What does Medicare cover and what does it not cover in Australia?

What Medicare Covers in Australia

Medicare is Australia's universal health insurance system. It covers essential healthcare services for Australian residents and some visa holders.

Medicare Covers:

• Visits to doctors (GPs and specialists) at no cost when bulk-billed
• Hospital treatment as a public patient (accommodation, meals, theatre, tests)
• Pathology tests (blood tests, X-rays) ordered by your doctor
• Some mental health services (up to 10 sessions per year with a GP referral)
• Pregnancy and birth care through public hospitals
• Emergency department visits
• Dialysis and chemotherapy

Medicare Does NOT Cover:

• Private hospital treatment (unless you have private health insurance)
• Dental care (except emergency dental in hospitals)
• Optical care and glasses
• Hearing aids
• Physiotherapy, massage, and most allied health (though some rebates available with GP referral)
• Cosmetic surgery
• Prescription medicines (though the Pharmaceutical Benefits Scheme provides subsidies)
• Ambulance services in most states (varies by state)
• Overseas medical treatment

Who is Eligible?

You can access Medicare if you are:

• An Australian citizen or permanent resident
• A New Zealand citizen living in Australia (with some limitations)
• On certain visa types (check your specific visa)

Getting Started

To register for Medicare, visit your local Medicare office or apply online. You'll need proof of identity and residency.

Services Australia Medicare information

Australian Department of Health Medicare overview

This is general information only. Check official sources before acting.