I had a breast reduction when i was 23 all went well but no after care, i have huge scars and they look terrible ,i am now 43 and my breasts are doing the exact same thing when i was 23 i get boob rashes that look like a shadow on my stomach when i do to much underneath my breast the skin splits like someone has cut it with a knife one is quite larger the other other one … i am constantly getting sharp pains in my neck giving me massive headaches, my shoulder blades are constantly hurting would medicare help cover this i have phi thankyou
From Hunter Plastic Surgery
Will Medicare help fund breast reductions?
Yes. The rebate itself is around $1000 but importantly, you must be entitled to the Medicare number to ensure that your private health insurance to kick in.
The Medicare item number to check with your health fund is 45523. Not all policies will cover this item, so you may consider a change to your cover or even fund.
It is important to demonstrate clinical need, including pain in the neck and/or shoulder region. While consulting with your GP, it is worth discussing these symptoms to ensure the clinical need is documented in your referral for surgery which makes it easier for me to determine your eligibility for the Medicare item number.
For more details on our fees and the criteria Medicare use to determine if you can have a rebate, you can visit our breast reduction page.
Can I have a breast reduction done in the public system?
We understand there is currently very limited NSW public training hospital budget for breast reductions. This can vary in individual hospitals and over time, so it is worth checking with the NSW Government Surgery Access Line on 1800 053 456 to see if there is a provider near you.
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