Medicare Fees
Rates and Rebates
Effective from 1st Jan 2025
At Lotus Medical Centre, we strive to provide exceptional care and spend extra time with each person. We ensure the best possible experience for our patients.
We are a private billing clinic, with a small gap aimed at allowing more time and better care. Payment is required at the time of the consultation. This includes Work Cover and TAC consultations as we do not invoice third parties or employers directly.
* Pensioners, Concession card holders billing:
– Pensioners, Concession card holders still get bulk billing consultations during weekdays.
– We offer discounted consultation fees for Saturday and after-hours appointments to support our community. Patients who hold a valid Pensioner Concession Card or Health Care Card are eligible for these reduced rates. Please present your current Pension or Health care card at the time of your visit to ensure the discount is applied.
We have credit card and Eftpos facilities. We have the facility to submit your claim to Medicare electronically on your behalf, so you do not need to attend a Medicare Office. The rebate will be directly deposited into your bank account within minutes as long as you have an Eftpos card.
Billing Schedule:
| Weekdays | Weekend before 1 PM | Weekend after 1 PM | |
|---|---|---|---|
| Short Consultation | $50 | $65 (for P and CC:$35) | $75 |
| Standard Consultation | $90 | $105 (for P and CC:$75) | $115 |
| Long Consultation | $130 | $145 (for P and CC:$115) | $155 |
| Prolong consultation | $170 | $185 (for P and CC:$155) | $195 |
| Consultation more than 60 minutes | $250 | $265 (for P and CC:$235) | $275 |
* P: Pension card holders
* CC: Concession card holders
* Non-pensioners and non-concession card holders billing:
| Weekdays | Weekend before 1 PM | Weekend after 1 PM | |
|---|---|---|---|
| Short Consultation | $50 | $65 | $75 |
| Standard Consultation | $90 | $105 | $115 |
| Long Consultation | $130 | $145 | $155 |
| Prolong consultation | $170 | $185 | $195 |
| Consultation more than 60 minutes | $250 | $265 | $275 |
* Billing for the patients without a valid Medicare card or on private health insurances:
All pricing and fees assume access to Medicare subsidy. If no access to Medicare subsidy, pricing will differ. All non-Medicare card holders needs to pay upfront. Please refer to the below payment schedule:
| Item | Fee |
|---|---|
| Standard Consultation | $90 (Saturdays $105) |
| Long Consultation | $130 (Saturdays $145) |
* Home visits:
– Out of pocket fee applies for all home visits depending on the duration of the consultation and the travel time. Please call to our friendly receptionists and ask them about the home visit fees. Please note that our doctors do home visit just for the regular patients of the clinic.
* Phone consultations:
– Please note Medicare rebates are available for Telehealth consultations ONLY if you have been face to face at the practice over the last 12 months. New patients are still able to book Telehealth appointments, however, the Medicare rebate will not be able to be processed and the full private fee amount will apply.
– Out of pocket fee applies for all phone consultations depending on the duration of the consultation and the doctor’s discretion. The phone consultation is still bulk bill for pensioners and Concession card holders.
| Weekdays | Weekend before 1 PM | Weekend after 1 PM | |
|---|---|---|---|
| Short Phone consultation | $70 | $85 | $85 |
| Standard phone consultation | $90 | $105 | $105 |
|
Long Phone Consultation (Only available for the patients registered with My Medicare) |
$130 | $145 | $145 |
|
Prolong Phone Consultation (Only available for the patients registered with My Medicare) |
$170 | $185 | $185 |
* Procedure and skin cancer fees:
Current Fee structure for Skin Cancer Check for all patients including pensioner, concession card holders
| Medicare rebate and Total rate | |
|---|---|
| Spot check | $130 |
| Full skin check | $170 |
| Skin lesion Procedures and excisions | As per prior discussion with the Doctor plus extra $70 to cover surgical supplies for the procedure |
– Procedure gap fees range from $50-$300 depending on your procedures. The payment for the skin check and the procedure is upfront.
* Failing to attend to any consultation:
Booking an appointment and not showing up takes a way appointment times for other people who might really need them. Failure to attend fees are more about keeping appointments for others.
Failing to attend an appointment or cancelling with less than 4 hours notice incurs a $70 fee. Cancellation fees must be paid in full before any future appointments can be booked or attended.
Fees for Personal Paperwork and Forms
Please note that all personal paperwork and forms are not eligible for Medicare rebates and must be paid for privately by the patient. Fees apply for the completion, preparation, or provision of the following documents, regardless of whether they are discussed during a consultation or requested separately:
Private Insurance Forms
- Income protection
- Life insurance
- Total and permanent disability (TPD)
- Trauma cover
Employment-Related Forms
- Pre-employment medical assessments
- Fitness for work reports
- Return-to-work assessments
Travel Documentation
- Fit-to-fly certificates
- Travel vaccination forms
Centrelink Forms (in most cases)
- Disability Support Pension (DSP)
- Carer allowance
NDIS Documentation
- NDIS reports or assessments
- Letters for housing or support
Legal Documents
- Court reports
- Affidavits
- Medical reports for superannuation or early release of funds or compassionate release of superannuation
School/Camp Forms
- Health forms for school, camp, or excursions
Medical Reports
- Reports prepared for lawyers, insurance providers, or WorkCover (unless a special arrangement is in place)
If you require any of the above, please speak with your doctor regarding applicable fees and timeframes for completion. Thank you for your understanding.