Insulin Pump Program
After intense advocacy and campaigning by JDRF the Federal Government’s Insulin Pump Program (IPP) was established in 2008. The IPP provides insulin pumps to low income families who have children (under 18 years of age) with Type 1 Diabetes (T1D). This life changing technology would otherwise be out of reach for these children.
Since its inception the IPP has provided over 1200 insulin pumps to children with T1D. JDRF has continued to advocate to expand the program based on the unmet demand from families. In the 2018-19 Budget, the government provided additional funding to the Insulin Pump Program, allowing approximately 220 children to access fully subsidised insulin pumps each year.
JDRF are the administrators of the Federal Government Insulin Pump Program.
To improve access to the program, the Government has introduced a number of changes, effective from September 2018:
- The number of pumps fully subsidised under the program has increased from 68 pumps per year to approximately 220 pumps per year.
- The following pumps will be available under the Insulin Pump Program:
- Pumps will be supplied with approximately three months’ initial supply of pump consumables
'It was like winning the lottery'.
‘When I got the call from JDRF to say that Lily had been successful and was now a recipient of a JDRF Insulin Pump it was what I imagine winning the lottery feels like. We have only had the Insulin Pump for two weeks now but the difference it has made to Lily’s quality of life is magical, she is a much happier little girl who isn’t afraid of meal times and the injections that come with eating. I am so thankful for the support of JDRF and the Federal Government.’
Chelsea. South Australia
To be eligible to lodge an expression of interest for an insulin pump under the program, families must meet the following criteria:
- Families will be required to discuss the suitability of insulin pump therapy with their child’s Healthcare Team.
- Do not have access to an insulin pump though private health insurance.
- Child is under the age of 18 years
- Families must have a combined annual income of up to $109,610.
JDRF is unable to guarantee that families who have expressed an interest will receive an insulin pump under the program. For more details regarding eligibility please refer to the FAQ’s below.
You will need to discuss the suitability of insulin pump therapy for your child with your child’s Healthcare Team.
To be eligible to receive an insulin pump under the Program, an applicant must not be in receipt of, or be eligible to receive, any other means of reimbursement, including reimbursement via private health insurance, which may be used to assist the applicant to purchase an insulin pump. The child (recipient) on whose behalf the application is made, must be under 18 years of age on the date of application, and must hold or be listed on a current Medicare card.
Before an applicant can be approved to receive a subsidy, the following criteria must be met:
A. Income Eligibility
The applicant’s combined annual family income must be less than or equal to $109,610. This amount is subject to annual changes made by Centrelink.
Applicants with an annual family income of more than $109,610 are not eligible to receive the subsidy unless they are caring for more than one child with Type 1 Diabetes. In this circumstance, the applicant will not be eligible for a subsidy for the first child, but will be eligible to receive subsidy for subsequent children with Type 1 Diabetes.
Once income eligibility is assessed, JDRF Australia will progress the application and request the child’s Healthcare Professional to confirm clinical eligibility.
B. Clinical Eligibility
As part of the application process, your Healthcare Team (Diabetes Educator and Paediatrician/Endocrinologist) will be required to confirm that you meet the following clinical eligibility criteria:
The child has Type 1 Diabetes
The child will benefit from a transition to, or continued insulin pump therapy
The child/carer has demonstrated willingness to check blood glucose levels four or more times per day
The child/carer has demonstrated competence at injecting insulin using pens/syringes
The insulin pump initiation will be conducted by a multidisciplinary team
The initiating team makes a commitment to the transition and a system to ensure follow-up and ongoing support
You are not eligible to receive an insulin pump under this Program if you have access to other means of reimbursement, such as private health insurance.
Australians with private health insurance covering insulin pumps will generally be eligible for full reimbursement of their pump by their health fund, following the relevant waiting period attached to their cover. If you have private health insurance, please contact your insurer for more information about how to receive funding through private health insurance.
As of September 2018, the following pumps are available under the Insulin Pump Program:
- Accu-Chek Spirit Combo (Roche)
MiniMed 640G (Medtronic)
Paradigm Veo (Medtronic)
These pumps will be supplied with approximately three months’ initial supply of pump consumables.
Insulin pumps available under the Program meet the minimum requirement of being water tight. We recommend that you check with the respective pump manufacturer for more information and clarification.
There are a range of CGM devices available through the NDSS. Pump recipients who wish to use CGM technology have the option to select a CGM device that works with their pump or, where a compatible device is not available, they are able to select a CGM device that works independently of an insulin pump.
We recommend that you discuss this with your child’s Healthcare Professional who will help you make the best selection for your child.
The National Diabetes Services Scheme (NDSS) provides access to a large range of subsidised products to help people with diabetes manage their condition. These products include subsidised insulin pump consumables for approved persons.
Your Healthcare Team will complete the NDSS Registration Form and/or Insulin Pump Consumables Assessment Form as appropriate. Once you have registered with the NDSS, you will be able to purchase subsidised products through the NDSS. For more information, please contact the NDSS on 1300 136 588 or email: email@example.com or visit the NDSS website.
You will receive a phone call and email from JDRF after your clinical eligibility has been confirmed, to let you know that you have been approved for a fully subsidised insulin pump under the program.
In the circumstance where your application has been assessed as eligible for subsidy and the funding for the Program has been exhausted, your application will be put on a waiting list for eligible applicants and you will be informed about the status of your application by JDRF Australia.
Program recipients will be receiving their pumps fully subsidised by the Program. No payments will be made to the applicants or the recipients.
You can opt out at any time of the process by contacting JDRF.
Applicants with a combined family income of up to $109,610 will be eligible to receive a fully subsidised insulin pump each of their children living with Type 1 Diabetes.
Applicants with a family income of more that $109 610 are not eligible to receive an insulin pump through the Insulin Pump Program unless they are caring for more than one child with type 1 diabetes. In this circumstance, the applicant will not be eligible to receive an insulin pump for the first child, but will be eligible to receive a fully subsidised insulin pump for any subsequent children with Type 1 Diabetes.
Subject to continuing to meet the Program criteria, previous recipients are able to apply for a new pump subsidy under the following circumstances:
The manufacturer’s warranty (generally 4 years) on the insulin pump has expired.
Recipients who received their insulin pumps under the Program between their 14th and 15th birthday (inclusive) are able to lodge an application for a new pump prior to the expiry of their pump warranty. These recipients can apply for a new pump between three (3) months prior to their 18th birthday and one (1) day prior to their 18th birthday. Subject to meeting the eligibility criteria, the place of their application in the waiting list and the availability of funds, these recipients will be eligible to receive a replacement pump when the warranty of their existing pump expires.
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