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Keeping a tally of medical expenses

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.