Mixed Billing Explained

Changes to our Billing Structure:

From the 22nd of August 2022, Inala Primary Care will become a Mixed Billing Practice. Our fees reflect the time taken and the degree of complexity of each consultation. This means you may have some out-of-pocket costs associated with your GP attendances/services. The introduction of Mixed billing means we will have both private billing and bulk billing options at our clinic.

Unfortunately, we are no longer able to sustain 100% bulk billing as the amount set by the Government does not cover the cost of providing a high-quality medical service.

We have done our very best to keep costs as low as possible so we can continue to be an accessible provider for our valued patients. The Australian Medical Association (AMA) recommended rate for a consultation of less than 20 minutes is $84.00. Under our new mixed billing policy, the out-of-pocket cost for a standard appointment is $27, which is still considerably less than AMA recommendations.

Information included below:

  1. Changes to our Billing structure
  2. What is Bulk Billing
  3. What is mixed-billing?
  4. Why is change necessary?
  5. Who is eligible for Bulk Billing?
  6. Failure to Attend Your Appointment
  7. Saturday Appointments
  8. How Can I make my payment?
  9. Telehealth Appointments
  10. Fees & Payment – Please click HERE for a list of all applicable fees.

1. Changes to our Billing Structure:

From August 2022, Inala Primary Care will become a Mixed Billing Practice. Our fees reflect the time taken and the degree of complexity of each consultation. This means you may have some out-of-pocket costs associated with your GP attendances/services. The introduction of Mixed billing means we will have both private billing and bulk billing options at our clinic.

2. 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, and there is no additional payment required

3. What is Mixed Billing?

Mixed billing is a fee set by the practice to bridge the gap between what the government subsidises and the costs of delivering care

4.Why is change necessary?

Our practice delivers a high level of patient medical care, which includes longer consultations, minimal waiting times with your doctor of your choice. Unfortunately, these services are not fully covered by Medicare, and therefore we have had to introduce a mixed billing policy to our practice. Patients are required to pay the fee on the day of your consultation, and for your convenience, your Medicare rebate (if applicable) is processed immediately back into your bank account at the time of payment.

5. Who is Eligible for Bulk Billing?

Bulk Billing is available to the following patient groups for general consultation types from Monday-Friday:

• Children under 16 years of age
• Health Care Card Holders
• Pension Card Holders
• Defence Veteran Card Holders

Government funded vaccines, Health Assessments, Diabetes Reviews & Care Plans will remain Bulk-Billed for All patients.

Please note:

You must hold a valid Medicare Card at the time of your appointment to be Bulk Billed.
There may be some out-of-pocket fees for additional services/and or procedures. Please check with reception at the time of booking.

6. Failure to Attend Your Appointment

Failure to attend your appointment without notice will result in a $20 fee, this will need to be paid before your next appointment can be booked. We require a minimum of four hours’ notice if you are unable to attend an appointment so that we may offer your appointment to another patient in need. Repeat offenders may be declined appointment opportunities in the future.

You may give notice by calling the practice on 07 3275 5444 or speaking directly with reception.

7. Saturday Appointments

Bulk Billing is not available for Saturday appointments. All Saturday consultations will incur an out-of-pocket fee of $35.

8. How Can I make my payment?

We are a cashless practice and do not carry any cash on the premises. You can make your payment method via Eftpos or Credit Card (excluding American Express) and for your convenience, we will process your refund on the spot. This means you will need to have the full fee amount in your bank account or credit card at the time of payment.

For example:

If you have a standard consultation you will need to have $66.75 in funds available at the time of processing. The Medicare rebate of $39.75 will be processed instantly, leaving you with an out-of-pocket cost of $27. If you do not have the full fee amount available in funds, your electronic payment will not be able to be processed.

9. Telehealth Appointments

Telehealth Consultations (available only to patients who have previously attended the practice in the past 12 months). If you test positive for COVID and are in need of a Telehealth Appointment and have not been to the practice in the previous 12 months, then you will be charged a private fee for your consultation.

Medicare Cards: Must be valid at the time of the appointment, otherwise you will be fully privately billed.

10. Fees & Payment

We are a cashless practice and do not carry any cash on the premises. You can make your payment method via Eftpos or Credit Card (excluding American Express) and we will be able to process your medicare refund on the spot. This means you will need to have the full fee amount in your bank account or credit card at the time of payment.

Please click HERE for a list of all applicable fees.