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41 Como Parade East Mentone. View Location

Gap Cover

At Fix My Hernia Melbourne we still believe you should be out of pocket as little as possible when you have surgery.

All surgery performed on DVA and Workcover patients will be on a NO GAP Basis.

For all other patients, surgery booked to be performed after May 1 2024, there will be an out of pocket payment required. 

We provide affordable surgery to all Patients without private insurance. Please call or email for a quote

A ‘medical gap’ is any out-of-pocket expense incurred by a patient for their medical treatment during their stay in hospital. This reflects the difference between the total fee charged by the doctor and any Medicare rebate plus health fund benefit. Our surgeons have a gap cover arrangement with the following health funds in place which will cover most of your surgeon’s charge, you will have to contribute a small amount towards the surgeon’s bill out of your own pocket

Unfortunately Latrobe Health services does not have a No Gap scheme. As such there will be a gap charged to equalise the amount to that paid by Most other health funds.

Please see the list below which provides more details on gap cover by each health fund

Fund Link
ACA Health Benefits Fund http://www.acahealth.com.au/
ahm Health Insurance https://ahm.com.au/
Australian Unity Health Limited http://www.australianunity.com.au/
Bupa Australia Pty Ltd http://www.bupa.com.au/
CBHS Health Fund Limited http://www.cbhs.com.au/
CDH Benefits Fund http://www.cdhbf.com.au
Central West Health Cover http://centralwesthealth.com.au
CUA Health Limited https://www.ahsa.com.au/GapCover/
Defence Health Limited http://www.defencehealth.com.au/
Doctors’ Health Fund http://www.doctorshealthfund.com.au/
GMF Health http://www.gmfhealth.com.au
GMHBA Limited http://www.gmhba.com.au
Grand United Corporate Health http://www.ahsa.com.au/GapCover/
HBF Health Limited http://www.hbf.com.au/health-insurance/
HCF http://www.hcf.com.au
Health Care Insurance Limited http://www.hciltd.com.au
Health Insurance Fund of Australia Limited http://www.hif.com.au/
Health Partners http://www.healthpartners.com.au/HospitalCover/
health.com.au http://www.health.com.au
Latrobe Health Services http://www.latrobehealth.com.au
Medibank Private Limited http://www.medibank.com.au/
Mildura District Hospital Fund Ltd http://www.mdhf.com.au
National Health Benefits Australia Pty Ltd (onemedifund) http://www.onemedifund.com.au
Navy Health Ltd http://navyhealth.com.au/
NIB Health Funds Ltd. http://www.nib.com.au/
Peoplecare Health Insurance http://www.peoplecare.com.au/
Phoenix Health Fund Limited http://www.phoenixhealthfund.com.au/
Police Health http://www.policehealth.com.au/
Queensland Country Health Fund Ltd http://www.qldcountryhealth.com.au
Railway and Transport Health Fund Limited http://www.ahsa.com.au/search/
Reserve Bank Health Society Ltd http://www.myrbhs.com.au
St.Lukes Health http://www.stlukes.com.au/
Teachers Health Fund http://www.teachershealth.com.au/
Transport Health Pty Ltd http://www.transporthealth.com.au/
TUH http://www.tuh.com.au/
Westfund Limited http://www.westfund.com.au/health-services/

Terms and conditions:


*Australian Unity Has no gap cover scheme for Members on Basic Hospital (B1, YB2), Smart Start (LB), Care ‘N Share (BA), Budget Hospital (B2), Basic Starter (YCA) and Basic Saver (YCB)
*Combined Cases (involving multiple surgeons eg plastic surgeons) may incur a larger co-payment. This will be discussed with you and full financial consent obtained before your procedure.
*You may have a health fund excess depending on your policy.
*Some anaesthetists do charge a gap.