Fertility treatment includes assisted reproductive services provided in hospital relating to the retrieval and implantation of eggs. See ‘Fertility treatment’ section for details. Flex-eClaim is GU Health’s online claiming system. Heart related procedures are medical and/or surgical procedures to treat conditions such as heart disease, heart defects, heart attacks and irregular heart rhythms. They include open heart and bypass surgery, insertion of stents or pacemakers or defibrillators, and other invasive cardiac procedures such as angiograms. Hip or knee replacement is surgery which consists of fully or partially removing a damaged hip or knee joint and replacing it with an artificial joint (prosthesis) to restore the functionality of the joint. In-hospital midwifery services are covered only if a midwife is registered in private practice and is recognised by us for benefit purposes. Services provided by midwives not registered in private practice aren’t covered. This means that if you’re seeing a midwife at the hospital for birthing or pre/post natal care they must be in private practice and not an employee of the hospital. Major eye surgery is inpatient hospital treatment for major eye lens procedures including cataract surgery. Laser surgery (e.g. Lasik) isn’t covered as it’s not listed under the MBS. Medicare is the national health scheme operated by the Australian Government that provides protection against the costs of essential medical and hospital care. It’s funded by a Medicare levy that applies to most Australian tax payers. All permanent Australian residents, regardless of age or personal circumstances, are eligible to participate in Medicare. Medicare may also provide ‘medically necessary’ treatment to overseas visitors from countries that have a Reciprocal Health Care Agreement (RHCA) with Australia. Medicare Benefits Schedule (MBS) is a schedule of fees for medical services set by the Australian Government, listing a wide range of medical consultations, procedures and tests that are eligible for Medicare benefit payments.
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