Dialysis for Chronic Kidney Failure

What is covered under Dialysis for Chronic Kidney Failure?

Hospital Cover for Dialysis for Chronic Kidney Failure includes hospital treatment for chronic kidney failure.

Examples include:

• supervising haemodialysis, peritoneal dialysis and other types of dialysis in hospital
• planning and management of home dialysis (haemodialysis or peritoneal dialysis)
• declotting a shunt used as the access point for dialysis treatment.

This clinical category includes these treatments listed in the Medicare Benefits Scheme (MBS).

Which Hospital Cover tiers include Dialysis for Chronic Kidney Failure?

What does it mean if cover is ‘optional’?

‘Optional’ means that the Australian Government allows insurers to choose whether or not to cover the 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 Dialysis for Chronic Kidney Failure 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 Dialysis for Chronic Kidney Failure. 

Does Medicare cover Dialysis for Chronic Kidney Failure?

Yes. Medicare includes all treatments under the Dialysis for Chronic Kidney Failure clinical category.

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

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