Your patient may get reimbursed for an external breast prosthesis

5 September 2017

The External Breast Prostheses Reimbursement Program helps eligible breast cancer patients buy external breast prostheses.

Your patient is eligible for this program if:

  • they’ve had breast surgery, prophylactic or preventative mastectomy as a result of
    • breast cancer, or
    • diagnosis of pre-cancerous cells, non-invasive breast cancer or intraductal cancer
  • they’re eligible for a Medicare card, and
  • they haven’t made a claim for a prosthesis bought in the past 2 years

Eligible patients can claim a reimbursement of up to $400 for an external breast prosthesis for each breast.

Patients can claim for new or replacement prostheses.  

If there’s a medical and/or cancer treatment reason why your patient needs a replacement prosthesis within 2 years they may get a further reimbursement.  We’ll consider these on a case by case basis. The program doesn’t cover items such as bras, post breast surgery swimwear or internal prostheses.

Patients can’t claim a replacement prosthesis for a wrong choice, change of mind, incorrect initial fitting, size or style adjustment, lost, damaged, worn out or faulty prostheses.

Next steps

Read more news for health professionals.

Page last updated: 6 September 2017