No gap joint replacement pilot program

We're working with a range of surgeons at participating hospitals in Victoria, New South Wales, South Australia, and Queensland to deliver no-gap joint replacement surgeries.

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Medibank is supporting a program to help eligible members pay no out-of-pocket medical costs for some joint replacements at participating hospitals.

Eligible members could pay no out-of-pocket on the following services as part of their hospital admission:

  • Pre-admission joint school.
  • Joint replacement surgery with a participating surgeon, including your prosthesis (artificial joint).
  • Anaesthetist costs.
  • Assistant surgeon costs.
  • Hospital accommodation, including all theatre costs.
  • Diagnostic tests (scans and blood tests). 

If clinically appropriate, receiving rehabilitation in the comfort of your own home could also be an option if a rehabilitation at home provider is available in your area.

Please note that excess and any co-payments under the policy are still payable.

Want no gap joint replacement surgery?

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Check your cover

You must have residents hospital cover with joint replacement included.

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Check your waiting periods

All applicable waiting periods must have been served.

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Check your location

This doctor led and designed model of care is available at participating hospitals in Victoria, New South Wales, Queensland and South Australia

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Talk to your healthcare team

Your surgeon and the hospital will work with you to decide if the pilot is right for you and your health needs.

Looking for more info? 

Our Medibank Health Support team is on hand to answer enquiries about the pilot program, including eligibility and participating hospitals. 

Call us 9am and 5pm AEST weekdays. 

Call 1300 733 338

Participating hospitals

Please see below for an indicative list of participating surgeons. To check which surgeons are participating in the program, it's best to contact the hospital directly. Note that participating hospitals are subject to change: contact us on 1300 733 338 to confirm.

Vermont Private Hospital (VIC)

No gap joint replacements available with participating surgeons.

East Sydney Private Hospital (NSW)

No gap joint replacements available with participating surgeons.

Westside Private Hospital (QLD)

No gap joint replacements available with participating surgeons.

Stirling Hospital (SA)

No gap hip and knee replacements available with participating surgeons.

Western Hospital (SA)

Please note that Medibank's arrangements with the Western Hospital are currently under review.

This is an indicative list of participating surgeons*. For more details please contact the relevant hospital.

 

Name Hospital

Professor Munjed Al Muderis

East Sydney Private Hospital, NSW

Associate Professor Mark Haber

East Sydney Private Hospital, NSW

Dr Johnathan Herald

East Sydney Private Hospital, NSW

Dr Jacob Kaplan

East Sydney Private Hospital, NSW

Dr Sol Qurashi

East Sydney Private Hospital, NSW

Dr Ben Schwarz

East Sydney Private Hospital, NSW

Dr Bradley Seeto

East Sydney Private Hospital, NSW

Associate Professor Ian Woodgate

East Sydney Private Hospital, NSW

Dr Cameron Cooke

Westside Private Hospital, QLD

Dr Scott Brumby

Stirling Hospital, SA

Dr Altay Altuntas Vermont Private Hospital, VIC

Dr Tony Dunin

Vermont Private Hospital, VIC

Dr Daveyd Rodda

Vermont Private Hospital, VIC

Dr Matthias Russ

Vermont Private Hospital, VIC

Dr Scott Tulloch

Vermont Private Hospital, VIC

Want to know more?

We are always looking to shape the future of care. Learn more about whether this might program might be right for you.

*Providers listed here are orthopaedic surgeons who are participating in the no gap joint replacement pilot program at participating hospitals. The surgeon and hospital will work with you to decide if the pilot is right for you and your health needs. However, if the surgeon refers you to a non-participating hospital and/or the pilot is not otherwise right for your health needs, any such procedure will not be part of the no gap joint replacement program and you may incur out-of-pocket costs.

The listing of a provider does not comprise any sort of representation or recommendation by Medibank regarding the provider. To the fullest extent allowed by law, such reference should not be construed as:

  • an endorsement by Medibank; or
  • commendation for the status of the provider’s registration with their registration bodies like the Australian Health Practitioner Regulation Agency (AHPRA); or
  • a recommendation or warranty by Medibank of, for or in relation to the provider’s services.

Accordingly, Medibank neither takes nor assumes any responsibility for the services provided. Members should rely on their own enquiries and seek any assurance or warranties directly from the provider in relation to the service or with the registration bodies (e.g. AHPRA) regarding any conditions or restrictions to the provider’s registration.

Information presented is refreshed regularly. Information is accurate at time of publishing.

Have questions?

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