Medtronic MiniMed insulin pumps are listed on the Commonwealth Department of Health & Ageing Prostheses List. The billing codes are:
MC839 Medtronic MiniMed Paradigm VEO™ Insulin Infusion Pump Model MMT-554
MC840 Medtronic MiniMed Paradigm VEO™ Insulin Infusion Pump Model MMT-754
Under the Private Health Insurance Act 2007, private health insurers are required to pay benefits towards prostheses that are listed on the Prostheses List when provided as part of an episode of hospital treatment, for which a member has an appropriate level of hospital cover and has met any requirements by their individual health fund e.g. waiting periods, exclusions, excess payments etc.
To get more information about the benefits you are entitled to for an insulin pump under your policy you should contact your private health insurer.
PRIVATE HEALTH INSURANCE OMBUDSMAN
The Private Health Insurance Ombudsman provides an independent service to help consumers with health insurance problems and enquiries. You can contact them on their hotline: 1800 640 695 (free call anywhere in Australia) or email them on info@phio.org.au.
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