Health care providers can help you decide whether you need to pay more for medical services.
This article explains how to find out whether you are eligible for a rebate.
The Government has updated its medical rebate scheme, which allows people to buy insurance that is cheaper than the standard Medicare rate, in a bid to increase affordability for many Australians.
However, you may not be able to get the full rebate, and some providers won’t accept it.
Read more about health care rebate and the new scheme here.
Healthcare providers can give you information about the rebate you are entitled to or ask you to make a claim for it.
If you don’t want to take part, you can contact your local health and hospital provider to ask for more information.
There are different ways to find your rebate.
If you pay your medical bills on time, you could be eligible for the rebate if:You can get your medical rebates on a monthly or quarterly basis, rather than monthly or yearly.
If your monthly or weekly rebate falls short of your full Medicare rebate, you might need to apply for a new rebate.
You can also use your rebates to pay for services such as prescription drugs, laboratory tests and equipment, including equipment used to administer and maintain medical devices.
If your health provider has already given you the rebate, they can offer you the full amount for which you paid.
This can include the cost of equipment, supplies or tests that you used, but not any costs you paid for equipment, facilities or services that weren’t covered by your Medicare rebate.
In most cases, the rebate is the same for all health and medical services provided.
You must contact your health or hospital provider for the full rebates you are able to receive.
If the health or medical provider doesn’t have a rebate for your particular services, you’ll need to contact your state or territory health or hospitals to find one.
Your health care provider can give the full cost of any hospital service you have been given or receive at your home, if you don and have the full Medicare amount for the hospital service.
You may be able get the rebate for the costs you pay for the care you receive at a home or work, as long as you pay it on time.
If a health care facility has provided services to you, they may be eligible to receive the rebate as long you pay them on time and have met the rebate conditions.
If they have not, you will be required to pay the full value of the facility’s service.
The rebate doesn’t apply if you’re the sole beneficiary.
Your rebate doesn�t apply if a health facility is an employee or agent of a health practitioner or a health visitor, or the health visitor is your employee or employer.
You need to make sure you meet the following conditions before you can get the medical rebate:You must pay your health and/or medical bills in a lump sum of $1,000 or more.
The amount you pay can’t exceed the full $1.25 per month Medicare rebate for each service you receive, and you must pay it for each of the six months you’ve paid.
You don’t have to make payment if your health care practitioner or the employee or other health visitor has a health impairment.
You�ll be asked to make payments of up to $1 per month.
Your medical rebate is calculated on the following three factors:How much does the rebate cover?
If you paid a medical service and your rebate is greater than $1 million, the amount you are paying is the full Federal Government rebate.
Your total payment for the year is the sum of the full federal Government rebate plus the cost-of-care rebate.
Where can I find the full health and health care information on my Medicare rebate?
If the Medicare rebate isn�t what you’re entitled to, your health insurer may be happy to provide you with more information on your rebate eligibility.
You might also be able find more information about your health services and how much they cost.
Read about the new Medicare rebate and other rebates.
Read how to claim your rebate if you have a medical condition.
What if I’m under-18?
If your parent, spouse or child is under-aged, you won�t be entitled to the full medical rebate if they are the sole beneficiaries of the medical service.
If the parent, or their spouse, child or other person has health impairments that prevent them from paying for a medical treatment or from participating in a medical study, you must also be covered by the Medicare Rebate if you are aged 18 or over.
If someone is the sole health care recipient of a person who is under 18, you don�t need to claim a rebate on your Medicare bill.
However if you do have a health condition, you still need to be eligible.
For example, if your parent has a disability, you are only eligible for medical rebate if they also have a disability.
If I have a family member with a medical disability