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Day surgery is a private hospital or facility where you may be admitted, treated for a surgical procedure and discharged on the same day.

Types of surgery often performed as day surgery include:

  • cataract surgery
  • removal of wisdom teeth
  • arthroscopy (examination and/or treatment of damage to the interior of a joint)
  • cystoscopy (examination and/or treatment of the bladder and urethra)
  • dilation and curettage (light scraping of the womb)
  • ear grommetts (plastic ventilation tubes that treat ear infections)

Is day surgery covered by my health insurance policy?

Day surgeries require formal admission into the hospital or facility and treatment is covered by your health insurance policy, provided you are covered for the type of treatment you require. Depending on your health fund, you may or may not be required to pay the excess or co-payment on your hospital cover.

Day surgery vs outpatient treatment

Similar to day surgery, outpatient treatment takes place in a single day, but it is treated differently by your health fund. It does not require formal admission into hospital and you are treated as an outpatient, not an in-patient. As such, treatment is usually not covered by your health fund except in special circumstances.

Circumstances in which your outpatient treatment may be eligible for cover include:

  • your health fund has a specific agreement with the hospital for the service you are booked in for; or
  • the treatment you require is specified under your policy and your health fund has an agreement with the facility.

Outpatient treatment includes treatment in an emergency room, specialist doctor consultations before treatment and most assisted reproductive services or treatments.

As always, read the product description carefully for information specific to your health fund and the individual policy.

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