Private Health Cover
Most Australian private health funds cover medical cannabis in some form, provided patients have cover with the appropriate allowances for prescription medicines.
Generally speaking, private health funds will require the following information to process a reimbursement:
- Copy of your TGA approval
- A letter from your doctor setting out that the prescription is required for your treatment
- A receipt from the pharmacy that shows the medication was not covered by the PBS
Note: Most private health insurers will only reimburse products that have been prescribed via the Special Access Scheme or Authorised Prescriber pathways. Compounded medicinal cannabis products are generally not eligible for reimbursement. Patients should confirm medicinal cannabis is covered by their health fund prior to submitting a prescription to the pharmacy for dispensing.