Will Medicare or Private Health Cover Breast Reduction Surgery?

Breast reduction surgery is a life-changing procedure for individuals suffering from physical discomfort caused by disproportionately large breasts. The weight of large breasts can lead to chronic pain in the neck, shoulders, and back, as well as affect posture and overall comfort. Fortunately, breast reduction surgery can significantly alleviate these issues. However, one of the most common questions asked by potential patients is whether the procedure is covered by Medicare or private health insurance.

In this guide, we will explore whether Medicare or private health insurance covers the costs of the procedure, the differences between the two, and how you can determine your out-of-pocket expenses.

Understanding Breast Reduction Surgery

Breast reduction surgery is a procedure that removes excess fat, glandular tissue, and skin from the breasts to reduce their size and achieve a more balanced and comfortable breast shape. This procedure not only alleviates physical pain but can also improve the aesthetic appearance of the breasts.

The surgery is highly personalised and may involve reshaping the breast, repositioning the areola, and reducing the overall volume of the breast tissue. After the procedure, most patients experience significant relief from the chronic pain that often accompanies large breasts, including neck, shoulder, and back discomfort.

When Does Medicare Cover Breast Reduction?

In Australia, Medicare may provide coverage for breast reduction surgery under certain conditions. For Medicare to cover the surgery, the procedure must be deemed medically necessary, rather than purely cosmetic. Specifically, patients who experience physical symptoms such as chronic pain, rashes, or skin irritation caused by the weight of their breasts may qualify for Medicare coverage.

Criteria for Medicare Coverage:

• Chronic neck, back, or shoulder pain that is linked to large breasts.
• Skin irritation or rashes under the breasts caused by the weight.
• Physical discomfort that significantly impacts daily life, work, or social activities.
• Inability to find relief from conservative treatments such as physical therapy or pain medications.

If the surgery is primarily for cosmetic reasons, Medicare typically will not cover the costs. However, if the patient meets the medical criteria, a doctor can submit a claim to Medicare on behalf of the patient for partial reimbursement.

Private Health Insurance and Breast Reduction Surgery

Private health insurance can also help cover the costs of breast reduction surgery, though coverage depends on the individual policy. In some cases, private health insurance may cover both the hospital fees and the surgeon’s fees, while in other cases, patients may need to pay some costs out of pocket. The level of coverage will vary based on the patient’s insurance provider, their policy, and the type of plan they have.

Types of Private Health Insurance Coverage:

• Hospital Coverage: Many private health insurance policies with hospital coverage will pay for the surgical costs, including hospital accommodation and anesthesia. However, the exact amount covered can depend on the patient’s level of coverage and whether the hospital is within the insurance network.
• Extras Cover: Some policies offer “extras” cover, which may include partial reimbursement for cosmetic or reconstructive procedures like breast reduction. However, this is less common, as most cosmetic surgeries are not typically covered under standard extras policies.

It’s essential to check with your insurance provider and review the terms and conditions of your policy to determine the level of coverage and any potential out-of-pocket costs for breast reduction surgery.

How Private Health Cover Differs from Medicare Coverage

While both Medicare and private health insurance can help cover the costs of breast reduction surgery, there are key differences in how they operate:

Medicare Coverage:

• Eligibility Criteria: Medicare coverage is primarily for medically necessary procedures. The patient must demonstrate that their large breasts are causing physical health issues, such as neck or back pain, that cannot be managed with other treatments.
• Partial Coverage: Medicare usually only covers the hospital fees for the procedure, and in some cases, it may cover a portion of the surgeon’s fees. Patients will likely need to pay the remaining costs.
• Referral and Documentation: Medicare requires a referral from a general practitioner (GP) or specialist to determine the medical necessity of the surgery. The patient may need to provide supporting documentation and evidence that the procedure is essential for their health.

Private Health Insurance:

• Coverage Options: Private health insurance may cover both the hospital and surgeon’s fees, though patients may still have out-of-pocket expenses, depending on their policy. The coverage may be more extensive with higher-tier health plans.
• Cosmetic Coverage: Some private health insurers may not cover cosmetic breast reduction. It’s important to ensure the procedure is classified as medically necessary in order to secure coverage.
• Waiting Periods: For new policyholders, a waiting period may apply before they can claim benefits for surgery. Patients should check with their insurer to understand waiting period policies and the specifics of their coverage.

