Heart and Vascular System

What is covered under Heart and Vascular System?

Hospital Cover for Heart and Vascular System includes hospital treatment to investigate and treat:

• the heart
• heart-related conditions
• the vascular system.

Examples include:

• heart failure and heart attack 
• monitoring of heart conditions 
• varicose veins
• removing plaque from arterial walls.

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

Some treatments you might expect to be in the Heart and Vascular System clinical category are under other clinical categories. For example, treatments relating to chemotherapy and radiotherapy are under Chemotherapy, Radiotherapy and Immunotherapy for cancer.

Which Hospital Cover tiers include the Heart and Vascular System?

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 the Heart and Vascular System 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 Heart and Vascular System. 

Does Medicare cover the Heart and Vascular System?

Yes. Medicare includes all treatments under the Heart and Vascular System clinical category.

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

Compare Hospital Cover from every private health insurer in Australia

Use our healthslips.com.au Calculator to find the best Hospital Cover for you.