I was born with a cleft lip and have had work done on my lip and nose a few years ago now due to breathing difficulties and self esteem issues because of it. It wasn\’t noticeable as much a few years ago but my eyes have also been affected because my nose was never straight. I have developed a bubble / fatty tissue under my left eye and they are a different shape. This has affected my self esteem along with the lip and nose for years. Is this considered as reconstructive surgery resulting from a birth defect and covered by medicare? I am considering seeing a plastic surgeon about it or does my GP have to refer me? Basically, I just want to know what my next step is in getting my eyes looked at and if I will be covered by Medicare.
To get a rebate on your consult with a private specialist you need to have a GP referral. You will get a mediocre rebate for the surgery but will not, probably, cover the total surgical bill. Private insurance will top that up and possibly cover the surgery and be necessary for the private hospital costs. Even with private insurance there may be a gap for the anaesthetic. In a public hospital there is no cost. Surgeons are now required to give complete disclosure on costs.
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