Common Costs Not Covered by Medicare or Insurance

While Medicare and private health insurance may help with the surgery’s core costs, there are several expenses that are typically not covered, including:

• Surgeon’s Fees: Even with private health insurance, the full cost of the surgeon’s fee may not be covered. Patients may need to pay a portion of the fee out of pocket.
• Anesthesia Fees: While Medicare may cover some costs, anesthesia may not be fully covered by either Medicare or private health insurance, resulting in additional out-of-pocket costs.
• Post-Surgery Garments and Care: Compression garments, wound care products, and post-operative consultations are typically not covered by insurance. These are important to aid recovery and ensure optimal healing.
• Hospital Stay (in some cases): If the patient requires an extended stay in the hospital, the costs may exceed what is covered by insurance or Medicare.

How to Determine Your Out-of-Pocket Expenses

To accurately estimate out-of-pocket expenses, it’s essential to:

1. Consult with your surgeon: Discuss the full breakdown of the costs, including surgeon’s fees, anesthesia, hospital fees, and any other associated expenses.
2. Check with Medicare and your health insurer: Contact your Medicare representative and health insurance provider to confirm what costs will be covered under your policy.
3. Get a detailed quote: Ensure that your surgeon provides a clear and detailed quote that includes all potential charges, including the surgeon’s fees, hospital costs, and post-surgery care.

By understanding the full financial picture, you can make an informed decision and prepare for any additional costs that may arise.

Frequently Asked Questions

What Documentation Is Required by Medicare?

To qualify for Medicare coverage, you will need to provide medical documentation demonstrating that breast reduction is necessary for your health. This includes evidence of symptoms such as chronic neck or back pain and unsuccessful attempts to manage the issue through non-surgical treatments. Your GP or specialist will help with the paperwork.

Does Private Health Insurance Cover Cosmetic Breast Reductions?

Most private health insurance policies will only cover cosmetic breast reductions if the procedure is deemed medically necessary. Insurance coverage may vary depending on the policy, and it is important to confirm the details with your insurer beforehand.

Can You Combine Medicare and Private Health for Breast Reduction?

In some cases, it may be possible to combine Medicare and private health insurance for breast reduction surgery. However, this depends on your individual policy and the nature of the surgery. You should discuss this with both your Medicare representative and insurance provider.

Important Questions to Ask Your Surgeon About Costs

Before proceeding with breast reduction surgery, it is important to ask your surgeon the following questions regarding costs:

• What is the full cost of the procedure, including all fees (surgeon, hospital, anesthesia)?
• Are there any additional out-of-pocket expenses that are not covered by Medicare or insurance?
• Will the cost of post-operative care and medications be included in the initial quote?
• What is the payment plan or financing option available for the procedure?

Selecting a Qualified Surgeon for Your Breast Reduction

Choosing the right surgeon is critical for ensuring successful results and minimising risks. When selecting a surgeon, consider their credentials, experience, and track record in performing breast reduction surgeries. Dr Tavakoli is a certified and experienced surgeon who specialises in breast reduction surgery in Sydney. Our approach prioritises patient safety, clear communication, and exceptional results.

Conclusion

Breast reduction surgery is a valuable option for individuals seeking relief from chronic pain caused by oversized breasts. Understanding whether Medicare or private health insurance will cover the procedure is essential for managing expectations and finances. By consulting with a qualified surgeon, understanding the potential costs, and confirming coverage with Medicare and insurance, you can make an informed decision about your surgery.

Schedule a Consultation with Dr. Tavakoli Today

If you are considering breast reduction surgery, we invite you to schedule a consultation with Dr. Tavakoli. During your consultation, you’ll receive personalised guidance, a breakdown of costs, and a treatment plan tailored to your needs.

Navigating Medicare and Private Health Insurance for Breast Reduction Surgery: A Clinical Guide

Large breasts can cause significant physical discomfort and health issues. Many Australian women considering breast reduction surgery face uncertainty about financial coverage. Understanding medicare breast reduction surgery Australia coverage helps you make informed decisions about this surgical procedure intended to alleviate physical symptoms.

Medicare provides benefits for breast reduction surgery when deemed medically necessary. The process involves specific item numbers, GP referrals, and documentation requirements. Private health insurance may cover additional costs beyond Medicare benefits.

This comprehensive guide explains Medicare coverage for breast reduction, item numbers 45520 and 45523, eligibility criteria, and out-of-pocket costs. We’ll provide information regarding the Medicare Benefits Schedule (MBS) criteria.

Does Medicare Cover Breast Reduction in Australia?

