Private Health Patients

Under the Private Health Insurance Act 2007, private health insurers are required to pay benefits towards prostheses that are listed on the Prostheses List when provided as part of an episode of hospital treatment, for which a member has an appropriate level of hospital cover and has met any requirements by their individual health fund, e.g. waiting periods, exclusions, excess payments, etc. Your clinician will need to certify that this hospital admission is clinically necessary. Please contact your healthcare professional for details on the ordering process.

Transmitters and Sensors

Transmitters and sensors for the Paradigm™ REAL-Time System and Paradigm™ Veo™ System can be purchased directly from Medtronic. A rebate may be provided for the transmitter under ancillary or general (‘extras’) health insurance, depending on your level of cover. Please contact Medtronic Diabetes support services or your health fund for more information. To get more information about the benefits you are entitled to under your policy, you should contact your private health insurer.

Private Health Insurance Ombudsman

The Private Health Insurance Ombudsman provides an independent service to help consumers with health insurance problems and inquiries. You can contact the Ombudsman on 1800 640 695 (free call anywhere in Australia) or via email at info@phio.org.au.

Information on private health insurance is also available at www.privatehealth.gov.au.