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Guide

What services are not included on the Medicare Benefits Schedule (MBS)?

Reviewed and updated 3 April 2024

The Medical Benefits Schedule (MBS) does not include a wide range of medical and health services:

  • treatment as a private patient in a public hospital
  • private patient hospital costs (such as theatre fees for accommodation)
  • medical costs which the Medical Services Advisory Committee (MSAC) has determined are not clinically necessary
  • surgery for cosmetic reasons
  • medical costs that another organisation or agency is responsible for (such as a compensation insurer, employer or government body or agency)
  • examinations for life insurance or superannuation
  • ambulance services
  • medical and hospital costs incurred overseas
  • medicines – these are covered by the Pharmaceutical Benefits Scheme (PBS) 
  • dental examinations and treatment (except specified items for allied health services included as part of the Enhanced Primary Care (EPC) program)
  • eye therapy (except for the diagnosis and treatment of a developmental disorder or other disability for a person under the age of 25)
  • home nursing
  • prescription glasses and contact lenses
  • hearing aids
  • cost of prostheses (except External Breast Prostheses covered by the External Breast Prostheses Program. 

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