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arpie's avatar
arpie
Member
23 hours ago

Medicare Update for High Risk Breast Screening

Have you had an MRI AND Ultrasound on the same day?  Did you receive the Medicare rebate on BOTH items?

I think this is more to do with 'new diagnoses' - not existing ones - but if you require an ultrasound AND MRI on the same day - make sure you ask the questions about being able to claim the medicare rebate on BOTH!

As of today (1wt July 2026) those having MRI AND Ultrasound, may be able to have them on the same day and claim both the  Medicare rebates.
Previously - they had to be done on 2 different days to be able to claim both rebates.

This will make it more 'time efficient' and less stressful, reducing out of pocket expenses -  particularly for rural/regional/remote patients (for example) who would have to have stayed an extra night to have the 2nd procedure otherwise!

 

 

 

 

1 Reply

  • Thanks Arpie for this update and for all the posts you provide with info and updates.  It is great to hear this change.  I have been shocked by the different rules around rebates and also the costs associated with diagnosis, treatment and monitoring.  I am currently saving the next $800 of out of pocket costs for my next surgeon appointment and MRI in October.  Not to mention trying to have an extra $1100 available for the out of pocket cost I’ll need if I need an MRI guided biopsy.  My breast density meant that my original tumours weren’t visible by mammogram or ultrasound.  Anything this network can do to advocate for the reduction of out of pocket costs for us would ease the stress during diagnosis, treatment and ongoing monitoring.  One win I finally had was my GP sent my oncologist and surgeon perpetual referrals so I didn’t have to keep seeing them and paying for referrals.  This eased some of the stress and I recommend others ask for the same.