Weight loss surgery: usually yes
Gastric sleeve, gastric bypass and gastric band can all be approved. The ATO must accept that the surgery is needed to treat a life threatening illness or a chronic condition (obesity with related problems such as diabetes, sleep apnoea or joint disease usually fits), and that the treatment is not readily available in the public system within a reasonable time. Insured and uninsured patients can both apply for the out of pocket amount.
Plastic surgery: only if it is reconstructive
Purely cosmetic surgery is not approved. Reconstructive procedures can be, when the medical evidence shows the same test is met: skin removal after major weight loss where the excess skin causes infections, rashes or mobility problems, breast reduction for chronic neck and back pain, or lipoedema surgery. A breast augmentation, facelift or rhinoplasty for appearance alone will be refused.
Injections and medication: no
Compassionate release is for treatment certified by a specialist. Ongoing weight loss injections or medication are not something to plan around super for; those come down to your GP, any subsidy that applies and your own budget. The COVID era $10,000 early release scheme has also closed, so there is no fixed amount you can simply withdraw. The amount released matches the quoted cost of the approved treatment.
1
Get the surgeon's quote
Itemised, naming the procedure, hospital and anaesthetist fees, and the gap after any Medicare or health fund benefit. The ATO releases the amount on the quote, not a round figure.
2
Two medical reports
One from your GP and one from the specialist (the bariatric or plastic surgeon). Each must certify that the treatment is necessary to treat a life threatening illness or chronic condition and is not readily available through the public system in a reasonable time. Surgeons who support these applications regularly know the wording the ATO expects.
3
Lodge with the ATO
Apply online through myGov linked to the ATO, attaching the quote and both reports. There is no charge to apply. Third party services that offer to lodge for you charge a fee and are optional; they cannot speed up the ATO decision.
4
Approval and release
The ATO tells you the outcome, usually within a few weeks if the reports are complete. Your super fund then pays the approved amount to you, with tax withheld, and you pay the surgeon. Book surgery dates around the approval rather than before it.
Can I use my husband's or wife's super for my weight loss surgery?
Yes. Compassionate release can be applied for to pay for your own treatment or treatment for a dependant, and a spouse counts. Your partner applies on their super account using your medical reports and quote. The same test applies and the tax comes off their payout. A parent's super cannot be used for an adult child.
How much tax comes off a super withdrawal for surgery?
The payment is taxed as a super lump sum. If you are under your preservation age, the taxable component is taxed at roughly 22 percent including the Medicare levy, so ask for enough to cover the tax as well as the quote. Between preservation age and 60 part of it may be tax free, and over 60 it is generally tax free. The money also leaves your retirement balance for good, so weigh it against a personal loan on the numbers, not just on convenience.
How much is gastric sleeve or skin removal surgery in Australia?
Without private health insurance a gastric sleeve in a private hospital commonly costs well into the tens of thousands of dollars all in; with hospital cover that includes bariatric surgery the gap is often a few thousand. Skin removal after weight loss ranges from a tummy tuck at roughly $10,000 to $20,000 up to a full body lift well above that, with Medicare contributing in some cases. See weight loss skin removal and Medicare and private health for post weight loss surgery. Size your super application on the itemised quote, not a web estimate.
What can get an application refused?
Reports that do not state the test clearly, a missing or vague quote, or a procedure the ATO sees as cosmetic. Separately, your surgeon decides whether you are a candidate for gastric sleeve at all (BMI, health conditions, past abdominal surgery and readiness for the diet changes), so get that assessment first and apply once surgery is confirmed.