June 12, 2025
Navigating the costs of private healthcare—especially for a procedure like bariatric surgery—can feel overwhelming. Even with private health insurance, most patients are surprised to learn that out-of-pocket expenses still apply. This guide helps you understand what you’re likely to pay when undergoing weight loss surgery in Melbourne, and how to prepare financially. Two Categories of Bariatric Surgery Costs To make things easier, we’ll break down the costs into two main areas: Out-of-hospital costs In-hospital costs Out-of-Hospital Costs These are the costs incurre d before you’re admitted to hospi tal and include consultations, referrals, and diagnostic testing. GP and specialist appointments: Medicare covers a portion of these visits, but if your providers charge above the Medicare rebate, you'll be required to pay th e gap (out-of-po cket cost). Non-MBS services: Services s uch as dietitian consultations, psychologist sessions, or physiotherapy may not be listed on the Medicare Benefits Schedule (MBS), meaning you’ll need to pay the full amount. Pre-operative tests: The good news is that most standard blood tests, imaging, and other required diagno stics are typically bulk-billed, especially if referred by your GP or surgeon. In-Hospital Costs These are the costs associated with the surgical procedure and hospital stay. Bariatric surgeon fees: Most surgeons charge a gap fee in add ition to what Medicare or your insurer pays. Anaesthetist and surgical assistant fees: Both may bill separately and usually charge a gap not covered by your insurance. Hospital stay: This is often the most significant cost. The amount depends on your insurance policy—including your excess, co-payments, and whether your hospital is a preferred provider. If you do not have private health insurance, you’ll be responsible for the full cost of the hospital stay, which can range from thousands to tens of thousands of dollars depending on the facility and length of stay. How to Pay Out-of-Pocket Costs (The ‘Gap’) Even if you're insured, you will likely still fac e gap fees. It’s im portant to plan ahead. Here are some common ways to manage these costs: Personal savings: Using your own funds can avoid interest or fees associated with loans. Early release of superannuation: You m ay be eligible to access your superannuation early on compassionate grounds to pay for m edical treatment, including bariatric surgery. This involves applying to the ATO with medical certification. Medical loans and financing: Organisations such as TLC (Total Lifestyle Credit) provide personal loans tailored for medical expenses. These loans can cover surgeon fees, hospital costs, and more. What Is Informed Financial Consent? Before committing to surgery, it’s essential to ask for a written cost estimate from each provider involved in your care. This includes: Your bariatric surgeon The anaesthetist The hospital Any other specialists involved (e.g., physician, dietitian) This process is call ed informed financial consent and ens ures you: Know what you’re paying for Understand what your insurance will cover Avoid surprise bills after surgery Alway s ask questions and clarify anything you don’t understand. Key Takeaways Bariatric surgery in Melbourne involves out-of-pocket costs even if you have private insurance. Costs are divided into out-of-hospital and in-hospital components. Expect to pay gap fees for surgeon, anaesthetist, hospital stay, and any non-MBS services. You can use personal funds, early access to superannuation, or personal loans to manage these costs. Always request informed financial consent with a detailed cost estimate before undergoing surgery. While bariatric surgery is a life-changing investment in your health, it’s important to go in with clear financial expectations. Knowing what’s covered, what isn’t, and how to fund your care ensures a smoother journey to better health.