Is PGT-A Genetic Testing
covered by Medicare?

No. PGT-A Genetic Testing is A service with no Medicare Benefits Schedule item, so there's no rebate to claim regardless of clinical indication. A referral doesn't change that.

A GP referral doesn't change this. PGT-A Genetic Testing is a service with no Medicare Benefits Schedule item, so there's no rebate to claim regardless of clinical indication.

Private health insurance can reduce out-of-pocket costs for PGT-A Genetic Testing 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.