What is Out of Pocket Health Expenditure?
As a private patient your total out of pocket costs will be the sum of all hospital charges, doctors’ fees and fees from other providers, minus any Medicare or private health insurance payments.
Examples are shown at: www.health.gov.au
An out of pocket cost is the difference between the amount a doctor charges for a medical service and what Medicare and any private health insurer pays.
Out of pocket costs are also called gap or patient payments.