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Medicare Safety Net For Pensioners

Since the practice opened in 1998 a discount of up to 50 percent off the normal fee has been given to pensioners.

Aged pensioners now make up a significant proportion of the practice. This, combined with rising practice costs means that we can no longer continue to provide this significant reduction.  However, aged pensioners will receive a 20 to 25 percent reduction off our normal fees.

Important information:

Aged pensioners, once you (or you and your partner combined) are $578.00 out of pocket for out-of-hospital services for the calendar year, then you will receive 80 percent of your bill back from Medicare (eg total bill $350.00 you will receive $280.00 back from Medicare so you are $70.00 out of pocket). This is with the Medicare Safety Net.

MEDICARE SAFETY NET THRESHOLDS AS AT 1ST JANUARY 2011

Threshold
Amount
Who it is for How it is calculated What the benefit is
Extended Concession Out of pocket
costs
80% of out of pocket costs for out of hospital services
Concession and FTB(A) $578.60 Cardholders and families eligible for FTB (A)
 Out of pocket costs – The difference between the Medicare benefit and what your doctor charges you.


What are the benefits for me?

Once you reach a Medicare Safety Net threshold visiting a doctor of having tests may cost you less.

What services are covered?

The Medicare Safety Net covers a range of doctor visits and tests covered by the MBS that you receive out-of-hospital.

Some examples of services where costs count towards the Medicare Safety Net are:

GP and Specialist consultations * Blood tests * CT scans * Pap smears * Psychiatry * Radiotherapy * Tissue biopsies * Ultrasounds *X-rays

Who needs to register?

Individuals – do not need to register for the Medicare Safety Net. Just keep your contact details up to date with Medicare Australia.

Couples and families – need to register for the Medicare Safety Net, even if all of your family members are listed on your Medicare card.

  • Each family member needs to be identified so their medical costs can be counted towards your family’s Medicare Safety Net
  • You only need to register once
  • Registration is free

How do I register?

How to claim?

If you pay your doctor in full and then claim your Medicare benefit, Medicare will:

  • Automatically keep a tally of your medical expenses for you
  • Write to you when you are nearing a threshold
  • If you claim from Medicare Australia before paying your Doctor:
    *Medicare will send you a cheque payable to the doctor, which you take to your doctor along with any outstanding balance you owe
    *take your receipts to Medicare Australia as proof of payment (that is your receipt and Medicare Statement) and Medicare will keep a tally of your expenses for you
  • Contact you when you are nearing a threshold and may ask you to substantiate any unpaid claims
  • Once you reach a threshold, all further out-of-hospital claims you make for that calendar year may automatically attract a higher benefit

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Drummoyne Dermatology is a long established and well regarded dynamic dermatology centre which has provided state-of-the-art dermatology care in Sydney for over a decade. Our expertise is in the early detection and treatment of skin cancer and in the accurate diagnosis and optimal management of other diseases of the skin.
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