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Private Billing Update July 2022

Dear Patients

Like many, we are frustrated by the inadequate funding of medicare. The rebate provided to you by the government is no longer sustaining medical practices in Australia. For a standard GP consultation the medicare rebate is less than half the recommended fee from the Australian Medical Association. It is set to be increased by only sixty five cents on July 1st. This does not come close to covering the increased costs the practice faces with inflation over 5%.

We are saddened that we are now forced to charge a gap fee to most patients. We feel conflicted about this and are still finalising the details. We expect to introduce these changes on the 1st of August 2022.

We share your frustration at these changes and are concerned about our patient’s ability to access care when they are unwell. The only alternative leads down a path that ends with the practice closing.

We encourage those who share our frustration to get in contact with local representatives to push for change to the current inadequate medicare rebate.

We will publish the details of the changes in the coming weeks.

Yours faithfully,

Nelson Plaza Management

New Billing Policy from 12th July 2021 

Dear Patients

Today, our goal at Nelson Plaza Clinic is the same as when we opened in 2010, to provide the highest quality healthcare with a focus on preventative health and chronic disease management.

To sustain and build on what we have achieved so far, we must be able to recruit and retain the highest quality GPs, Nurses and Admin staff. Unfortunately, the government’s neglect of Medicare and failure to maintain the rebates for GP services means that Nelson Plaza has been forced to introduce private billing from next month.

Some patients will continue to be bulk-billed for all consultations, including:

  • Aboriginal and Torres Strait Islander Patients
  • Children 15 years and under
  • Centrelink healthcare cardholders
  • DVA gold card

Some services will continue to be bulk-billed for all patients, including:

  • Chronic disease management (for eligible patients)
  • Health assessments (for eligible patients)
  • Skin cancer excisions
  • Flu vaccinations
  • COVID-19 vaccinations

On 12th July 2021, standard GP consultations for patients other than the exceptions above will attract a private fee as follows:

Consultation

Fee

Gap fee to patient

Short

$52.90

$35

Standard

$74.10

$35

Long

$110.75

$35

Prolonged

$146.50

$35

We recognise that this will be a challenge for some of our patients, and we share your frustration that the government has refused to increase your Medicare rebate to even half of the recommended fees by the Australian Medical Association. However, we will not compromise our patients’ quality of care to postpone the inevitable introduction of fees.

Yours faithfully,

Nelson Plaza Management

Gap Fees for some procedures

Unfortunately, due to the high costs of providing some procedures, Nelson Plaza clinic will be charging a gap fee for some items from 26/04/2021  as follows.

Procedure

Practice fee

Medicare rebate

Out of pocket cost

Biopsy of skin

$85.80

$45.80

$40

Excision of benign lesion (for which there is no medicare item number)

$100 per 15 minutes

$0

$100 per 15 minutes

Implanon insertion

$71.20

$31.20

$40

Implanon removal

$103.30

$53.30

$50

Implanon removal and reinsertion

$133.30

$53.30

$80

Mirena IUD insertion

$146.95

$46.95

$100

Toenail wedge excision

$149.65

$74.65

$75

We regret that medicare rebates do not cover these procedures, and would encourage all patients who share our frustration to contact their government representatives to pursue adequate funding of our health service.

Regards,

Nelson Plaza Management

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