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Insulin Pumps subsidy for young people with Type 1 Diabetes 101-03040000



This document outlines the process for Centrelink staff when considering applying the Insulin Pump subsidy for young people with Type 1 Diabetes.

Type 1 Diabetes Insulin Pump Program

The Australian Government's Insulin Pump Program provides subsidies to low income families who have children with Type 1 diabetes. The Program aims to improve access and affordability of insulin pumps for families with low income who have a child or young adult under the age of 21 years with Type 1 diabetes and do not have access to other means of reimbursement, such as private health insurance. Program recipients receive their pumps fully subsidised by the Program. No payments are made to the applicants or the recipients.

The Insulin Pump Program was announced in the 2008-09 Federal Budget. Breakthrough T1D administers the Program on behalf of the Department of Health and Aged Care, including assessment and approval of applications for subsidies.

Centrelink's role is to provide a Q999 Insulin pump subsidy for young people with Type 1 Diabetes​​ letter to the insulin pump recipient or the recipient's parent/partner/carer to confirm relevant details.

Service Officers who receive enquiries about the Insulin Pump Program that are not covered in this procedure can direct the customer to contact Breakthrough T1D.

Eligibility

To be eligible for the Insulin Pump Program, the:

  • claimant, must:
  • recipient, must:
    • be under 21 years of age on the date of application
    • hold or be listed on a current Medicare card, and
    • have Type 1 diabetes and an endocrinologist or a specialist physician has assessed the child to benefit from insulin pump therapy

The annual income limit is based on the amount above which FTB Part A will stop, not including the Energy Supplement, based on the age and number of children. See Income limits at which FTB Part A, may not be paid ($p.a.) without Energy Supplement.

Claimants are required to supply one of the following to confirm their income eligibility:

The Centrelink customer must receive one of the following payments:

  • Disability Support Pension (DSP)
  • Youth Allowance (YA)
  • ABSTUDY
  • Carer Payment (CP)
  • Special Benefit (SpB)
  • Parenting Payment (PP)
  • Double Orphan Pension (DOP)
  • FTB Part A
  • FTB Part A child in an Approved Care Organisation (ACO)

ACOs are also eligible to claim the subsidy for youths in their care who meet the above criteria.

The above payment list is in hierarchical order. The letter should provide details about the highest-ranked payment the customer receives. Check the list before providing the letter.

The Resources page contains questions and answers (FAQ) about the Insulin Pump Program, including the required text for the Q999 letter.