Fees & Medicare Rebate

Understanding fees and Medicare rebates

Tiarna’s fees are so she can deliver the highest quality, personalised health care and are in line with the Australian Medical Association (AMA) recommended schedule of fees.

Payment is required on the day of consultation.

In-rooms procedures such as IUD insertion and colposcopy may involve additional fees, most of which is rebated by Medicare.

Please contact Tiarna’s rooms for an updated list of her fees

Surgical procedures
Some procedures have out of pocket costs or “gaps”, however some are performed under a “no gap” arrangement. The costs vary depending on the procedure type and your fund’s rebate schedule. We will provide a fee estimate prior to all elective procedures. You should also factor in the cost of your hospital excess (the price depends on your individual policy) and occasionally small out of pocket charges for pathology or diagnostic imaging.

Anaesthetic fees are separate and we will arrange a quote on your behalf.

Medicare Claiming
Medicare rebates apply for outpatient services and both Medicare and private health fund rebates apply to inpatient (hospital admitted) episodes.

In order to receive benefits from Medicare, make sure you have a valid GP referral and that you have linked your bank account details to your Medicare online account. Medicare stopped issuing benefit cheques on the 1st of July 2016 so if you haven’t linked your bank account, you won’t get your refund!

Note: Medicare will only reimburse 85% of the MBS (Medicare Benefit Schedule) fee for a specialist consultation and 75% of in-hospital care. Sadly, the rebates (and schedule fees) lag well behind the cost of providing quality healthcare.

Private health insurance and out of pocket fees
Private health insurance does not cover you for outpatient services but will reimburse you at least the remaining 25% of the MBS benefit for inpatient episodes. Some funds include gap cover and will pay the entire difference between the specialist’s fees and what Medicare will cover. You will need to check with your individual fund to find out if this applies to you, or if you will still have an out of pocket charge for in-hospital care.

Medicare Safety Net
Once you have reached the threshold amounts in gap payments (the gap between Medicare benefit and schedule fee) for a given calendar year, your rebates will automatically increase to a higher level. The Extended Medicare Safety Net covers outpatient visits, blood tests, ultrasound scans and other services. For more information, refer to:
humanservices.gov.au/customer/services/medicare/medicare-safety-net