Fees & Billing
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Update 1st August 2024
SCHEDULE OF FEES
|
Standard Consults and Telehealth Fees |
|||
|
Consult Time |
Full Fee Rate |
Out of Pocket Cost |
Rebate to you from Medicare |
|
Standard Consultation |
$94.00 |
$51.15 |
$42.85 |
|
Long Consultation |
$148.00 |
$65.10 |
$82.90 |
|
Prolonged Consultation |
$188.00 |
$65.85 |
$122.15 |
Some procedures will still incur an extra fee such as Biopsies, Minor surgeries, Mental Health Plans, Implanon, Mirena, Iron Infusions etc.
BULK BILLING is available for the following:
- Aboriginal and Torres Strait Islanders.
- Centrelink Concession Card holders.
- Healthcare Card holders.
- Commonwealth Seniors Card holders
- Children 15 years and under
- DVA Gold Card holders
- Chronic Disease Management Plan Preparation or Review consultations
- Over 75-year-old Health Assessments (often done annually with your driver licence medical)
A valid concession card must be produced on arrival, if not valid or unable to produce, a standard consultation fee will be charged.
WORKCOVER /THIRD PARTY CLAIMS INSURANCE
Consultations with your GP for Workcover certificates, are payable at the time of the consultation by the patient.
All other invoices for Workcover will be forwarded directly to the Workcover Insurance company.
As of 1st August 2024
Fees for Procedures
|
PROCEDURE |
ITEM NUMBER |
PRACTICE FEE |
|
BIOPSY OF SKIN |
30071 |
$95 |
|
EXCISION OF BENIGN LESION (NO MEDICARE REBATE) |
Private Excision |
$100.00 per 15 min |
|
IMPLANON INSERTION |
14206 |
$95 |
|
IMPLANON REMOVAL |
30062 |
$115 |
|
IMPLANON REPLACEMENT |
30062 |
$148 |
|
MIRENA IUD INSERTION |
35503 |
$200 |
|
TOENAIL WEDGE EXCISION – PARTIAL |
47916 |
$215 |
|
TOENAIL WEDGE RESECTION – FULL |
47915 |
$215 |
|
IRON INFUSION |
23 |
Private $175 Concession $117 |
|
VENESECTION |
13757 |
Private $134 Concession $109 |
Fees for Mental Health Consultations
|
MENTAL HEALTH |
ITEM NUMBER |
PRACTICE FEE |
|
Mental Health Plan 20-30 min without skills training |
2700 |
Private $155 Concession $130 |
|
Mental Health Plan 40+ min without skills training |
2701 |
Private $199 Concession $174 |
|
Review of Mental Health Plan |
2712 92126 |
Private $134 Concession $108 |
|
Mental Health Consultation |
2713 92127 |
Private $134 Concession $108 |
|
Mental Health Plan With skills training 20-30 min |
2715 |
Private $155 Concession $130 |
|
Mental Health Plan With skills training 40+ min |
2717 |
Private $199 Concession $174 |
Fees for non-attendance
A fee will be charged for appointments that are not attended and not cancelled.
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
