Rehabilitation

What is covered under Rehabilitation?

Hospital Cover for Rehabilitation includes hospital treatment to help people recover from surgery, illness or injury.

Examples include:

• inpatient and admitted day patient rehabilitation
• stroke recovery
• cardiac rehabilitation.

Treatments for this clinical category are not covered in the Medicare Benefits Schedule (MBS).

Which Hospital Cover tiers include Rehabilitation?

What does it mean if cover is ‘optional’?

‘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 Rehabilitation under Basic, Bronze or Silver Hospital 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.

Always check with your insurer before agreeing to be treated as a private patient in a private hospital if you have restricted cover for Rehabilitation. 

Does Medicare cover Rehabilitation?

No. Medicare does not cover any treatments or devices under the Rehabilitation clinical category.

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