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YOUR ACCOUNT
Community patients
For patients who are eligible for a Medicare rebate, SNP bulk bills
routine pathology tests for the following patients who are eligible
for a Medicare rebate:
- Patients with a current:
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- Pension (PHB) Card
- Health Care Card
- Veterans Affairs Card
- Commonwealth Seniors card
- Nursing home patients
Private patients will receive an account for their pathology tests.
The maximum gap payable is $95 per account for Medicare eligible
tests. Please note this does not apply to hospital patients -
refer to 'Hospital Patients' section below.
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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