External Breast Prostheses Reimbursement Program

Who can get money back

To get a reimbursement you must be enrolled in Medicare and have had breast surgery as a result of breast cancer.

What you can claim

You can get money back from us for the cost of new or replacement prostheses you bought after breast cancer surgery.

You’ll need to pay for the cost of the prostheses upfront. Then make a claim through your private health insurance before you seek a reimbursement from us.

If you get an income support payment, you may be eligible for an advance payment. You can use this to cover the upfront cost before you claim.

What you can’t claim

Under the program you can’t claim for items such as:

  • bras
  • post breast surgery swimwear
  • internal prostheses, or
  • prosthetic nipple inserts

If your prosthesis has deteriorated because of wear and tear within 2 years of buying it, you should either:

  • contact your private health fund to see if they cover a replacement, or
  • contact the shop where you bought the prosthesis to discuss replacement options

How often you can claim

You can claim for new prostheses if it’s at least 2 years since you bought your last prosthesis. This applies regardless of your last reimbursement amount. We base this on the dates on your purchase receipts.

Page last updated: 5 September 2018