Medicare does cover breast reduction surgery when the procedure is deemed medically necessary. This means the surgery must address documented physical health issues rather than cosmetic reasons alone. The Medicare Benefits Schedule recognises breast reduction as a legitimate medical intervention for specific conditions.

To qualify for Medicare coverage, patients must demonstrate that large breasts cause chronic pain, skin irritation, or other health problems. Documentation from your GP and specialist plastic surgeon establishes medical necessity. The coverage applies specifically to surgical procedures performed by AHPRA-registered specialists.

Medicare benefits apply when your breast reduction surgery meets established clinical criteria. The decision involves assessment by both your referring doctor and the operating surgeon. Understanding these requirements helps you determine whether your situation qualifies for medicare coverage.

The physical symptoms must be well-documented and persistent. Medicare evaluates the medical context based on your individual circumstances. This assessment process ensures that public health resources support patients with genuine medical needs.

Item Numbers 45520 and 45523: Understanding Medicare Breast Reduction Coverage

The Medicare Benefits Schedule lists specific item numbers for breast reduction procedures. Item numbers 45520 and 45523 define the scope of covered breast reduction surgery. These codes determine the Medicare rebate amount and establish coverage criteria.

Both item numbers relate to reduction mammoplasty with surgical repositioning of nipple procedures. The distinction between these codes depends on whether surgery involves one breast or both. Understanding which breast reduction item number Medicare assigns to your procedure affects your financial planning.

What Item Number 45520 Covers (Unilateral Breast Reduction)

Medicare item number 45520 applies to unilateral breast reduction surgery. This code covers reduction mammoplasty performed on a single breast. The procedure includes surgical repositioning, nipple techniques and tissue removal from one side.

Unilateral breast reduction addresses asymmetry or medical issues affecting only one breast. The Medicare Benefits Schedule provides specific rebate amounts for this procedure. Coverage requires the same medical necessity documentation as bilateral reduction.

Patients receiving unilateral reduction must demonstrate that the condition affects their health. The procedure must be performed by a specialist plastic surgeon in an appropriate surgical facility. Medicare benefits apply to the surgeon’s fee component of the total cost.

What Item Number 45523 Covers (Bilateral Breast Reduction)

Item number 45523 covers bilateral breast reduction surgery affecting both breasts. This represents the most common form of reduction mammoplasty. The procedure involves surgical repositioning of nipple structures and tissue removal from both sides simultaneously.

Bilateral reduction typically addresses widespread symptoms, including neck pain, back pain, and shoulder discomfort. The MBS 45520 45523 item numbers have different rebate schedules reflecting the complexity difference. Most patients seeking breast reduction surgery require the bilateral procedure under item 45523.

The Medicare rebate for bilateral breast reduction provides higher benefits than unilateral surgery. This reflects the increased surgical time and complexity involved. Your specialist plastic surgeon will determine which item number applies to your specific medical situation.

Item Number	Procedure Type	Medicare Benefit	Typical Application
45520	Unilateral Reduction	$631.65	Single breast, asymmetry correction
45523	Bilateral Reduction	$947.50	Both breasts, symptom management

How to Qualify: Symptoms and GP Referral Requirements

Qualifying for medicare breast reduction requires documented medical symptoms and proper referral processes. Your journey begins with a comprehensive GP assessment. The referring doctor must document physical symptoms and their impact on your daily life.

Common qualifying symptoms include chronic back pain, neck pain, shoulder grooving from bra straps, and skin irritation beneath the breasts. Postural problems and difficulty exercising may also support your case. Your GP referral for breast reduction in Australia documentation should detail symptom duration and severity.

The GP referral must go to a specialist plastic surgeon for assessment. The surgeon evaluates whether your condition meets medicare item number criteria. This assessment considers breast size, symptom severity, and conservative treatment attempts.

Documentation requirements include evidence that symptoms persist despite conservative management. This might involve physiotherapy records, pain management attempts, or dermatological treatments. The thoroughness of your medical documentation directly affects Medicare coverage approval.

You’ll need measurements and photographs during your specialist consultation. The surgeon assesses tissue volume to be removed and discusses expected outcomes. This evaluation determines whether your case satisfies the medical necessity criteria for covered medicare breast reduction surgery.

Unsure If You Qualify for Medicare Coverage?

Our experienced team can assess your individual circumstances and explain your coverage options. Dr Tavakoli provides comprehensive evaluations for breast reduction eligibility.

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Does Private Health Insurance Cover Breast Reduction Surgery?

