2014 - 2015 Medicare Safety Net thresholds

There are different Medicare Safety Net thresholds depending on your circumstances.

2014 Medicare Safety Net thresholds

 Threshold amountWho it is forHow it is calculatedWhat the benefit is
Original$430.90All Medicare cardholdersBased on gap amount100% of schedule fee for out of hospital services
Extended Concessional and
FTB Part A
$624.10Concession cardholders and families eligible for FTB Part AOut of pocket costs80% of out of pocket costs or the EMSN benefit cap for out of hospital services
Extended general$1,248.70All Medicare cardholdersOut of pocket costs80% of out of pocket costs or the EMSN benefit cap for out of hospital services

2015 Medicare Safety Net thresholds

 Threshold amountWho it is forHow it is calculatedWhat the benefit is
Original$440.80All Medicare cardholdersBased on gap amount100% of schedule fee for out of hospital services
Extended Concessional and
FTB Part A
$638.40Concession cardholders and families eligible for FTB Part AOut of pocket costs80% of out of pocket costs or the EMSN benefit cap for out of hospital services
Extended general$2,000.00All Medicare cardholdersOut of pocket costs80% of out of pocket costs or the EMSN benefit cap for out of hospital services

Out of pocket costs is the difference between the Medicare benefit and what your doctor charges you.

Schedule fee is a fee for service set by the Australian Government.

Gap amount is the difference between the Medicare benefit and the schedule fee.

EMSN is the Extended Medicare Safety Net