Hospital Cover for Miscarriage or Termination of Pregnancy includes hospital treatment to investigate and treat miscarriage of a pregnancy or to terminate a pregnancy.
Examples include:
This clinical category includes these treatments listed in the Medicare Benefits Schedule (MBS).
Tier | Clinical category covered? | Can insurers offer restricted cover? |
Basic | Optional | Yes |
Bronze | Optional | No |
Silver | Optional | No |
Gold | Yes | No |
‘Optional’ means that the Australian Government allows insurers to choose whether or not to cover the clinical category under that Hospital Cover tier.
Restricted cover means the insurer pays only limited benefits.
If insurers offer cover for Miscarriage or Termination of Pregnancy 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 Miscarriage or Termination of Pregnancy.
Yes. Medicare includes all treatments under the Miscarriage or Termination of Pregnancy clinical category.
If there is an MBS item number for the treatment, Medicare covers it.
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