How is an intrathecal pump paid for?
If you are an Australian resident or a category of visitor to Australia who is eligible for the Australian Medicare program, this information should apply to you, however, you should talk to your doctor about funding options for the device and associated medical costs. If you have hospital level private health insurance, the device is considered a prosthesis and generally should be fully funded. You will need to check your policy for any waiting periods, exclusions or excess payments that may be required. The hospital procedure will be funded by Medicare and your private hospital insurance to the amount specified by the Medicare Benefits Schedule. You should check with your doctor about any additional fees and charges. If your spasticity is due to an accident, you may be eligible for treatment under a compensation scheme such as WorkCover, motor traffic accident compensation arrangements or other insurance. You should check with the appropriate insurance scheme or your doctor about thi