Since the practice opened in 1998 a discount of up to 50 percent off the normal fee has been given to pensioners.
Aged pensioners now make up a significant proportion of the practice. This, combined with rising practice costs means that we can no longer continue to provide this significant reduction. However, aged pensioners will receive a 20 to 25 percent reduction off our normal fees.
Aged pensioners, once you (or you and your partner combined) are $578.00 out of pocket for out-of-hospital services for the calendar year, then you will receive 80 percent of your bill back from Medicare (eg total bill $350.00 you will receive $280.00 back from Medicare so you are $70.00 out of pocket). This is with the Medicare Safety Net.
MEDICARE SAFETY NET THRESHOLDS AS AT 1ST JANUARY 2011
|Who it is for
|How it is calculated
|What the benefit is
|Out of pocket
|80% of out of pocket costs for out of hospital services
|Concession and FTB(A)
|Cardholders and families eligible for FTB (A)
|Out of pocket costs – The difference between the Medicare benefit and what your doctor charges you.
What are the benefits for me?
Once you reach a Medicare Safety Net threshold visiting a doctor of having tests may cost you less.
What services are covered?
The Medicare Safety Net covers a range of doctor visits and tests covered by the MBS that you receive out-of-hospital.
Some examples of services where costs count towards the Medicare Safety Net are:
GP and Specialist consultations * Blood tests * CT scans * Pap smears * Psychiatry * Radiotherapy * Tissue biopsies * Ultrasounds *X-rays
Who needs to register?
Individuals – do not need to register for the Medicare Safety Net. Just keep your contact details up to date with Medicare Australia.
Couples and families – need to register for the Medicare Safety Net, even if all of your family members are listed on your Medicare card.
- Each family member needs to be identified so their medical costs can be counted towards your family’s Medicare Safety Net
- You only need to register once
- Registration is free
How do I register?
- Online through Medicare Online Services. If you are not already for registered online services, register now.
- Fill in the online Medicare Safety Net – Couples and families registration form
- Call 132011
- Visit your local Medicare Office
- Download a Medicare Safety Net Couples and Families Registration and Amendment form (PDF< 151Kb)
How to claim?
If you pay your doctor in full and then claim your Medicare benefit, Medicare will:
- Automatically keep a tally of your medical expenses for you
- Write to you when you are nearing a threshold
- If you claim from Medicare Australia before paying your Doctor:
*Medicare will send you a cheque payable to the doctor, which you take to your doctor along with any outstanding balance you owe
*take your receipts to Medicare Australia as proof of payment (that is your receipt and Medicare Statement) and Medicare will keep a tally of your expenses for you
- Contact you when you are nearing a threshold and may ask you to substantiate any unpaid claims
- Once you reach a threshold, all further out-of-hospital claims you make for that calendar year may automatically attract a higher benefit