Private health insurance provides additional coverage beyond Medicare benefits for breast reduction surgery. The level of cover depends on your specific policy and hospital tier. Most policies require gold-tier hospital cover for breast reduction procedures.

Understanding how private health insurance works alongside Medicare helps you estimate total costs. Insurance benefits typically cover hospital accommodation, theatre fees, and associated medical costs. The surgeon’s fee receives partial coverage from both Medicare and your insurer.

Many patients combine Medicare coverage with private health insurance to minimise out-of-pocket expenses. This approach reduces waiting times compared to public hospital pathways. Private health insurance also allows you to choose your preferred specialist plastic surgeon.

What Gold-Tier Hospital Cover Pays For

Gold-tier hospital cover provides the highest level of private health insurance benefits. This coverage tier includes breast reduction surgery when deemed medically necessary. The policy covers hospital admission, operating theatre use, and overnight accommodation costs.

Your gold cover pays for anaesthetist fees, surgical assistant costs, and post-operative care within the hospital. These benefits apply after your policy waiting periods are satisfied. Most insurers require a 12-month waiting period for pre-existing conditions.

The Private Health Insurance Ombudsman website helps you compare policy benefits. Different insurers offer varying benefit levels within gold-tier coverage. Checking your policy’s breast reduction item number benefits ensures you understand your entitlements.

Gold hospital cover typically includes benefits for surgical procedures, medical devices, and rehabilitation services. The policy coordinates with Medicare to provide combined coverage. This dual payment system significantly reduces your financial burden compared to having no insurance.

Some gold policies include additional benefits like private room accommodation and extended hospital stays. These extras enhance your comfort during recovery. Review your policy’s Product Disclosure Statement to understand specific inclusions for breast reduction surgery.

Gap Fees and Out-of-Pocket Costs With Insurance

Gap fees represent the difference between what your surgeon charges and what Medicare plus insurance pays. Even with gold-tier coverage, most patients face some out-of-pocket costs. Understanding these potential expenses helps you budget appropriately for your procedure.

Surgeon gap fees vary based on experience, location, and procedure complexity. Specialist plastic surgeons may charge more than the combined Medicare and insurance benefits. Anaesthetist fees also commonly include gap payments beyond insured amounts.

The total gap for breast reduction surgery with insurance typically ranges from $3,000 to $8,000. This amount covers surgeon fees, anaesthetist charges, and any additional surgical costs. Some surgeons participate in no-gap or known-gap agreements with specific insurers.

Pre-admission discussions should clarify all expected gap fees. Request written quotes from your surgeon, anaesthetist, and the hospital. This transparency allows accurate financial planning before proceeding with surgery.

Additional costs may include pre-operative testing, compression garments, and post-operative medications. These items often fall outside Medicare and insurance coverage. Factor these expenses into your total budget when considering breast reduction surgery.

Out-of-Pocket Costs: With Medicare vs Without Medicare Coverage

Understanding the cost difference between covered and non-covered breast reduction surgery is crucial. When Medicare deems your procedure medically necessary, you receive substantial financial benefits. Without Medicare coverage, you bear the entire cost of a cosmetic procedure.

Breast reduction cost with Medicare typically includes surgeon gap fees, anaesthetist costs, and hospital charges minus rebates. The total out-of-pocket amount varies based on your surgeon’s fees and whether you have private health insurance. Most patients with Medicare coverage pay between $5,000 and $12,000 total.

Purely cosmetic breast reduction surgery without Medicare coverage costs significantly more. The total procedure price typically ranges from $15,000 to $25,000, depending on the surgeon’s experience and the facility. This amount includes all surgical fees with no government rebates applied.

With Medicare Coverage

When your breast reduction qualifies as medically necessary, Medicare provides substantial benefits. The government rebate covers a portion of the surgeon’s fee based on the relevant item number. Combined with private health insurance, your costs are reduced significantly.

Cost Component	Estimated Amount
Surgeon Fee (gap after Medicare)	$3,000 – $7,000
Anaesthetist Fee (gap)	$1,500 – $2,500
Hospital/Facility (with insurance)	$500 – $2,000
Additional Items	$500 – $1,000
Total Estimated	$5,500 – $12,500

Without Medicare Coverage

Cosmetic breast reduction surgery receives no Medicare benefits or private health insurance coverage. You pay the full surgeon’s fee, anaesthetist charges, and hospital costs. This pathway suits patients whose symptoms don’t meet medical necessity criteria.

