When Services Are Free or Low-Cost Under OSHC

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OSHC >> When Services Are Free or Low-Cost Under OSHC

When Services Are Free or Low-Cost Under OSHC

If you've ever sat there wondering, “Is this covered? Do I need to pay? Or… should I just avoid the doctor altogether?” — you're not alone. A lot of services under OSHC are technically free or low-cost, but students are often left guessing. Let's clear things up — with help from our crew.

STI Testing Coverage Under OSHC

ft. Antonio & Li

Antonio

Li

Antonio was feeling nervous about getting an STI test after a night that got a little too wild. “I kept asking myself, 'Is this gonna cost me like, $200?'” Spoiler: It didn't.

Good news: STI testing is usually covered under OSHC — no waiting period, no drama.

Tests like chlamydia, gonorrhoea, and HIV? Covered, as long as a doctor thinks it's medically needed.

You might pay a gap if the clinic charges above the standard fee (MBS).

Li's Tip:

Check if the clinic does direct billing with your insurer. Otherwise, you'll need to pay upfront and claim it back later.

📍 In Melbourne?

The Melbourne Sexual Health Centre offers free walk-in STI testing — no Medicare, no referral needed.

Mental Health Support Under OSHC

ft. Zara & Kaito

Zara

Kaito

Zara was having a rough semester. Between sensory overwhelm and burnout, she needed support. “I honestly didn't think I could afford therapy—but turns out, I could.”

If your GP gives you a Mental Health Care Plan, you can access up to 10 psychology sessions per year
OSHC usually covers 85% of the MBS fee
Some clinics charge more than MBS = you pay the gap

Waiting period?

Bupa: No waiting
Allianz & Medibank: 2-month wait applies for pre-existing conditions

Kaito's Tip:

Start with your uni counselling service — they may offer free sessions or help you get referred to a low-cost psychologist.

Contraception Coverage Under OSHC

ft. Sally & Lina

Sally

Lina

When Sally went to get her first prescription for the Pill, she wasn't sure if OSHC would help. “I was ready to spend a fortune. But turns out, most of it was covered.”

The GP visit to talk about contraception? Fully covered!

The Pill (if listed on the PBS): OSHC helps cover it — but you'll usually pay about $30 per pack

Condoms and non-prescription methods? Not covered.

IUDs or implants (LARCs) can cost $150–$300 including insertion. OSHC might help depending on your OSHC cover and whether they're PBS-listed, but there's often a 12-month waiting period for gynae services.

Lina's Real Talk:

I was shocked by how expensive the IUD was. Ask about waiting periods and compare clinic prices. Some student health clinics offer discounts!

Still unsure? Use 1800 My Options or your university clinic to explore free or affordable options in your area.

Services Covered From the Start

GP/NP visits – No wait, 100% MBS covered by Bupa, Allianz, and Medibank
STI/HIV Testing – No wait
Pathology & Imaging (like blood tests or ultrasounds) – No wait
Emergency care & ambulance – Covered in full for emergencies
Some PBS prescriptions – Co-pay of about $30 per script
Pregnancy (public hospital birth) – Covered, but has a 12-month waiting period
Mental health (with plan) – Covered after wait period (Bupa has no wait)

Services That May Not Be Fully Covered

Specialists (e.g. gynaecologist, dermatologist): Usually a 12-month wait if pre-existing condition
Private hospital birth: Can cost up to $5,000 unless you upgrade your OSHC
Surgical abortion: Ranges from $400–$5,000 depending on the clinic
IUDs & Implants: Often not fully covered
Over-the-counter contraception (like condoms, emergency pill): Not covered at all
Gaps: If your doctor charges more than the MBS fee, you pay the difference

Final Word: What's the Catch?

The provider doesn't bulk bill
You haven't passed a waiting period
The service is not on the approved list (MBS or OSHC selected PBS)
You didn't get a proper referral

Sally's Reminder:

I ask every time: 'Will this be covered under my OSHC?' Saves so much stress.

TLDR (Too Long Didn't Reimburse)

ServiceCovered?Waiting Period?Notes
GP/NP Visits
Yes
No wait
100% MBS usually covered or 100% bulk bill
STI Testing
Yes
No wait
Ask if clinic bulk bills
Mental Health Counselling
Yes (with plan)
0–2 months
10 sessions/year max
Contraception (Pill)
Yes (PBS only)
No wait
$10-30 per script
IUDs/Implants
Partially
12 months
Insertion extra may not be covered
Emergency Care
Yes
No wait
Fully covered in public hospitals
Private Birth
Not covered
12 months
Huge gap fees
OTC Contraceptives
No
No
Not considered medical

Frequently Asked Questions

More Resources / Relevant Articles

OSHC Basics: What’s Covered and What’s Not

What OSHC really covers

Understanding OSHC: What Confuses Students Most

Making Sense of OSHC

What Does This Mean?

MBS

(Medicare Benefits Schedule)

Click to learn common health terms

What Does This Mean?

Gap Fee / Out-of-Pocket Cost

Click to learn common health terms

What Does This Mean?

Direct Billing / Bulk Billing

Click to learn common health terms