No Out of Pocket Costs, Short Hospital Stay
Medibank No Gap Joint Replacement Program
in Melbourne
Access high-quality hip or knee replacement surgery with no out-of-pocket costs through Medibank’s no gap program
at Adeney Private Hospital in Kew and St Vincent’s Private Hospital in Werribee.
What Is the Medibank No Gap Joint Replacement Program?
The Medibank No Gap Joint Replacement Program offers eligible members total hip or knee replacement surgery with no out-of-pocket medical costs. Available through select private hospitals and surgeons in Melbourne, this program ensures transparent billing, quality care, and timely surgical access.
Key Benefits
- No out-of-pocket medical expenses when using a participating surgeon and hospital
- Access to preferred orthopaedic surgeons
- Shorter wait times in a private hospital setting
- Structured care pathway including prehab, surgery, rehab, and follow-up
Who Is Eligible?
To be eligible for the Medibank No Gap Joint Replacement Program, you must:
- Have eligible Medibank hospital cover
- Have served any applicable waiting periods
- Be clinically assessed as needing a hip or knee replacement
- Choose a participating surgeon and hospital
Check your eligibility by calling Medibank on 132 331 or logging into your My Medibank account.
Partner Hospitals in Melbourne
Participating hospitals include:
- Adeney Private Hospital, Kew
- St Vincent’s Private Hospital (Werribee)
How It Works
- Get a referral from your GP
- Confirm your Medibank eligibility.
- Attend your specialist consultation to plan your surgery.
- Have surgery at a partner hospital with no out-of-pocket medical fees.
- Follow a tailored recovery and rehabilitation plan.
What’s Covered by the Program?
- Orthopaedic surgeon fees
- Anaesthetist and assistant surgeon fees
- Hospital accommodation and theatre fees
- Approved prosthesis (hip or knee implant)
- Rehabilitation (when included by provider)
- pathology, pharmacy, medical imaging
What’s Not Covered by the Program?
- Inpatient Rehabilitation
Procedures Included
- Adeney and St Vincent’s Werribee
- Total Knee Replacement (TKR)
- Total Hip Replacement (THR)
- Only at Adeney
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Can I choose my own surgeon?
Yes. Professor Tran participates in this program for Eligible patients
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Is rehabilitation included?
No, inpatient rehab is not part of the program.
As part of the program, you will have physiotherapy whilst you are in hospital, and then outpatient physiotherapy visits. (the physiotherapist will visit you at your home) -
Is my private health insurance still used?
Yes, your Medibank hospital cover is billed, but you won’t pay extra if all conditions are met.
Take the First Step Toward a Pain-Free Future
Restore your mobility with no financial surprises. Ask your GP for a referral, or call Medibank at 132 331 to find a participating surgeon in Melbourne today.