We have a range of programs to help with some specific health care needs.
Support for children
Cleft Lip and Cleft Palate Scheme
The Cleft Lip and Cleft Palate Scheme helps families with the cost of treating cleft lip and cleft palate conditions. Treatment is offered under the scheme if it’s done by any of the following:
- an orthodontist
- an oral and maxillofacial surgeon
- a dentist we recognise.
Ask your health professional if we recognise them and if they can treat you under the scheme.
Find out more about how we can help with children’s health care.
Support for long term conditions
Chronic Disease Management Plan
A chronic condition is one that lasts for at least 6 months or longer. Examples are:
- heart disease
These conditions need special care and attention. It’s important to get the help you need to treat and manage them.
If you have a chronic condition, talk to your GP. They can:
- identify your health care needs and treatment options
- create a Chronic Disease Management Plan with you.
Your plan may include visits to allied health providers, such as a physiotherapist. If you’re eligible, you may be able to get Medicare benefits for these services.
If you have complex care needs and a chronic condition, your GP may make a Team Care Arrangements plan. This outlines the treatment you get from your GP and at least 2 other health professionals.
Read more about chronic disease management on the Department of Health website.
Continence Aids Payment Scheme
If you have permanent and severe incontinence, the Continence Aids Payment Scheme can help with your costs. It’s a yearly payment to help you buy continence aids.
To find out if you’re eligible and how to apply, read more about the Continence Aids Payment Scheme.
Read about managing incontinence on the Department of Health bladder and bowel website.
Support for cancer recovery or testing
External Breast Prostheses Reimbursement Program
We can help with the cost of an external breast prosthesis if:
- you’ve had breast surgery as a result of breast cancer
- you’re in Medicare
- you haven’t claimed from this program in the last 2 years.
We pay up to $400 for each prosthesis. You claim this money back from us after you’ve bought it.
Read more about the External Breast Prostheses Reimbursement Program.
National Bowel Cancer Screening Program
The National Bowel Cancer Screening Program aims to detect cancer early. This makes it more likely that treatment will succeed.
You don’t need to apply for this program. If you’re eligible for testing, we’ll send you a kit. This includes a Faecal Occult Blood Test to complete. It’s a simple test that you can do privately at home.
We also send you reminder letters and record your results on the National Bowel Cancer Screening Register.
Read more about the National Bowel Cancer Screening Program on the Department of Health website.
Support for overseas travel
Reciprocal Health Care Agreements
We have reciprocal health care agreements with 11 countries.
If you travel to these countries, you may not have to pay for necessary health care. You need to be an Australian citizen or permanent resident.
Read more about reciprocal health care agreements to find out what you need to do in each country.
In return, we may cover necessary care in Australia for visitors from those countries.
Support after a disaster
Disaster Health Care Assistance Scheme
We may be able to help with out of pocket health care costs you have from an act of terrorism or natural disaster the scheme covers. This is only if the care you got was due to one of these events:
- Balimed: Bombing in Bali on 12 October 2002
- Tsunami: Indian Ocean tsunami on 26 December 2004
- London: Bombing in London on 7 July 2005
- Bali 2005: Bombing in Bali on 1 October 2005
- Dahab Egypt: Bombing in Dahab, Egypt on 24 April 2006
Read more about the Disaster Health Care Assistance Scheme.
Support for all Australians
Australian Immunisation Register
If you think a vaccine is missing from your immunisation history statement, ask your provider to update the AIR.