Hyperbaric oxygen therapy insurance coverage
Hyperbaric oxygen therapy insurance coverage explained
Is hyperbaric oxygen therapy covered by insurance or Medicare?
Does Medicare cover hyperbaric oxygen therapy?
You might wonder if Medicare covers hyperbaric oxygen treatment (HBOT) and the answer is ‘yes, but…’ It depends on the condition you need it for.
Currently, Medicare covers hyperbaric oxygen treatment for these medical conditions:
- Soft tissue radiation injuries
- Prevention and treatment of osteoradionecrosis
- Diabetic wounds
- Decompression illness
- Gas gangrene
- Air or gas embolism
- Necrotising soft tissue infections such as necrotising fasciitis or fourniers gangrene.
Does private insurance cover hyperbaric oxygen therapy?
Hyperbaric oxygen therapy is covered by most private health insurers in Australia, however it depends on the condition being treated. Please speak to your insurer and make sure you have a good understanding of what is included and excluded. Important questions to ask your health fund are:
- Does my policy cover me for this admission?
- Do I have an “excess” or daily “co-payments” on my policy that are required to be paid before or during my treatment?
- Does my policy exclude or restrict payment for hyperbaric treatment?
Wesley Hyperbaric follows the guidelines and approved indication list that is distributed and followed by the internationally recognised UHMS. If the indication is listed by UHMS, but not covered by Medicare or your private health fund, we can treat you out of pocket. Please contact Wesley Hyperbaric to get an estimation of cost.
Hyperbaric oxygen therapy cost
What will it cost?
Please contact our administration staff prior to your admission for an estimate of fees and charges. It is important that you understand that this is an estimate only. In the event of unforeseen complications or variations from the proposed treatment, the fees payable may vary. Total payment (other than any ancillary charges) must be made on or prior to your admission.
If you are insured with an overseas company, you will be asked to pay the estimated cost on the day of, or prior to your admission. Please contact our administration staff prior to your admission for an estimate of fees and charges.
Costs not included as part of hospital charges:
- Other doctors who become involved in your care
- Diagnostic imaging
If you are unsure about your eligibility, please call Wesley Hyperbaric and talk to our friendly administration staff to learn more about fees and charges.
Your journey starts with these 3 steps
When you have completed your hyperbaric sessions, your condition is reassessed by one of our doctors.