Medicare - Eligibility - Health Professionals 012-42000000
Expand allThis document outlines information regarding the eligibility and registration of health professionals for Medicare services.
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
Provider registration Coronavirus (COVID-19) response
Allied health and non-medical health professional registrations for Medicare
Vocational recognition of medical practitioners for Medicare
3GA placements and programs for medical practitioners for Medicare
Provider eligibility for R-type diagnostic imaging services for Medicare
Nurse practitioner and midwife access to Schedule of Pharmaceutical Benefits (the PBS Schedule)
Section 19(2) and 19(5) directions
Track and scale of eligible medical practitioners