If you pay your doctor in full and then claim your Medicare benefit we will:
automatically keep a tally of your medical expenses for you
If you claim from us before paying your doctor:
we will send you a cheque made payable to the doctor, which you take or send to your doctor with any outstanding balance you owe
bring us the doctor’s receipt and the Medicare statement you received with our cheque and we will add your out-of-pocket amount to your Medicare Safety Net thresholds
we will contact you when you are nearing a threshold and may ask you to verify any unpaid claims.
If you only pay the gap amount to the doctor we usually add your out-of-pocket amount to your Medicare Safety Net threshold for you.
Once you reach a threshold, all further out-of-hospital claims you make for that calendar year may automatically attract a higher benefit.
Remember: you need to lodge your claims with us so we can make sure you get all the benefits that you’re entitled to.