How Medibank’s No Gap ACL Reconstruction program works
The No Gap ACL Reconstruction program allows eligible members to pay no out-of-pocket costs^ on a range of services as part of hospital admission for elective surgery for an ACL reconstruction procedure with participating surgeons at participating hospitals. Depending on the member's type of cover, an excess or co-payment may still be payable.~
Which costs are covered as part of the program?
Eligible members could pay no out-of-pocket costs^ on the following services as part of their admission to a participating hospital in the program:
Hospital accomodation, including all theatre costs
Medical surgeon costs & Anaesthetist costs
Diagnostic tests (scans and blood tests)
Crutches provided by the hospital prior to discharge
Interested? Here's how to get started
1. Check your cover & waiting periods
You must have resident hospital cover with Joint reconstructions included, and all applicable waiting periods must have been served.
2. Check your location
This program is available at participating hospitals in New South Wales, Victoria, and Western Australia.
3. Get a referral from your GP
You will need a referral from your GP to see a participating surgeon included in the list below.
4. Talk to your health care team
Your surgeon will need to confirm their participation in the program and work with you to decide if the program is right for you and your health needs. If clinically appropriate, the surgeon's rooms will organise the surgery booking with the hospital.
Looking for further information?
Check out the articles below to learn more about the surgery process and making the most of your health cover.
Questions to ask before your hospital admission
Going to hospital? Find out what questions to ask and what support is available.
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Joint Health
From preventing injury to understanding your knee replacement options, this is your home of information to help prevent or minimise joint pain.
How much does ACL repair cost?
Surgical repair of the major ligament that stabilises the knee joint.
Things you should know
^ There may be out-of-pocket expenses associated with outpatient appointments, such as your initial visit with a participating surgeon in their consulting rooms. An excess or per day payment may still be payable, depending on the product a member has chosen and whether they are claiming under their hospital cover for the first time in a calendar year.
* The participating hospital and participating medical specialist will work with you to decide if the program is right for you and your health needs. However, if your medical specialist refers you to a non-participating hospital and/or the program is not otherwise right for your health needs, any such procedure will not be part of the No Gap program and you may incur out-of-pocket costs.
The listing of a provider does not comprise any sort of representation or recommendation by Medibank regarding the provider. To the fullest extent allowed by law, such reference should not be construed as:
an endorsement by Medibank; or
commendation for the status of the provider’s registration with their registration bodies like the Australian Health Practitioner Regulation Agency (AHPRA); or
a recommendation or warranty by Medibank of, for or in relation to the provider’s services.
Accordingly, Medibank neither takes nor assumes any responsibility for the services provided. Members should rely on their own enquiries and seek any assurance or warranties directly from the provider in relation to the service or with the registration bodies (e.g. AHPRA) regarding any conditions or restrictions to the provider’s registration.
~ Excludes ACL reconstructions resulting from an emergency admission.
Information presented is refreshed regularly. Information is accurate at time of publishing.