Medicare Eligibility

Medicare rebate. Baby holding their mums hand.Currently, Medicare rebates for fertility treatments are available only if a medical cause of infertility is diagnosed. Only a fertility specialist can determine medical infertility after a thorough assessment. Unfortunately, treatments involving surrogacy do not qualify for a Medicare rebate.

If your fertility specialist diagnoses you with medical infertility, you can claim Medicare rebates for Donor Sperm Artificial Insemination, IVF cycles, and specialist fees. Without this diagnosis, the cost of treatment is not eligible for Medicare or Private Health rebates.

 

How the Medicare Safety Net Works

In addition to receiving the standard Medicare rebate for fertility treatment, you may also be eligible to receive the Medicare Safety Net rebate. The Medicare safety net is a scheme the Federal Government introduced whereby once you reach a certain amount of out-of-pocket expenses in a calendar year, Medicare will pay an additional refund.

Out-of-pocket expense is commonly referred to as the “gap” between the doctor/clinic fee and the standard Medicare rebate. Rainbow Fertility fees are classed as out of hospital, so they will count towards the Medicare safety net.  The Medicare Safety Net is not means tested, nor is a restriction placed on the number of treatment cycles patients can undertake in a calendar year.

Individuals are automatically registered on the Safety Net Threshold; however, there are benefits in registering as a couple/family. For more information and to check your registration status, access Medicare online services at www.medicareaustralia.gov.au/online or visit your nearest Medicare office.

 

Medicare Online

Medicare Online is available at Rainbow Fertility. This is a secure and convenient way for patients to claim their rebate without having to visit a Medicare office. Please contact your nearest Medicare office or go online at www.medicareaustralia.gov.au/online  to register your bank account details.

 

Our dedicated and experienced team is here to provide you with guidance and support throughout your fertility journey. Feel free to contact our friendly team with any questions and to learn more about the options available to you.

 

 

 

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