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Medicare - Programs and services - Health Professionals 012-41000000



This document outlines information regarding Medicare programs and services for health professionals.

Government intent

Services Australia administers Medicare on behalf of the Department of Health and Aged Care, who is responsible for developing Medicare policy.

Services Australia pays Medicare benefits in accordance with legislation governing Medicare and has no discretion to pay benefits outside of this legislation.

The Medicare Benefits Schedule (MBS) is a Department of Health and Aged Care publication that lists services that are subsidised by the Australian Government under Medicare.

Medicare usually covers:

  • Free or subsidised treatment by health professionals such as doctors, specialists, optometrists and in specific circumstances dentists and other allied health practitioners
  • Free treatment and accommodation as a public Medicare patient in a public hospital
  • 75% of the Medicare Schedule fee for services and procedures if a person is a private patient in a public or private hospital. This does not include hospital accommodation and items such as theatre fees and medicines
  • Some health care services in certain countries

Contents

90 Day Pay Doctor Cheque Scheme

Eligibility and Location Specific Practice Number (LSPN) registration for Diagnostic Imaging (DI) and Radiation Oncology (RO)

Telehealth for Medicare

Cleft and craniofacial conditions in Medicare

Medicare Urgent Care Clinics

MyMedicare program

General Practitioner Respiratory Clinics (GPRC)