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Option 1: Private Health Insurance

Private health insurers, under the Private Health Insurance Act 2007, might cover the cost of insulin pumps as part of their hospital or general treatment policies. This means, if you're admitted to the hospital and need an insulin pump, your private health insurer might pay for the cost of the pump, your hospital stay, and your doctor's fee.

However, not all cases require hospital admission. Some insurers still cover the cost of the pump in such instances, but the conditions and benefits can vary. For more detailed information, you can check out the full Prostheses List here.

Remember, the coverage level might depend on your private health insurer, with insulin pumps usually covered only under the top-tier 'Gold' level of hospital cover.

 

Option 2: AccessPlus Pump Program

The Medtronic AccessPlus Program is designed for people who have made the decision to start or continue using a Medtronic MiniMed™ 780G insulin pump until be able to claim a pump through your Private Health Insurance, up to a period of 12 months. Learn more about the program.

 

Option 3: Buy It Yourself

You also have the option to buy an insulin pump outright.

Joining the National Diabetes Services Scheme (NDSS): If you're diagnosed with diabetes, it's a good idea to register with the Australian Government's National Diabetes Services Scheme (NDSS). This scheme provides subsidised insulin pump consumables, like reservoirs and infusion sets. For more information on how to register with NDSS, click here.

What About the Ongoing Costs?

You'll need to buy infusion sets and reservoirs for your pump, but these are available from the NDSS through Diabetes Australia for around $25-$30 per month, as long as you meet the criteria. Before sending off your application, make sure it's signed and completed, and check with your state Diabetes Australia office to order your consumables.

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