What is bulk billing?

Bulk billing means that the doctor is paid directly by Medicare on behalf of the patient. This means that the amount paid for each medical service is the amount set by the Australian Government. Some consultations, such as occupational health, Workcover consultations, insurance documents, commercial driver’s license medicals and private certifications, are not covered by Medicare and therefore need to be paid for privately without any Medicare rebate.

Why don't you bulk bill everything?

The Government sets the rebate amount available to a patient through the Medicare Benefit Schedule. Unfortunately, the rebate amounts set for medical consults have remained largely unchanged for decades and are insufficient to cover the costs of providing quality medical service.

Billing Policy for One 1Medical

Billing Policy

One 1Medical is a Mixed Billing practice, meaning most consults will incur a fee. The Australian Medical Association fee structure forms the basis of our billing policy.

Our practice delivers the highest level of patient medical care, which includes longer consultations, minimal waiting times and caring staff in a safe, clean and comfortable environment. Unfortunately, these services are not fully covered by Medicare, and therefore a mixed billing policy applies.

We will continue to offer bulk billing to the following patients:

Children 15yo and younger
Pension card holders above the age of 65yo
DVA gold card holders
Work Cover patients with a valid claim number. If you do not yet have a claim number – you will incur a fee which you will need to claim back from work cover once your claim is accepted.

All other patients will incur a fee.

STANDARD CONSULTS = $85
Medicare rebate $42.85
Out of pocket cost to patient $42.15

LONG CONSULTS (3 or more issues in the one consult) = $130
Medicare rebate $82.90
Out of pocket cost to patient $47.10

TELEPHONE CONSULTS (available to patients who have been seen in person in the last 12 months): $85 (out of pocket $42.15)

Prescription ONLY appointments (in person or telehealth. Does NOT apply to NEW patients): $55 (out of pocket $12.15)

Mental Health Care Plan: $150 (out of pocket $28.30)

Antenatal Consults:

Initial: $85 (out of pocket $42.15)

Subsequent antenatal appointments (out of pocket $39.35)

The following appointment types will also be Bulk-billed:

Health Assessments
Care Plans
Immunisation only appointments

We have EFTPOS facilities and accept Mastercard and Visa. Our staff, through our Medicare on-line claiming services, are happy to lodge your Medicare claim enabling instant rebates.

Procedure fees will vary depending on the type of the procedure and its complexity. Prior to arranging any procedure the doctor will discuss the estimated fees and out of pocket expense with the patient.

REPEAT PRESCRIPTIONS, REFERRALS, CERTIFICATES & RESULTS

In order to monitor your health, maintain confidentiality, fulfil our ethical responsibilities and follow Medicare guidelines, we require that you arrange an appointment with your doctor for results, medical certificates, referral letters and repeat prescriptions.

FREQUENTLY ASKED QUESTIONS

What is bulk billing?
Bulk billing means that the doctor is paid directly by Medicare on behalf of the patient. This means that the amount paid for each medical service is the amount set by the Australian Government.

Some consultations, such as occupational health, Workcover consultations, insurance documents, commercial driver’s license medicals and private certifications, are not covered by Medicare and therefore need to be paid for privately without any Medicare rebate.
Why don't you bulk bill everything?
The Government sets the rebate amount available to a patient through the Medicare Benefit Schedule. Unfortunately, the rebate amounts set for medical consults have remained largely unchanged for decades and are insufficient to cover the costs of providing quality medical service.