Premier Medicine Billing Policy

Premier Medicine is a Private Practice. 

We charge the patient directly for all medical services and products.

There is a gap between what is charged to you and the amount Medicare will reimburse. 

For those eligible to claim Medicare rebates for medical services provided we will help the patient claim their rebate by submitting the rebate request on line - when the system allows to do so.

Correct demographic and Medicare details have to be provided to practice in order to do this. 

There are occasions when more than one item of service is provided when Medicare might not allow an on line rebate - in this instance the patient will need to organise this.

Consultation Costs

Consultation costs are dependent upon several factors, including the time taken, the number and complexity of problems presented plus any costs of procedures carried out, equipment and dressings used. Whilst we endeavour to keep costs stable, they may increase from time to time.

The fees and charges below are indicative only of some of the common GP services provided, the associated Medicare codes and potential rebates.

Should you require more detailed information re potential fees and charges, please email us with the details of the likely consultation time, any procedure you are expecting to have and we will reply.

Note:

There are many Medicare Item numbers, your Doctor/Health practitioners can tell you which ones pertain to you.

Medicare has complex rulings with which we have to comply. Your Doctor might not be able to fulfil all services during one consultation on one day. For example, Items 721 & 723 are always charged together on the same day, but NO other Medicare service can be offered to the patient on that day to be eligible for the Medicare rebate.

The Medicare Safety Net kicks in once you spend a certain amount on out-patient healthcare and gives you a larger government rebate.

The Original Medicare Safety Net (OMSN) works in conjunction with the Extended Medicare Safety Net (EMSN). Under the OMSN, once the annual threshold is reached, Medicare benefits increase to 100 per cent of the Medicare Benefits Schedule (MBS) Fee for all out-of-hospital services for the rest of the calendar year. Only the ‘gap amount’ counts towards the OMSN threshold. The ‘gap amount’ is the difference between the Medicare rebate and the MBS Fee. The OMSN is calculated prior to the EMSN.

 

The OMSN threshold is indexed by the Consumer Price Index (CPI) on 1 January each year. From 1 January 2022 the annual OMSN threshold is $495.60.

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