We encourage you to thoroughly consider the likely treatment costs prior to your consultation including costs for potential complications.  Alternatively investigate private hospital insurance, bearing in mind there is usually a 12 month exclusion for cover of pre-existing conditions.

In order to claim through Private Health Insurance and Medicare, your planned procedure must fit Medicare item number criteria to cover the theatre fee and any hospital stay. Even when there is a Medicare item number, you may incur expenses that may not be fully covered by Medicare or your health fund. These costs may include a ‘gap’ between the surgical fee and what is covered by Medicare, anaesthetic and surgical assistant fees, implants and prostheses, non-rebatable single-use surgical equipment, radiology and pathology tests, scar management treatments, allied health care and clinic visits beyond usual after-care. 

In line with professional obligations under the Australian Health Practitioner Regulation Agency (AHPRA) Dr Jeeves is unable to assess, certify or complete documentation for the early release of superannuation benefits for elective surgery procedures that are available in the public system.  Eg breast reduction and abdominoplasty. 

Not on the list ? Please contact the rooms on 8213 1800 to discuss further

Item Number 45523

Reduction mammaplasty (bilateral) with surgical repositioning of the nipple:

(a) for patients with macromastia who are experiencing pain in the neck or shoulder region; and

(b) not with insertion of any prosthesis;

Item Number 45551

Breast prosthesis, removal of, with excision of at least half of the fibrous capsule, not with insertion of any prosthesis. The excised specimen must be sent for histopathology and the volume removed must be documented in the histopathology report

Item Number 30177

Lipectomy, excision of skin and subcutaneous tissue associated with redundant abdominal skin and fat that is a direct consequence of significant weight loss, in conjunction with a radical abdominoplasty, with or without repair of musculoaponeurotic layer and transposition of umbilicus

(a) there is intertrigo or another skin condition that risks loss of skin integrity and has failed 3 months of conventional (or non-surgical) treatment; and

(b) the redundant skin and fat interferes with the activities of daily living; and

(c) the weight has been stable for at least 6 months following significant weight loss prior to the lipectomy

Item Number 30175

Radical abdominoplasty, with repair of rectus diastasis, excision of skin and subcutaneous tissue, and transposition of umbilicus, not being a laparoscopic procedure, if:
(a) the patient has an abdominal wall defect as a consequence of pregnancy; and
(b) the patient:

(i) has a diastasis of at least 3cm measured by diagnostic imaging prior to this service; and
(ii) has either or both of the following:

(A) at least moderately severe pain or discomfort at the site of the diastasis in the abdominal wall during functional use and the pain or discomfort has been documented in the patient’s records by the practitioner providing the service;
(B) low back pain or urinary symptoms likely due to rectus diastasis and the pain or symptoms have been documented in the patient’s records by the practitioner providing the service; and

(iii) has failed to respond to non-surgical conservative treatment, that must have included physiotherapy; and
(iv) has not been pregnant in the last 12 months

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