Practice Billing Policy Changes
Effective from: 5 December 2022
From 5th December 2022, the practice billing policy is changing. Routinely all patients will have a private fee for a GP consultation.
Concession card holders will be required to pay a reduced out of pocket fee.
As a local community minded general practice, making this decision was extremely difficult. We have always believed that cost should not be a barrier for access to medical services. Unfortunately, with the continuous increases in costs of operating a business and the minor increases to Medicare rebates, bulk billing is no longer sustainable.
Exceptions:
- Children under 16 years old – bulk billed
- DVA Card holders – bulk billed
- Individuals 16 – 18 years old billed at concession rate
- Appointments for Health Assessments (within Medicare criteria) are bulk billed
- Eligible Chronic Disease Management Plan appointments are bulk billed – up to four times per year (every 3 months).
N.B. All Fees are payable at the time of consultation. Medicare rebates are processed same day.
Concession Card Holders
Out of pocket costs will apply for concession card holders
|
Consultation Type |
Fee |
Medicare Rebate |
Out of Pocket |
|
Standard |
$64.75 |
$39.75 |
$25 |
|
*Standard-prolonged |
$101.95 |
$76.95 |
$25 |
|
**Long (double) |
$126.95 |
$76.95 |
$50 |
|
**Extended (triple) |
$188.20 |
$113.20 |
$75 |
|
**Telehealth |
$64.75 |
$39.75 |
$25 |
Private / non concession / Full Fee
Fee increase as of 5/12/2022
|
Consultation Type |
Fee |
Medicare Rebate |
Out of Pocket |
|
Standard |
$84.75 |
$39.75 |
$45 |
|
*Standard-prolonged |
$121.95 |
$76.95 |
$45 |
|
**Long (double) |
$166.95 |
$76.95 |
$95 |
|
**Extended (triple) |
$248.20 |
$113.20 |
$135 |
|
**Telehealth |
$84.75 |
$39.75 |
$45 |
*Standard consults that go longer than anticipated will be charged at the ‘standard-prolonged’ rate. Whilst the upfront fee is increased, the out of pocket cost is the same.
** Long, Extended and Telehealth consultation booking availability is subject to the discretion of the treating practitioner.
Out of pocket fees are reduced (higher rebate) if you reach the Medicare safety net. For more information on Medicare safety nets refer to Services Australia.
This statement from the Australian Society of General Practice clearly shows the growing divide between Medicare and CPI.
Allied Health
- Medicare rebates may apply to allied health appointments with a valid management plan and referral from your GP.
- Private Health Fund rebates available
Physiotherapy
- Initial: $145
- Long review: $120
- Standard review: $95
Osteopathy:
- Initial: $145
- Review: $95
Naturopathy
- Initial consult (60mins) $180
- Standard follow-up consult (60mins): $160
- Short follow-up consult (30mins): $130
Medical Services Billing and Fees
*Please note our fees below are effective from 1st July 2022.
Doctors appointments for General Medicine are bulk billed for pensioners, health care card holders, children under 16 and DVA card holders. If you do not have any of the above concessions, accounts are payable on the day. You may be bulk billed at the doctors discretion and for Health Care Plans.
All skin checks are charged privately and have out of pocket costs. Refer below for skin clinic pricing.
Workcover appointments are invoiced to workcover. You may need to pay for your initial workcover appointment until you have a claim number, this will be reimbursed by workcover once the claim is accepted.
Some procedures at the practice have out of pocket fees. Fees will be discussed prior to the procedure being undertaken. These include any Intravenous, Surgical and Nursing procedures.
Missed appointments are billed at $35. No further appointments can be made at the practice if you have outstanding accounts.
Please ensure that you bring your Medicare card and health care card with you to every appointment.
*Please note our fees below are effective from 1st July 2022.
