundays).

Enter a member’s details to quickly check their hospital eligibility based on information held by Latrobe Health Services.

Eligibility is assessed using a range of factors, including:

  • Expected admission date
  • Membership financial status
  • Joining date
  • Current level of cover
  • Applicable waiting periods
  • Excess or co-payment requirements

The eligibility response will confirm whether an excess or co-payment applies and, if so, the amount payable under the member’s current cover.

Important Information

For the most accurate results, please search for one member or dependant at a time. You’ll need to provide enough information to correctly identify the individual and avoid matching another person with the same name and date of birth.

Hospital cover and eligibility can sometimes involve complex circumstances that cannot be fully assessed through an automated check. Even when a member appears eligible for admission, it is important to review the entire eligibility response carefully, as special conditions, restrictions, exclusions, or other requirements may apply.

Please also note that a member’s level of cover may change after an eligibility check has been completed and before their admission date.

Need Help?

If you need assistance with:

  • Membership enquiries
  • Cover and product information
  • Eligibility questions
  • Other fund-related matters

Call us: 1300 362 144 or Email: hcenquiry@lhs.com.au

Need a hand?

We’re here to help

Talk to our team on the phone, or send us a message and we’ll come back to you.