Gynaecology

What is covered under Gynaecology?

Hospital Cover for Gynaecology includes hospital treatment to investigate and treat the female reproductive system.

Examples include:

• endometriosis
• polycystic ovaries
• female sterilisation 
• cervical cancer.

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

Some treatments you might expect to be in the Gynaecology clinical category are in other clinical categories. For example, treatments for:

• fertility treatments are under Assisted Reproductive Services
• pregnancy and birth-related conditions are under Pregnancy and Birth
• miscarriage or termination of pregnancy are under Miscarriage and Termination of Pregnancy
• chemotherapy and radiotherapy for cancer are under Chemotherapy, Radiotherapy and Immunotherapy for cancer.

Which Hospital Cover tiers include Gynaecology?

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 Gynaecology 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 Gynaecology. 

Does Medicare cover Gynaecology?

Yes. Medicare includes all treatments under the Gynaecology clinical category.

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

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