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Is a CT scan covered by Medicare Australia?

Asked by Anonymous Oct 12, 2026 2 views 1 answers
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Answered Oct 13, 2026
Is a CT scan covered by Medicare Australia, yes it is covered if it is medically necessary and referred by GP or specialist, with Medicare paying 85% to 100% of scheduled fee depending on where you have it. If you have CT scan in public hospital as public patient, it is free, fully covered by Medicare, with no out of pocket, but waiting list may be weeks for non-urgent. If you have CT scan in private radiology clinic with GP referral, Medicare provides rebate of $150 to $400 depending on body part, such as CT head $150 rebate, CT chest $300, CT abdomen pelvis $400, and if clinic bulk bills, you pay $0, with about 60% of radiology clinics bulk billing for concession card holders. If clinic does not bulk bill, you pay fee $300 to $700 and get Medicare rebate $150 to $400 back, leaving gap $100 to $300 out of pocket. For example, CT scan costing $400 with Medicare rebate $250 leaves gap $150. If you have private health insurance, it does not cover outpatient CT scans, only inpatient if part of hospital admission. For tourists without Medicare, CT scan costs $300 to $700 full price, but with Overseas Visitor Health Cover, rebate similar to Medicare $150 to $400 if direct billing clinic. So CT scan is covered by Medicare Australia if medically necessary and referred, free in public hospital or with rebate in private clinic, with bulk billing possible.
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