Which hospital tier covers colonoscopies?

Colonoscopies are generally covered under hospital policies classified as Bronze Plus or higher. Under the Australian Government's tiered system, a colonoscopy falls under "Gastrointestinal endoscopy" a category mandatory for Bronze Plus and higher hospital policies.

Are there waiting periods for colonoscopies with private health insurance?

Yes, standard waiting periods apply. For pre-existing conditions you will typically face a 12 month waiting period. For new conditions or accidents the waiting period is usually 2 months.

Does private health insurance cover the anaesthetist and other specialist fees for a colonoscopy?

Private health insurance hospital cover usually contributes to anaesthetist and other specialist fees but it may not cover the full amount. You may face out of pocket expenses known as a "gap payment". This is the out-of-pocket expense between a medical professional's fee and the combined rebate from Medicare and private health insurance.

Can I drive myself home after a colonoscopy?

No, you will not be able to drive yourself home after a colonoscopy. You will receive sedation during the procedure which can affect your coordination and judgment for up to 24 hours. You must arrange for someone to pick you up and stay with you after mthe procedure.

What is the Medicare item number for a colonoscopy?

The Medicare Benefits Schedule (MBS) item number for a diagnostic colonoscopy is typically 32222.

Does health insurance cover gastroscopy if it is performed at the same time as a colonoscopy?

Yes, if your hospital cover includes "Gastrointestinal endoscopy" it will typically cover both a colonoscopy and a gastroscopy if they are performed during the same hospital admission. Always verify coverage with your health fund as specific benefits can vary.