Waiting periods and exemptions
Information about when you can get a reimbursement for your breast prosthesis.
If you’re buying your first prosthesis, there is no waiting period. You can claim for your reimbursement straight away.
There is a 2 year period before you can claim for a replacement. We base this on the dates of your receipts for the old prosthesis and the new one.
You may be able to claim earlier if there’s a medical reason or damage from a declared natural disaster. When you claim within 2 years of your first claim, you must include either:
- a letter from your doctor explaining your medical condition.
- a letter explaining how the disaster damaged your prosthesis.
You or your doctor can write the letter explaining how the natural disaster damaged your prosthesis.
It’s also important to understand what you can’t claim a reimbursement for. You can read more about items the program doesn’t cover.
Page last updated: 24 July 2019
This information was printed 13 May 2021 from https://www.servicesaustralia.gov.au/individuals/services/medicare/external-breast-prostheses-reimbursement-program/who-can-get-it/waiting-periods-and-exemptions. It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.servicesaustralia.gov.au/individuals/site-notices when using this material.