Cost Component	Estimated Amount
Surgeon Fee (full)	$8,000 – $15,000
Anaesthetist Fee (full)	$2,000 – $3,500
Hospital/Facility (full)	$4,000 – $6,000
Additional Items	$500 – $1,000
Total Estimated	$14,500 – $25,500

The financial difference between covered and non-covered breast reduction surgery is substantial. Patients who qualify for Medicare benefits save approximately $9,000 to $13,000 on average. This saving makes medically necessary breast reduction accessible to more Australian women.

Private health insurance contributions depend on your specific policy and benefit levels. Gold-tier cover typically provides $2,000 to $4,000 in additional benefits beyond Medicare. These combined benefits significantly reduce your out-of-pocket expenses for approved procedures.

Payment plans and medical finance options help manage remaining costs after Medicare and insurance benefits. Many specialist practices offer structured payment arrangements. Discuss financial options during your initial consultation to plan your procedure budget.

Some patients find their symptoms don’t meet Medicare criteria, but still want surgery. In these cases, you can proceed with fully private treatment at full cost. The procedure outcomes remain identical regardless of funding source.

Warning: Outcomes shown or discussed are unique to each patient. Results vary based on individual genetics, health, and anatomy. Surgery carries risks that should be discussed with a specialist.

Get an Accurate Cost Estimate for Your Breast Reduction

Every patient’s situation differs. Dr Tavakoli provides detailed cost breakdowns based on your specific circumstances, Medicare eligibility, and insurance coverage. Book a consultation to understand your complete financial picture.

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Frequently Asked Questions About Medicare Breast Reduction Coverage

How much tissue needs to be removed to qualify for Medicare coverage?

Medicare does not specify an exact tissue removal amount for coverage eligibility. The decision depends on documented symptoms and medical necessity rather than gram thresholds. Your specialist plastic surgeon assesses whether the planned tissue removal addresses your health issues.

Historical guidelines mentioned 500 grams per breast, but current Medicare criteria focus on symptom severity. Each case receives an individual evaluation based on your body proportions and documented physical problems. The assessment considers breast size relative to your frame and symptom duration.

Can I get breast reduction covered by Medicare if I only want smaller breasts for aesthetic reasons?

Medicare does not cover breast reduction surgery performed solely for cosmetic reasons. You must demonstrate documented health problems caused by large breasts to qualify for coverage. Aesthetic preferences alone do not meet the medical necessity criteria for government-funded procedures.

If your primary motivation is appearance rather than symptom relief, you’ll need to pursue fully private cosmetic surgery. The procedure remains identical, but you receive no Medicare benefits or private health insurance contributions. Full payment becomes your responsibility in purely cosmetic cases.

How long does Medicare approval take for breast reduction surgery?

Medicare does not require pre-approval for breast reduction surgery performed by qualified specialists. Your surgeon determines medical necessity and bills Medicare directly after the procedure. The rebate processing typically occurs within two to four weeks of surgery.

The timeline from GP referral to surgery depends on specialist availability and your preparation. Most patients complete the process within three to six months, including consultation, planning, and surgical scheduling. Private health insurance waiting periods may extend this timeline.

Does Medicare cover revision breast reduction surgery?

Medicare may cover revision breast reduction surgery if complications arise from the initial procedure. Coverage depends on whether the revision addresses a medical problem rather than aesthetic refinement. Your surgeon must document the medical necessity of the revision procedure.

Purely cosmetic revisions receive no Medicare benefits. If you seek additional reduction or shape changes beyond medical necessity, you pay full private rates. Discuss revision possibilities and associated costs during your initial consultation planning.

What symptoms qualify for Medicare breast reduction coverage?

Qualifying symptoms include chronic neck pain, back pain, shoulder pain, and persistent skin irritation beneath the breasts. Bra strap grooving, causing shoulder damage, also supports medical necessity. Your symptoms must be documented, persistent, and attributable to breast size.

Additional qualifying conditions include postural problems, difficulty exercising, and interference with daily activities. Your GP and specialist plastic surgeon document these symptoms through examinations and patient history. The severity and duration of symptoms affect coverage decisions.

Can young women under 25 get Medicare coverage for breast reduction?

Medicare coverage is available for women of any age who meet medical necessity criteria. Younger patients must demonstrate that breast development is complete and symptoms are persistent. Surgeons typically prefer patients to be at least 18 years old with a stable breast size.

Parental consent is required for patients under 18 years seeking breast reduction surgery. The assessment process includes careful consideration of psychological impact and physical symptoms. Documentation requirements remain the same regardless of patient age.

