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Explore Overview
Reviewed and updated 31 March 2024
basic
RO
bronze
O
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OOptional
Covered

What is covered under Blood?

Hospital Cover for Blood is for hospital treatment to investigate and treat blood and blood-related conditions. 

Examples include:

  • blood-clotting disorders
  • bone marrow transplants
  • other blood work including blood transfusion.

Some treatments you might expect to be in the Blood clinical category, such as treatment for cancers of the blood, are under the Chemotherapy, Radiotherapy and Immunotherapy for cancer clinical category.

This clinical category includes at least one treatment listed in the Medicare Benefits Schedule (MBS).


Which Hospital Cover tiers include Blood? 

TierClinical category covered?Can insurers offer restricted cover?
BasicOptionalYes
BronzeOptionalNo
SilverYesNo
GoldYesNo

What does ‘optional’ mean?

‘Optional’ means that the Australian Governments allows insurers to choose whether or not to cover a clinical category under that Hospital Cover tier.

What does ‘restricted cover’ mean? 

Restricted cover means the insurer pays only limited benefits. 

If insurers offer cover for Blood under Basic Hospital Cover, they can do so on a ‘restricted’ basis. If you are admitted as a private patient in a private hospital for treatments under this clinical category, you will face considerable out-of-pocket costs.

Always check with your insurer before agreeing to be treated as a private patient in a private hospital if you have restricted cover for Back, Neck and Spine. 


Does Medicare cover Blood?

Yes. Medicare includes a number of treatments under the Blood clinical category. 

If there is an MBS number for the treatment, Medicare covers it.


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