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    No-gap endoscopy now available to Sydney customers


    Eligible Medibank customers in Sydney can now access commonly claimed endoscopy procedures like colonoscopies and gastroscopies with no gap.

    Dee Why Endoscopy Unit in Sydney’s northern beaches and Healthwoods Endoscopy Centre in Sydney’s west are offering no-gap colonoscopies and gastroscopies to eligible Medibank customers.

    Medibank data shows the average out-of-pocket cost customers currently pay is $296 for colonoscopies and $253 for gastroscopies. Extending support for the no-gap program to endoscopy procedures means eligible Sydney patients with Medibank now have the option to reduce their out-of-pocket costs.

    Chief Medical Officer Dr Linda Swan said Medibank customers who have participated in our existing no-gap joint replacement program have saved more than $1,500 on average in out-of-pocket costs.

    “By providing customers with greater choice and control when it comes to how they access healthcare and what it will cost, we can offer Medibank’s eligible Sydney customers the option to pay no medical out-of-pocket costs for colonoscopies and gastroscopies,” Dr Swan said.

    “Medibank pays benefits towards more than 78,000 colonoscopies and 29,000 gastroscopies on behalf of our customers each year; colonoscopies are the most common procedure claimed by our customers.

    Medibank began supporting the no-gap pilot program in 2019 with no-gap joint replacements which are now available to eligible Medibank customers in every major capital city.

    “We know our customers want lower or no out-of-pocket costs, and along with our hospital and doctor partners we are pleased to support this no-gap pilot program as it becomes more widely available across Australia. We’ll soon announce more hospitals offering no-gap endoscopy procedures in Victoria, Queensland and New South Wales.

    “If we want to ensure that Australians continue to have access to one of the best systems in the world, then we must ensure that Australians’ have greater control of the cost they pay for care, and greater choices of the settings in which they receive care.”

    More information about the no-gap day procedure program is available on Medibank’s website.

    Further information for Medibank customers

    Eligible Medibank members with Gastrointestinal Endoscopy included in their hospital cover and who have served all relevant waiting periods could pay no out-of-pockets on the following services as part of their hospital admission:

    • Medical specialist costs
    • Anaesthetist costs
    • Diagnostic tests (scans and blood tests)

    Please note that excess and any co-payments under the policy are still payable. Your medical specialist will need to confirm their participation in the program and work with you to decide if the program is right for you and your health needs.

    Medibank members can contact us on 132 331 to check their product eligibility and level of cover.