healthslips has partnered with ItsMy Group Pty Ltd (ItsMy Group) for the provision of health insurance products. By proceeding, you agree that ItsMy Group will use your personal information to provide advice on health insurance products and assist with arranging cover, and that ItsMy Group and healthslips will collect, store and use your information in accordance with the ItsMy Group Privacy Policy and the healthslips.com.au Privacy Policy. Not all policies can be discussed or purchased over the phone. If ItsMy Group cannot assist with your preferred policy, they will tell you and offer to discuss alternatives or provide you with contact details for your preferred policy.
Does Hospital Cover include Breast Surgery (medically necessary)?
Tier
Clinical category covered?
Can insurers offer ‘restricted cover’?
Basic
Optional
Yes
Bronze
Yes
No
Silver
Yes
No
Gold
Yes
No
What does ‘optional’ mean?
‘Optional’ means that the Australian government allows insurers to choose whether or not to cover the clinical category under that Hospital Cover tier.
What does ‘restricted cover’ mean?
Restricted cover means the insurer pays only limited benefits.
If insurers offer cover for Breast Surgery (medically necessary) under Basic Cover, they can do so on a ‘restricted’ basis. If you are admitted as a private patient in a private hospital for treatments under this clinical category, you will face considerable out-of-pocket costs.
You should check with your insurer before agreeing to be treated as a private patient in a private hospital if you have restricted cover for Breast Surgery (medically necessary).
Does Medicare cover Breast Surgery (medically necessary)?
Yes. Medicare covers all treatments in the Breast Surgery (medically necessary) clinical category.
