Yes. Most private health insurance (PHI) policies cover vasectomy procedures performed in a private day hospital, often with minimal or no gap payment. If you hold PHI with hospital cover, you can usually claim for a vasectomy under item number 37623. In most cases, you will only need to pay a maximum $100 gap, plus any hospital excess if it applies. The hospital will confirm your cover before the procedure date, and you can also check directly with your health fund for certainty.
MSI Vasectomy is one of the few providers in Australia accredited and licensed to process private health claims for vasectomy. This allows many patients to reduce their out-of-pocket costs significantly compared with paying privately.
Private health vs Medicare costs
If you do not use PHI, vasectomy procedures are still eligible for a Medicare rebate. Out-of-pocket costs typically start from $590 for local anaesthetic (LA) in a Medical Centre and $760 for LA in a hospital. However, with private health insurance, many men can access the procedure in a private day hospital with minimal or no gap payment, depending on their policy.
To be sure, patients are encouraged to contact their health fund in advance and quote item number 37623. This ensures clarity on cover levels, gap fees, and any excess payable on the day.
In summary, with private health hospital cover, vasectomies at MSI are usually covered with little or no gap, making them an affordable and accessible option.
Costs and rebate amounts are subject to change. Always confirm your cover and out-of-pocket costs with MSI Vasectomy and your private health fund before booking.
