To be eligible to apply for the rebate, applicants must:
To apply for the rebate, a specialist must sign to confirm the patient’s eligibility for the rebate.
As not all available tests under these categories are for the purpose of fertility testing, its important the type of tests undertaken and confirmed by the specialist are correctly recorded on the patient’s receipt.
Service NSW outlines how to apply for the rebate. You can also call Service NSW on 13 77 88.
To confirm your patient’s eligibility for the rebate, you must:
As a Specialist, you are uniquely placed to confirm patients' eligibility to receive the rebate. By completing the Pre-IVF Fertility Testing Rebate Declaration Form you acknowledge:
Although both general practitioners and specialists may order fertility tests, only the following specialists can confirm eligibility for the rebate:
For the purposes of the rebate, a fertility issue is when a woman under 35 years of age has not conceived in 12 months or longer, or a woman over 35 years has not conceived in 6 months or longer, after regular unprotected intercourse. Both male infertility and female infertility are defined by the failure to conceive.
No. A woman can only receive the rebate once.
Service NSW launched the rebate on 15 January 2020. However, specialists were able to approve eligibility for the rebate for fertility tests since 1 October 2019.
Patients should request a duplicate receipt from the provider of their fertility test.
The NSW Government will manage patient’s personal information, including information provided in the Pre-IVF Fertility Testing Rebate Form, in any receipts related to the rebate claim and information submitted via the Service NSW website, in accordance with NSW privacy laws, including the Privacy and Personal Information Protection Act 1998 and the Health Records and Information Privacy Act 2002. A woman who claims the rebate may also use or disclose information about the service received by a second person for the purposes of making a claim for the rebate. More information on how personal information relating to the rebate is managed can be found in the privacy leaflet for patients.
The pre-IVF Testing Rebate may be subjectable to periodic audits to monitor the rebate to determine compliance.
Yes. RANZCOG is aware of and supporting the implementation of this initiative.
The NSW Government supports access to affordable fertility treatments through the NSW Affordable IVF Initiative. The fertility package includes rebates for pre-IVF fertility testing, a rebate for fertility treatment, lower cost IVF treatment places in publicly supported clinics and increase fertility preservation services for patients with a medical need.
For further information on eligibility, including enquiring on an existing or declined claim, please contact Service NSW on 13 77 88.