If your Doctor or Specialist deems your weight loss surgery to be medically necessary, you may be eligible to claim a benefit from HIF. If it's classified as cosmetic however, benefits won't be payable.
In order for us to provide confirmation, please ensure that you meet the requirements outlined below and also complete our Medical Estimate Form so a member of our team can check your eligibility.
Eligibility requirements for weight loss surgery:
- You must hold Gold Tier Hospital Cover.
- Medicare must deem your surgery to be medically necessary, in which case an Medicare Benefit Schedule item number will apply.
- You must be treated as an inpatient. Please note, out of pockets may apply if treated in a HIF non-contracted hospital.
Please note: 2-month waiting period applies for new conditions and 12 months for pre-existing conditions. HIF's current Hospital cover products do not include weight loss surgery services. These services are only included under HIF’s closed Gold Tier Hospital products.
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