Currently Medicare rebates for treatments are only permitted if the woman being treated has an underlying medical cause of infertility. Medical infertility can only be determined by a fertility specialist, after an assessment. If your treating specialist provides a diagnosis of medical infertility, Medicare rebates can be claimed for Donor Sperm Artificial Insemination and IVF cycles, in addition to specialist fees. Without a diagnosis of medical infertility, the cost of treatment is not eligible for Medicare or Private Health rebates.
With the assistance of Medicare, fertility treatment is now more affordable. There have been substantial reductions in the cost of many fertility treatments since the introduction of the Federal Government Medicare Safety Net program. The savings generated from these out-of-pocket cost reductions have made fertility treatment more affordable for those with a diagnosis of medical infertility.
One of our friendly Patient Services Administrators will help you to understand the Medicare and Private Health rebates and guide you through your payment options.
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 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 www.medicareaustralia.gov.au/online to register your bank account details.
We have a dedicated and experienced team to provide you with guidance and support throughout the process. Feel free to contact our friendly team to discuss any questions you may have and learn more about the options available to you.
Current as at 01.02.2016