Government Rebate for Fertility Testing

The NSW State government has committed to providing a rebate of $500 for out of pocket expenses related to pre-IVF fertility testing.

The initiative is designed to assist in reducing costs of living pressure faced by people with fertility issues who access treatment before IVF treatment begins.

Who is eligible to claim?

Women and men who are current residents of NSW are eligible for the rebate if they have fertility issues and incur out of pocket expenses related to fertility testing after 30 September 2019.

Fertility testing includes tests for women and men, however only women can lodge a claim through Services NSW for the rebate.

Can the rebate be claimed more than once?

No.  A women can only receive the rebate once.

What is considered a fertility issue for the purpose of rebate?

A fertility issue is defined as a women under 35 years of age who has not conceived in 12 months or longer, or a woman over 35 years who has not conceived in 6 months or longer.  Both male infertility and female infertility are defined by the failure to conceive after regular unprotected intercourse.

What out of pocket expenses are eligible for the rebate?

To be eligible for the rebate you must have incurred out-of-pocket expenses after 30 September 2019 for one or more of the following:

• AMH
• Pelvic Ultrasound
• Ovulation Test
• Semen analysis
• Specialist consultation fees

Who can order fertility tests for the purpose of the rebate?

Your General Practitioner and/or Specialist can order fertility tests.

Who can confirm eligibility for the rebate?

The following Specialist can confirm eligibility for the rebate:

• Specialists Obstetricians and Gynaecologists
• Specialists Obstetrics & Gynaecologists
• Specialists in Reproductive Endocrinology & Infertility
• Specialists Urologists
• Specialist Endocrinologists

While GPS can order fertility tests, only Specialists can confirm eligibility for the rebate as they are best placed to confirm a fertility issue.

How can you claim the rebate?

Both women and men are eligible for the rebate if you incur an out-of-pocket expense, however only women can lodge a claim through Service NSW for the rebate.   The rebate can be claimed through Services NSW by accessing the Services NSW website or App.  You will be asked to:

• Log in or create a MyService account
• Upload the signed Pre-IVF Fertility Testing Rebate form and one receipt for fertility testing
• Provide your Medicare number. If you do not have a current Medicare card your will need to email affordableIVF@health.nsw.gov.au

The $500 will be paid to your nominated bank account within 5 business days of lodging the rebate application.

When does the rebate commence?

The launch of the rebate by Services NSW is on 15 January 2020.  Specialists however can approve eligibility for the rebate for fertility tests occurring after 30th September 2019.

How will my records and private information be handled?

The information you provide your medical clinician will be shared with the NSW Health & Services NSW.  Your clinician will also keep a copy of the rebate form as a reference if required for auditing purposes in the future.

The NSW Government will manage rebate records, including the Pre-IVF Fertility Testing Rebate forms and related attachments, in accordance with the NSW privacy laws, including the Health Records and Information Privacy Act 2002.  A women who claims the rebate may also use or disclose information about the services received by a second person for the purpose of making a claim for the rebate.  More information on how personal information relating to the rebate is managed can be found at www.health.nsw.gov.au/patients/privacy/pages/privacy-leaflet-fro-patients.aspx

For further information please email affordableIVF@health.nsw.gov.au