What are the time limits for claiming a reimbursement
You can claim for prostheses you bought after 1 July 2008 even if you had your breast surgery before then.
There must be a 2 year period between the purchase dates of your prostheses if you’re claiming for a replacement.
For example, if you claim for a prosthesis you bought on 1 April 2017, you can’t claim for the cost of a replacement unless it’s bought after 1 April 2019.
Replacement for a medical reason
If it’s been less than 2 years since you bought a prosthesis, you can only claim for a replacement if it’s for a medical reason. The claim must include a letter from your doctor or other health professional explaining the medical reason why you need a new prosthesis.
You can’t claim a reimbursement for a replacement prosthesis, bought less than 2 years after your last purchase, for:
- wrong choice or change of mind
- incorrect fitting
- faulty or damaged prostheses
If you have one of these issues, contact the supplier.
For more information call the Medicare general enquiries line or visit a service centre.
Page last updated: 12 June 2019