- Standard consultation <20mins $70 (Medicare rebate $39.75, out of pocket $30.25)
- Long consultation >20mins $110 (Medicare rebate $76.95, out of pocket $33.05)
- Extended consultation >40mins $140 (Medicare rebate $113.30, out of pocket $26.70)
- Cervical screening dependent on length of consultation
You will be required to pay for your consultation in full. If Medicare has your bank account details the rebate will be credited to your nominated account within 24 – 48 hours.
Dr Dunstan Thompson and Dr Annette Beisenherz
- Short skin check $80 rebate $39.75
- Long skin check $120 rebate $76.95
Out of pocket fees may apply for surgical excisions. Concession card holder and over 65 years old are eligible for decreased fees for procedures.
Dr Michael Stapelberg
- Short skin check $95 rebate $39.75
- Long skin check $135 rebate $76.95
Out of pocket fees may apply for surgical excisions. Over 70 years old are eligible for decreased fees for procedures.
Allied Health Billing and Fees
*Please note our fees below are effective from 1st February 2021.
Egbert Weber, Matthew Fourro
Consultation prices
- Initial consultation $135 (Medicare rebate $56.00 with a Doctor referral may apply)
- Follow up consultation $88 (Medicare rebate $56.00 with a Doctor referral may apply)
- Focused short consultation $60 (Medicare rebate with a Doctor referral may apply)
Toby Mills
Consultation prices
- Initial consultation$135 (Medicare rebate $56 with a Doctor referral may apply)
- Follow up consultation$95 (Medicare rebate $56 with a Doctor referral may apply)
Betty McKew
Consultation prices
- Initial consultation$95 (Medicare rebate $56 with a Doctor referral may apply)
- Follow up consultation$95 (Medicare rebate $56 with a Doctor referral may apply)
Consultation prices
- Initial consultation 60min $150
- Short follow up consultation 30min $100
- Long follow up consultation 60min $130
*Private health fund rebates available for Nutrition consults only (please consult with your private health fund to see if eligible and let the reception know when booking).
*Concession card discounts available upon request.
Peter Farrell
Consultation prices
- Initial or long consultation (up to 1 hour) $120 (Medicare rebate $56.00 with a Doctor referral)
- Review consultation (up to 30 minutes) $80 (Medicare rebate $56.00 with a Doctor referral)
Anjana Narsai
Consultation prices
- Initial consultation 60mins $120 (Medicare rebate $56 with a Doctor referral)
- Follow up consultation $75 (Medicare rebate $56 with a Doctor referral)
Consultation prices
- Initial & follow-up consultation up to 45mins $80 (Medicare rebate $56.00 with a Doctor referral)
Consultation prices
- Initial consultation 60mins $95 (Medicare rebate $56.00 with a Doctor referral)
- Follow up consultation $80 (Medicare rebate $56.00 with a Doctor referral)
- Additional fees may apply. These will be discussed at time of appointment if applicable.
Consultation prices
- Initial and review consultations $140 (Medicare rebate $56 with a Doctor referral)
Consultation $80 – $230
Consultation Prices
Psychologist
Carl Moore = $120
Medicare rebate = $89.65
—————–
Psychologist
Sandra Lunbergs = $140
Concession rate = $120
Medicare rebate = $88.25
—————–
Psychologist
Kate Mutimer = $180
Medicare rebate = $89.65
—————–
Clinical Psychologist
Claudia Michels = $164
Concession $149
Medicare rebate =$131.65
—————–
Social worker
Sally Gluckstern = $110
Medicare rebate = $79.05
Patients with a chronic condition referred through a Team Care Arrangement from a GP are eligible for a Medicare rebate of $56.00 on Osteopathy, Physiotherapy, Podiatry, Exercise Physiologist and Dietitian appointments, up to a certain number of visits. Medicare rebates are also available for Psychologist appointments with a Mental Health Care Plan.
We can also process private health fund rebates directly via HICAPS. Please check with your health fund insurer as to what is covered by your plan.