BILLING POLICY
Bulk billing policy for inpatients and
outpatients
We will bulk bill:
- All Pensioners
- Healthcare cardholders
- Veteran Affairs patients
- Children under 16 years
- When your doctor directs us to on the request form
Please have your Medicare card, Healthcare card or Veterans Affairs
card with you when you have a pathology test.
Inpatient Private Accounts
If you are in hospital or had day surgery at the time of your
test.
- Private accounts - Affiliated Private Health Funds
Clinipath Pathology has a 'no-gap' arrangement with a number of
affiliated private health funds. The list of participated funds can
be viewed via this link - Health fund
agreements.
To enable us to directly invoice your health fund on your behalf,
we require both your Private Health Fund and Medicare numbers.
- Private accounts - non Affiliated Funds
You will receive a private account, part of which will be claimable
from Medicare and your Health Fund.
Medicare and your Health Fund payment may not cover the entire
fee.
Our maximum gap for these accounts is $50.00.
- Uninsured Patients
You will receive a private account with a maximum gap payable of
$50.00
Outpatient Private Accounts
This is when you attend one of our collection centres in person,
are visited at home by one of our collectors or have your specimen
collected by your own doctor/nurse.
Part of the private account will usually be claimable from
Medicare Australia. The remainder, up to a maximum of $50,
will be payable by you. This out of pocket expense does not include
Non-rebatable tests.
Non-Rebatable
Tests
Medicare Australia does not pay a rebate for a number of tests
or only pays a rebate when certain criteria are met.
- Clinipath Pathology has set competitive fees for such
tests
- Common Non-Medicare Rebatable Tests include -
ThinPrep - $35
HPV (for non Medicare eligible patients) - $100
Mantoux - $70
A comprehensive list of tests and medicare criteria is available
on our website. For current pricing on these tests please
contact our Duty Manager on 9476 5257
View
more on our Billing Policy
Account queries can be emailed
to accounts@clinipath.net