Billing Policy
At One 1Medical, our mission has always been to provide high-quality, evidence-based healthcare delivered with compassion, time, and attention. From 1 December 2025, our consultation fees will be updated to reflect the increasing cost of this type of care.
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.
In addition, certain patients that may have previously been bulk billed will now incur a fee. Please see below.
| Type of Consult | Total Fee | Medicare Rebate | Out-of-Pocket Cost |
|---|---|---|---|
| Standard (max 2 issues) | $95 | $43.90 | $51.50 |
| Subsidised Standard (Pension 65-69 yrs) | $80 | $43.90 | $36.10 |
| Long (3-4 issues) | $150 | $84.90 | $65.10 |
| Telehealth (eligible patients) | $95 | $43.90 | $51.10 |
| Prescription-Only (existing patients) | $70 | $42.85 | $27.15 |
| Mental Health Care Plan | $170 | $106.20 | $63.80 |
| Antenatal - Initial | $95 | $43.90 | $51.10 |
| Antenatal - Subsequent | $95 | $55 | $40 |
Subsidised Rates:
- Pension card holders aged 65 – 69 years will qualify for a reduced “subsidised” fee on standard consults:
Standard consult: Total fee: $80, Medicare rebate: $43.90, Out-of-pocket: $36.10
Skin Checks:
- Skin check appointments are dedicated appointments and cannot be combined with other issues, including results.
Total fee: $150, Medicare rebate: $84.90, Out-of-pocket: $65.10
Bulk Billing will continue to be offered to:
- Children 12 years and under Pension card holders aged 70 and over
- Existing patients with DVA Gold Cards (New DVA Gold patients will incur standard fees)
- WorkCover patients with a valid claim number
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 billing policy Dr Shayan Tai Doctor Shay Ta'i One 1Medical Southport Australia
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.
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