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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
ahm Health Insurance
Australian Unity Health Limited
Bupa Australia Pty Ltd
CBHS Health Fund Limited
CDH Benefits Fund
Central West Health Cover
CUA Health Limited
Defence Health Limited
Doctors’ Health Fund
GMF Health
GMHBA Limited
Grand United Corporate Health
HBF Health Limited
Health Care Insurance Limited
Health Insurance Fund of Australia Limited
Health Partners
Latrobe Health Services
Medibank Private Limited
Mildura District Hospital Fund Ltd
National Health Benefits Australia Pty Ltd (onemedifund)
Navy Health Ltd
NIB Health Funds Ltd.
Peoplecare Health Insurance
Phoenix Health Fund Limited
Police Health
Queensland Country Health Fund Ltd
Railway and Transport Health Fund Limited
Reserve Bank Health Society Ltd
St.Lukes Health
Teachers Health Fund
Transport Health Pty Ltd
Westfund Limited

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.