In most cases there will be an out of pocket payment required. This is separate to the accounts you receive from your surgeon and the hospital. The total anaesthetic fee is determined by the type and length of the procedure. The amount reimbursed to you by your health fund will depend on which fund you belong to.

There are three groups of funds.

Medibank Private, Australian Unity, BUPA, HCF and over 40 Australian Health Service Alliance funds. These funds cover more than 2/3 of the anaesthetic fee (including Medicare rebate) with their ‘known gap’ facility.

GMHBA, Druids, Federation Health. These funds pay a lower benefit.

NIB, Latrobe, Mildura Health, Manchester Unity. These funds do not have a ‘known gap’ facility and cover less than 1/3 of the anaesthetic fee. (including Medicare rebate)

If you have any concerns or queries, please contact your anaesthetist prior to your procedure. Click here to view Our Anaesthetists