Consultation Fees from 1 July 2024


Consultation

Duration

Up Front Fee

Medicare Rebate

Out-of-pocket Cost

Out-of-pocket cost if you have reached the EMSN

Brief

0 – 6 min.

$45.00

$19.61

$25.39

$5.08

Standard

6 – 20 min.

$95.00

$42.86

$52.14

$10.43

Long

21 – 40 min.

$155.00

$82.90

$72.10

$14.42

Extended

40 – 60 min.

$225.00

$122.13

$102.87

$20.57

Complex

60 + min.

$295.00

$197.89

$97.11

$19.42

Mental Health Treatment Plan

-

$180.00

$103.70

$76.30

$15.26

Chronic Disease Management Plan

-

$370.00

$294.60

$75.40

$15.08

Fees policy

Fees apply for all face-to-face and Telehealth consultations and are payable at the time of your appointment.

Most fees are based on the duration of your consultation and the complexity of presenting issues. Fees for the preparation of Mental Health Treatment Plans and Chronic Disease Management Plans, Health Assessments or procedures are service based.

If you are experiencing financial difficulty, please discuss this with your doctor at the time of your appointment. Discounted fees are available. 

If you have extenuating circumstances and cannot afford an out-of-pocket cost at all, your doctor may elect to directly bill Medicare for the consultation (“bulk bill”). This means your Medicare rebate is paid directly to your doctor who accepts this discounted amount as full payment for your consultation.

Please note, bulk billing is not offered on the weekend - private fees apply for Saturday consultations.

Fees for consultations between 7:30am - 8:00am

Appointments held between 7:30am and 8:00am are considered by Medicare to be an ‘After-hours’ service and therefore incur a higher fee and Medicare rebate.

The Out-of-pocket Cost for these consultations is comparable or less than the equivalent, consultations held after 8am.

Payment of fees

Face-to-face consultations

Payment can be made at reception via Eftpos, Visa or MasterCard or cash.

Medicare claims can be processed on-the-spot, and paid to a physical EFTPOS (savings or debit) card or sent to the bank account registered with Medicare overnight.

Telehealth consultations 

Once you have completed your Telehealth consultation, please call reception to make payment over the phone. Your Medicare claim will be sent to the bank account registered with Medicare. Payments to your bank account are usually available the next working day.

If you have stored your credit card token for future payments, this will be used to pay for the services provided and your claim will be sent to Medicare on your behalf. 

If we cannot get in touch with you via telephone after your appointment you will be sent a secure link from AutoMed via text message to pay. 

If payment is made outside of business hours, our staff will be unable to send your claim to Medicare. You will need to complete this yourself, with your online Medicare account or using the Express Plus Medicare mobile app.

Payments made online 

Payment made via this method, will incur a 1.80% surcharge fee.

Your card is securely tokenised and your card details are not visible to AutoMed Systems or the practice. You can consent for the token to be used for future payments at the clinic, as well as payments for any outstanding invoices that relate to clinical services provided at the practice.
The financial processing and tokenisation is completed by Tyro Payment Solutions and is PCI compliant.

Rebatable services

You are only eligible for a Medicare rebate if you have a consultation with your GP either face-to-face or via Telehealth video / telephone. Full private fees are payable for repeat script and referrals requests made through our website or via reception.

Likewise, your GP cannot bill Medicare items for work done on your behalf (e.g., forms or reports) when you are not present (face-to-face or Telehealth) at the time the work is conducted. This also applies for consultations for a child, when they are not present. 

Patients who have not visited the practice for a face-to-face service in the last 12 months are not eligible to receive a Medicare rebate for Telehealth services. If you choose to proceed with a Telehealth appointment, you will be charged a full out-of-pocket private fee. Your next appointment must be in person, for the 12-month rule to re-set.

The Extended Medicare Safety Net

We recommended that all patients register with Medicare as a family or couple so that your out-of-pocket costs are counted together towards the Extended Medicare Safety Net thresholds and the PBS Safety Net thresholds.

If registered, the EMSN Out-of-pocket Cost is the amount your visit to the GP costs you once you and your partner or family have spent over the Extended Medicare Safety Net threshold amount. Any out-of-pocket cost for any Medicare service (including imaging and pathology) will count towards the threshold.

For example, once you have reached the threshold, you will pay a private fee of $95.00 and receive a Medicare rebate of $42.86 + 80% of the gap. Your total out-of-pocket cost is $10.43.

The threshold is calculated over the calendar year (1 January to 31 December) and re-sets on the 1st of January. You can monitor how much you have spent to date, and when you are likely to reach the threshold by using the Express Plus Medicare mobile app.

Received a cheque from Medicare made out to your GP?

If you have received a cheque from Medicare made out to your GP, it is for one of the following reasons:

  • Medicare EasyClaim or Patient Claiming may have been offline at the time of processing
  • Your bank account details attached to your Medicare card may be wrong or incomplete

What do you need to do? 

Contact Medicare and inform them that your account was paid in full, and the rebate is owing to you not the doctor.

In the case you do not contact Medicare, after 90-days the cheque will be cancelled and your Medicare rebate paid into the doctors bank account.

How do I get my Medicare rebate if this occurs?

The practice will receive a notification from Medicare that the cheque has been cancelled, and your rebate has been paid to the doctor.

We will call you, and ask for your bank account details so the GP can provide you a refund of the Medicare rebate.