Is Mummy Makeover
covered by Medicare?

Mummy Makeover is partially covered by Medicare when billed under the appropriate MBS item numbers. You may still have an out-of-pocket gap depending on what your provider charges above the schedule fee.

Yes. In most cases you'll need a referral from your GP to see a specialist who can perform Mummy Makeover. The referral is also required for Medicare claims to be processed correctly.

Private health insurance can reduce out-of-pocket costs for Mummy Makeover if the procedure is performed in a private hospital and your policy includes the relevant clinical category. Check your extras cover and waiting periods before booking.

Ask your specialist for the specific MBS item numbers they plan to use, then check the Medicare Benefits Schedule to find the schedule fee and rebate. The gap is the difference between your provider's fee and the Medicare benefit.

The Medicare gap is the amount you pay after the Medicare rebate is applied. If your provider charges above the schedule fee, the gap is the difference between their fee and what Medicare pays. Providers using the known gap scheme agree to cap gaps at disclosed amounts.