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  1. #1
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    rainbow road is offline look at the stars, look how they shine for you
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    Default No medicare rebate with no explained infertility?

    Hey,

    Hoping someone can help me: I was just on the IVF Australia website and read somewhere that the Medicare rebate for fertility treatments aren't available if there is no explained infertility, for example with single women and same sex couples.

    Does anyone know anything about this? It's the first time I've read it, and I was talking to my doc today and she mentioned getting the medicare rebate back although we are a same sex couple and I, the one who'll carry the baby, have no fertility problems (that we know of).

    TIA!

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    Howdy, although you don't have infertility as such, you do have a fertility problem in that both of you have eggs and no sperm. I fail to see why the government should penalize you! All the FS has to say is you have an infertility problem. How that came about is not medicares business!

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    I don't think Medicare was informed of our fertility issues when we were doing iui through Ivf Australia
    I was original diagnosed with PCOS which is how we got the referral to the fs. But by the time we were doing iui it was technically unexplained infertility as I wasn't showing any PCOS symptoms

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    Apparently I'm 'socially infertile' but that doesn't count.

    I've spoken to heaps of lesbian couples who've gotten the rebate back though. Apparently having a referral from a doctor is enough.

    I've no idea. I'll claim anyway...

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    Do you have a sensitive doctor who could say you have a fertility problem it sucks other wise

    But I used to pay the reception do the insemination go straight to Medicare take the receipt in get the cash and go home and rest the only issue was because it was a large rebate after the first one almost $700 they didn't like giving me the cash but I insisted

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    My SIL received Medicare rebates for her IVF treatments done as a single parent with doner sperm. She had previously had 2 miscarriages, so I'm not sure if that had any impact on the rebates.

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    From memory to claim the Medicare rebate you must have a referral from your GP to the FS. The date of referral & name of the referrer is on the receipt from the FS that you take to Medicare.

    If there's no GP referral then no rebate, even for hetrosexual couples.

    I remember the FS badgering me for a new referral & when I asked what the urgency was she explained I wouldn't get anything back from Medicare without it.

    The receipt doesn't have what type of infertility issues you have written on it but maybe certain codes that the FS bills under will differ for different types of infertility as well as treatment.

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    You should have no trouble claiming the rebate when you have a valid referral to the FS who treats you. I've never had to prove to Medicare that we are infertile. I just take my invoices in, which state the referring Dr and the Medicare procedure codes, and I get my money back. As a PP mentioned, when my referral runs out (valid for 12 months from a GP, or 3 months from a specialist), my clinic chase me up to get a new one.

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