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YOUR ACCOUNT
Community patients
For patients who are eligible for a Medicare rebate, SNP bulk bills any of the following patients who are eligible for a Medicare rebate:
- Patients with a current:
- Pension (PHB) Card
- Health Care Card
- Veterans Affairs Card
- Commonwealth Seniors card
- Children under 16 years of age
- Nursing home patients
- Pap Smear patients
Private patients will receive an account for their pathology tests. The maximum gap payable is $90 per account for Medicare eligible tests.
Hospital Patients
Sullivan Nicolaides Pathology has “no-gaps” arrangements with the great majority of private health funds. Your account for Medicare eligible tests performed while you are in hospital will be sent to your health fund for full payment.
Uninsured patients, and patients who are insured by funds that do not have a “no-gaps” agreement, will receive an account. The maximum gap payable is $490 (above the schedule fee) per hospital stay.
Are my pathology tests eligible for a Medicare rebate?
If you hold a current Medicare card, your tests could be eligible for a Medicare rebate. The Department of Health and Ageing is responsible for administering the Medicare Benefits Schedule that specifies which tests are eligible for a rebate.
What tests are not eligible for a Medicare rebate?
Some pathology tests are not eligible for a Medicare rebate. If you have non-rebateable tests performed you will receive an account.
Tests requested in any of the following circumstances are not eligible for a Medicare rebate:
- employment
- health screening
- immigration
- insurance
- superannuation
- travel
- Work Cover
- visa applications
Other tests may only be eligible for a Medicare rebate where the patient satisfies certain conditions.
For more information about Medicare rebates contact Medicare Australia, http://www.medicare.gov.au/ or 132 011
Need Assistance?
Our people in the Patient Services Support Centre are happy to discuss any questions you have with your account.
Hours of operation: Monday – Friday 8.00am – 5.00pm
T: 1300 732 030
E: Patientservices Email
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