Understanding No-Gap Joint Replacement Surgery

Understanding No-Gap Joint Replacement Surgery

‘No-Gap’ - what it means, and how it can reduce financial stress.

One of the biggest concerns people have about joint replacement surgery is cost. The good news is that many patients at East Sydney Private Hospital are eligible for no-gap hip or knee replacement surgery.

What does ‘no-gap’ mean?

If your private health insurance covers joint replacement surgery, a no-gap program means

  • No out-of-pocket costs for the surgery itself

  • Surgeon, anaesthetist, prosthesis and hospital fees are covered

  • You may only need to pay your standard health fund excess (if applicable)

Participating health funds include;

  • HCF
  • Medibank
  • Bupa
  • Teachers Health
  • CBHS
  • Nurses & Midwives
  • UniHealth
  • Australian Unity
  • TUH
  • Union Health
  • Westfund


Most major funds participate, and we are happy to help you check your eligibility.

Everyone’s policy is different. A short call can help clarify exactly what’s covered and what to expect.

A call with Judy can help you:

  • Check whether your health fund participates
  • Understand what costs are covered and what to expect
  • Clarify excesses or policy requirements
  • Decide whether now is the right time to move forward

Disclaimer: Any surgical or invasive procedure carries risks. The content on this page is general in nature and does not constitute medical advice. Before commencing your surgical journey, please seek medical advice from an appropriately qualified health practitioner.

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