Will I lose nipple sensation after a Medicare-covered breast reduction?

Nipple sensation changes occur in some breast reduction patients regardless of funding source. Most patients experience temporary numbness that improves over several months. The surgical repositioning nipple technique used affects sensation outcomes.

Your specialist plastic surgeon discusses sensation risks during consultation. Modern surgical techniques are designed to prioritise the preservation of nerve pathways where possible. The recovery process includes gradual sensation return for most patients. Medicare coverage doesn’t affect surgical technique or sensation outcomes.

Does the private health insurance waiting period apply to medically necessary breast reduction?

Yes, standard waiting periods apply even when Medicare deems your breast reduction medically necessary. Most private health insurance policies require 12-month waiting periods for pre-existing conditions. This means you must have continuous coverage for a year before claiming benefits.

If you join a private health plan specifically for breast reduction, factor waiting periods into your timeline. Some insurers may waive waiting periods in specific circumstances, but this is uncommon. Check your policy’s Product Disclosure Statement for exact waiting period details.

What documentation do I need to prove medical necessity for Medicare?

Required documentation includes a comprehensive GP referral detailing your symptoms and examination findings. Records of conservative treatments attempted, such as physiotherapy or pain management, strengthen your case. Photographs and measurements taken during the specialist consultation also support medical necessity.

Your specialist plastic surgeon documents additional clinical findings during assessment. This includes breast measurements, posture evaluation, and symptom impact assessment. The combined documentation from your GP and specialist establishes the medical necessity case for Medicare coverage.

Can I choose any plastic surgeon for a Medicare-covered breast reduction?

You can choose any specialist plastic surgeon registered with AHPRA for Medicare-covered breast reduction surgery. Medicare rebates apply regardless of which qualified surgeon performs your procedure. However, different surgeons charge different gap fees above the Medicare benefit.

Research surgeons’ qualifications, experience, and patient results when making your choice. Some surgeons participate in no-gap arrangements with specific insurers, which may influence your decision. Medicare coverage remains consistent, but your total out-of-pocket costs vary by surgeon selection.

If you have additional questions about Medicare coverage, eligibility, or the assessment process, our experienced team can provide personalised guidance. Every patient’s situation is unique, and individual consultation ensures you receive accurate information for your circumstances.

Get your questions answered: 1300 368 107

Take the Next Step: Book Your Medicare Eligibility Assessment

Understanding medicare breast reduction surgery Australia coverage provides the foundation for your decision. Now you can move forward with confidence about the financial aspects of your procedure. The next step involves a comprehensive assessment with a specialist plastic surgeon.

Dr Tavakoli brings extensive experience in breast reduction surgery and Medicare eligibility assessment. Our practice guides patients through every stage of the process, from initial consultation to complete recovery. We provide transparent cost estimates and provide information regarding the Medicare Benefits Schedule (MBS) criteria before proceeding.

What Your Consultation Includes

• Comprehensive medical history review and symptom assessment
• Physical examination and breast measurements
• Medicare eligibility evaluation based on current criteria
• Detailed explanation of surgical techniques and expected outcomes
• Complete cost breakdown, including Medicare benefits and gap fees
• Discussion of your individual goals and expectations
• Review of the recovery process and timeline
• Answers to all your questions about the procedure

Why Choose Our Practice

• AHPRA-registered specialist plastic surgeon with extensive training
• Comprehensive understanding of Medicare item numbers and requirements
• Transparent pricing and detailed financial counselling
• Patient-centred approach focusing on results tailored to your unique anatomy and goals
• Modern surgical facility adhering to accredited Australian safety standards
• Thorough pre-operative preparation and post-operative care
• Proven track record of successful breast reduction outcomes
• Personalised treatment plans tailored to your unique needs

Many patients report significant improvement in quality of life after breast reduction surgery. Relief from chronic pain, improved posture, and enhanced ability to exercise are common benefits. Understanding your Medicare coverage options makes this procedure, which aims to address documented physical symptoms, more accessible.

The consultation process allows you to ask questions, voice concerns, and understand exactly what to expect. We take time to ensure you feel comfortable and informed before making any decisions. Your peace of mind matters as much as the surgical outcome.

Ready to Assess Your Medicare Eligibility?

Contact our practice today to schedule your comprehensive consultation with Dr Tavakoli. We’ll evaluate your individual circumstances, explain your coverage options, and provide information regarding the Medicare Benefits Schedule (MBS) criteria for your breast reduction surgery.

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Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.