Payment of accounts
- Paediatric Gastroenterology Victoria does not generally bulk bill.
- After your consultation, your nominated credit/debit card will be charged and an invoice mailed to you.
- Doctors fees: If you are registered for Medicare Online, you will receive the Medicare reimbusement directly into your nominated bank account within 72 hours. If you are not registered for Medicare Online, you will be able to claim your reimbursement from Medicare directly using the invoice you receive.
- A referral is required in order for you to claim the maximum Medicare rebate.
- GP referrals are valid for 12months and specialist referrals for 3months.
- Allied Health fees: You will be able to use the invoice you receive to claim directly from your private health insurance provider (if applicable).
- If you need to change or cancel your appointment, we require at least 24 hours notice so we are able to offer your appointment to another patient. Less than 24hours notice will result in a fee of $50.
Doctor Fees
Doctor’s consultation fees are only reimbursed by Medicare if you have a valid referral and not by private health insurance. Private health insurance policies will cover most of the cost of any procedures that may be required such as gastroscopy and/or colonoscopy.
| Item no. | Fee | Medicare rebate | ||
|---|---|---|---|---|
| Single Issue Consultation |
Initial visit | 110 | up to $280 | $128.30 |
| Single Issue Consultation |
Review visit | 116 | up to $170 | $64.20 |
| Complex Consultation |
Initial visit | 132 | up to $ 395 | $224.35 |
| Complex Consultation |
Review visit | 133 | up to $220 | $112.30 |
If you have a ‘Chronic Disease Management Plan/Enhanced Primary Care Plan’ from your GP, you may be able to claim a rebate from Medicare for your Allied Health consultation fees. Alternatively, Private health insurance ‘extras cover’ generally offer a rebate for allied health consultations, with the amount rebated dependent on your level of extras cover. It is best to contact your private health fund prior to your appointment to determine your out of pocket costs. Otherwise, allied health consultation fees are generally not reimbursed by Medicare.
Dietitian Fees
| Item no. | Fee | Medicare rebate | |
|---|---|---|---|
| Initial Consult – Private | 500 | up to $170 | (Private Health Fund) |
| Initial Consult – MBS | 10954 / 10960 | up to $170 | $52.95 |
| Review Consult – Private | 600 | up to $110 | (Private Health Fund) |
| Review Consult | 10954 / 10960 | up to $110 | $52.95 |
Physiotherapy Continence Consultations Fees
| Item no. | Fee | Medicare rebate | |
|---|---|---|---|
| Initial Consult – Private 1 hour |
9301 | up to $170 | (Private Health Fund) |
| Initial Consult – MBS 1 hour |
10960 | up to $170 | $52.95 |
| Review Consult – Private 30min |
9303 | up to $110 | (Private Health Fund) |
| Review Consult – MBS 30 minutes |
10960 | up to $110 | $52.95 |
Psychology Fees
Psychology fees may be reimbursed by Medicare and/or your private health insurance. The type of medicare plan is be dependant on their GP. Private health insurance rebates are also dependent on policy and extras coverage.
| TABLE INCOMPLETE AND WILL BE UPDATED IN NEXT 1-2 days | ITEM NO | Fee | rebate |
|---|---|---|---|
| Initial Consult 1.5 hours |
80110 | $200 | $84.80 |
| Review Consult 1 hour |
80110 | $150 | $84.80 |
| MBS Initial 1.5 hours |
10968 | $200 | $52.95 |
| MBS Review 1 hour |
10968 | $150 | $52.95 |
| Private Initial 1.5 hours |
P100 | $200 | Depends |
| Private Review 1 hour |
P100 | $150 | Depends |
Please direct any billing enquiries or concerns to: Medical Billing Experts 1300 809 484
Fees will be reviewed every 6-12months.