UPDATED: The rules have changed. Breast augmentation is no longer covered by Medicare except in very specific circumstances. The only time a boob job is covered by Medicare is when it is part of a reconstruction after a mastectomy or other breast cancer treatments. Minor Medicare rebates may in a few cases be available if you have recurring health issues because of the size, position or skin condition of your breasts. So, the popular question of “I need a boob job, can Medicare help?” might not necessarily have the answer that you want.
As for Health Insurance companies, they are all different and members have different coverage. It is best to check directly with your health insurance provider to see exactly what you are covered for (make sure you read the fine print). However, if you do need breast reconstruction procedures for any of the following make sure you check the Medicare rebates listed below:
- Bilateral Breast Reduction (Item no. 45520) – Medicare Rebate is $675.35 (1 side)
- Tubular Breast Reconstruction (Item no. 45559) – Medicare Rebate is $852.60 (1 side)
- Breast Augmentation for asymmetry (Item no. 45524) – Medicare Rebate $556.25 (1 side)
- Breast Implants for breast deformity (Item no. 45528) – Medicare Rebate $834.30 (1 side)
- Breast Lift for Asymmetry (Item no. 45556) – Medicare Rebate $574.55 (1 side)
- Breast Ptosis – following pregnancy and lactation where it can be demonstrated that the nipple is inferior to the inframammary groove y – Youngest child must be between 1-7 years old (Item no. 45558) – Medicare Rebate $861.75 (both sides).
Of course, discuss these rebates and the details of your particular situation with your Plastic Surgeon before you make your final decision on your surgery.
To check any Medicare item, the rebate for it, and any further details head to www.health.gov.au.
Also if you have any further questions don’t hesitate to contact us at firstname.lastname@example.org.