Medicare Safety Net thresholds 011-43080100

Safety Net

Threshold 2024

Who is eligible

Benefit

Historical threshold

Original (Gap)

$560.40

All Medicare card holders

100% of the schedule fee.

2023 - $531.70

2022 - $495.60

Extended Family Tax Benefit (FTB) Part A

$811.80

Families eligible for FTB Part A

80% of OOP expenses or the Extended Medicare Safety Net (EMSN) benefit cap.

2023 - $770.30

2022 - $717.90

Extended Concessional

$811.80

Commonwealth concession card holders

80% of OOP expenses or the EMSN benefit cap.

2023 - $770.30

2022 - $717.90

Extended General

$2,544.30

All Medicare card holders

80% of OOP expenses over the threshold amount or the EMSN benefit cap.

2023 - $2,414.00

2022 - $2,249.80

Customer

Letter type

Function

Individuals

Letter A

Auto generated and sent once to individuals who are approaching a Safety Net threshold. This letter lists unverified services.

Individuals

Letter B

Auto generated and sent to individuals who have reached the Safety Net threshold with verified services. This letter lists unverified services over the threshold and is sent each time a person claims until they verify the services.

Families

Letter F

Auto generated and sent to the family contact when the registered family approaches a Safety Net threshold advising them to confirm the composition of the family in writing or over the phone.

Families

Letter U

Customers can request a listing of unverified services. This letter lists unverified services.

This letter can be requested by the Service Officer in CDMS Medicare Safety Net Programme.

Note: individual statements will be sent to persons over 14 years of age.