Male Reproductive System

What is covered under Male Reproductive System?

Hospital Cover for Male Reproductive System includes hospital treatment to investigate the male reproductive system, including the prostate.

Examples include:

• male sterilisation
• circumcision 
• prostate cancer.

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

Some treatments you might expect to be in the Male Reproductive System clinical category are under different clinical categories. For example, cancer therapies like chemotherapy and radiotherapy are under Chemotherapy, Radiotherapy and Immunotherapy for cancer.

Which Hospital Cover tiers include Male Reproductive 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 Male Reproductive System under a Basic policy, 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 Male Reproductive System. 

Does Medicare cover Male Reproductive System?

Yes. Medicare includes all treatments under the Male Reproductive System clinical category.

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

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