Medicare Rebate for Hearing Tests

A Step Towards Affordable Hearing Healthcare in Australia 

In an endeavour to address hearing care disparities across Australia, the government has introduced substantial modifications to the Medicare Benefits Schedule (MBS) for audiology items. This reformation, effective from 1st March 2023, is part of the Australian Government’s enactment of the recommendations posited by the MBS Review Taskforce. Here’s a detailed glimpse into these groundbreaking developments: 

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Broadening Access to Medicare Rebates for Audiology Services 

Until recently, Australians could only avail of a Medicare rebate for hearing assessments with a referral from an ENT specialist or a neurologist. These new modifications have significantly expanded the referral pathway, allowing individuals to claim Medicare rebates for audiology services with merely a GP referral. 

Though these rebates do not cover the full cost of the hearing tests, as the services are not bulk billed, they certainly alleviate the financial strain often associated with such assessments. A GP referral (mentioning the relevant MBS items) is necessary for each appointment to avail of the rebate. It is essential to note that services can be accessed without a GP referral, but this would mean forgoing the Medicare rebate that would help lessen the cost of the appointment. 

Pioneering Affordable Hearing Care Solutions for Diverse Age Groups 

Medicare Rebate for Adults and Seniors 

The recent amendments to the Medicare program are a boon, notably lessening financial barriers for adults and seniors not covered by the existing Government Hearing Services Program. This initiative serves as an alternative aid for pensioners, veterans, and their dependents, creating an additional financial route to tackle hearing issues not covered by the existing program. 

This strategy allows pensioners and seniors to take prompt action in managing their hearing health, significantly cutting down out-of-pocket costs. Consequently, this facilitates faster interventions in addressing hearing problems, averting potential complications stemming from untreated hearing impairments. 

adults and seniors

Medicare Rebate for Children 

The children of Australia stand to gain immensely from these changes as well. Previously, the costs for hearing assessments for children were shouldered privately by families, a factor that restricted many from accessing these vital services. With the introduction of the new Medicare rebate for hearing tests, families can now receive subsidies for these services upon referral from a medical practitioner. 

This initiative marks a significant advancement in offering affordable and timely access to hearing care solutions for children and their families, fostering a supportive environment for managing children’s hearing issues without undue financial stress. 

Medicare Rebate for Children

Medicare Australia FAQs

Are hearing aids covered by Medicare Australia?

No, hearing aids are not covered by Medicare Australia. However, the Australian Government Hearing Services Program offers eligible people free or subsidised hearing assessments and hearing aids. The National Disability Insurance Scheme (NDIS) will also help with hearing aid funding if it is deemed clinically necessary and appropriate in relation to an individual’s NDIS plan. Compensation due to industrial deafness through State run WorkCover can provide funding for hearing aids among other things. Medicare covers audiology fees for individuals who are eligible under the Australian Government Hearing Services Program.

How much does Medicare Australia reimburse for hearing tests?

Medicare Australia will offer rebates for hearing tests starting from March 1, 2023, upon referral from a medical practitioner. Patients can also claim a Medicare rebate for audiology-related services if their GP can provide a Chronic Disease Management Plan (CDMP) referral. However, it is important to note that not all audiology services, such as hearing tests or wax removal, are claimable against Medicare unless patients have been referred under certain conditions by their GP or their medical specialist e.g., GP, Ear, Nose & Throat Specialist, Neurologist.
To find out if you are eligible, visit the hearing services website or schedule an appointment with us for further information.

How often does Medicare Australia cover hearing tests?

Medicare covers hearing exams once every 12 months with a referral from a Medical practitioner. It is important to note that the diagnostic audiology services available under Medicare are not for hearing screening. Additionally, Medicare covers audiology fees for individuals who are eligible under the Australian Government Hearing Services Program

Does Medicare Australia cover annual hearing tests?

Yes, Medicare Australia covers hearing tests through the Hearing Services Program. The program may also cover some or all of the costs of hearing aids. Starting from March 1, 2023, Medicare will offer rebates for hearing tests upon referral from a medical practitioner. If you are eligible for the Australian Government Hearing Services Program, your hearing test will be fully subsidized. To find out if you are eligible, visit the hearing services website or schedule an appointment with us for further information.

Does medicare australia cover hearing tests

Yes, Medicare Australia has been covering the cost of hearing tests for eligible Pensioners and Veterans under the Australian Government Hearing Services Program (HSP).
Since March 1, 2023, Medicare has Extended its offer for individuals who are not covered under the Hearing Services Program upon referral from a medical practitioner. However, it is important to note that the diagnostic audiology services available under Medicare are not for hearing screening. To find out if you are eligible, visit the hearing services website or schedule an appointment with us for further information.