Can I claim a tummy tuck from Medicare?
Looking for the answer to our social media competition? It is 431kg that Dr Moncrieff removed by performing tummy tucks, breast reductions and other lift procedures in 2018!
Have you decided it’s time for a change? Have you been battling with excess skin and muscle separation, either as a result from children or weight loss?
And, so now you find yourself Googling, “Can I claim a tummy tuck from Medicare?”
Can I claim from Medicare?
In short – there are no public hospitals offering free tummy tucks in Newcastle.
However, Medicare will provide a modest rebate if you satisfy the weight loss criteria introduced in 2016.
Importantly, having Medicare coverage is key to having health fund coverage, which reduced the overall cost from $18,000 out of pocket to $12,500 when you choose Dr Moncrieff for your tummy tuck.
What do you have to demonstrate to get a Medicare number for a tummy tuck?
So, for the Medicare item number 30177 to apply you must demonstrate:
- That you have had significant weight loss defined as 5 BMI points or more (unrelated to pregnancy). This mean women who have experienced a weight loss of at least 15kgs or more, without weight fluctuations for at least 6 months,
- The level of excess skin is interfering with daily living,
- The use of non-surgical treatment for skin irritation caused by excess skin has failed to work,
- If you have a hernia which can be documented in an ultrasound – it can also assist in seeking coverage.
All of the above should be discussed with your referring GP and documented in their referral to us. If you provide a referral, Medicare will provide you with a rebate of $72.75 from our initial consultation fee of $250.
For more details on our fees and the criteria Medicare use to determine if you can have a rebate, visit our tummy tuck page.
What about mums?
Unfortunately the Medicare rules don’t provide assistance for women suffering from muscle separation or excess skin relating to pregnancy. We have lobbied hard against this unfair rule! We even contributed to a national study published in 2017 that demonstrated the significant improvements in back pain and incontinence for women who had muscle separation which was repaired during their tummy tuck. The Government is currently reviewing their position on this, but it is uncertain if there will be any movement on this issue.
What does a tummy tuck with Dr Moncrieff cost?
Please see our tummy tuck page for full out of pocket cost details for both insured and uninsured patients.
What should you ask when you are considering your tummy tuck options?
These are some questions you might like to ask when looking at different options. My answers apply to the following:
- Is this surgeon a genuine Plastic Surgeon? Understanding this question is crucial. This means have they completed at least 14 years of training and examinations, or even more as I invested 17 years in my training and fellowship. This contrasts with the term ‘cosmetic surgeon’ which anyone with a basic medical degree can use.
- Will you be operated on in a fully accredited hospital? Yes.
- Will a Specialist Anaesthetist administer you a full general anaesthetic? Yes.
- How many of this type of procedure has the surgeon performed? Over 300 women in Newcastle.
- Can you view lots of before and after clinical photos? Yes – on this website and on social media.
- How well are the risks and recovery process explained? We have information on our website, as well as comprehensive information provided during your consultation and to take home to consider afterwards.
- Are there after care services offered? All patients see both my Practice Nurse Alecia for post-operative support and myself for ensuring support throughout your recovery. It is our focus on patient care that has seen us win 5 awards for our service in the last few years.
Are there other options to consider as an alternative?
CoolSculpting: offer a non-invasive option when it comes to reducing bulges on the tummy, love handles and other areas of the body. CoolSculpting is a viable option for those wanting to reduce fat layers on the body. However, this kind of treatment is not suitable for those with excess skin. For more information, you can visit our CoolSculpting page.
Liposuction: Again, this can reduce bulges, but does not tighten skin, which is what most patients we see looking for a tummy tuck are wanting. Dr Moncrieff only offers liposuction in conjunction with other surgical procedures.
Ready to book a consultation?
Please call our lovely team on 4920 7700 or send us a message below. We also have two team members who had tummy tucks with Dr Moncrieff before they applied for roles with us who are happy to talk you through the surgical journey!
Dr Nicholas Moncrieff, Cosmetic Plastic Surgeon
About Dr Moncrieff
Dr Moncrieff focuses exclusively on breast reductions, breast lifts, breast augmentation, tummy tucks and body lifts.
He is one of only a handful of Plastic Surgeons across Australia with this sole breast and body focus.
Dr Moncrieff has performed thousands of surgical procedures over more than two decades in medicine. Over 20,000 of these procedures have been in Newcastle.
More information about Dr Moncrieff is available here.