Department of Human Services - efficiencies - replace pay doctor via claimant cheque payments

Currently, where healthcare providers do not request full payment at the time of service but only request payment of the difference between the Medicare schedule fee and the total amount billed, a cheque made out to the healthcare provider is sent to the patient for the Medicare benefit.

This measure is subject to the passage of legislation.

Description of the measure

It is the patient’s responsibility to forward the cheque to the healthcare provider.

All healthcare providers that receive cheques from patients will now receive payment through direct electronic funds transfer on the 15th of each month, for all claims lodged in the previous calendar month.

This measure will make it easier for the patient as they will no longer need to forward the cheque to the healthcare provider.

The patient will still be required to pay the difference between the Medicare fee and the service fee directly to the healthcare provider, as is currently the case.

This measure will not be implemented on the 1st of July 2014 as previously advised. The implementation date is yet to be determined.

Questions and answers

Who will be affected by this measure?

Patients who visit a healthcare provider who do not pay their account in full, or partially pay their account, will benefit.

All healthcare providers that receive cheques from patients will receive payment through direct electronic funds transfer on the 15th of each month, for all claims lodged in the previous calendar month.

Am I eligible for this measure?

Patients who visit a healthcare provider who do not pay their account in full, or partially pay their account, will be eligible.

Payment of the Medicare benefit will be made directly to the healthcare provider through electronic funds transfer.

When will this measure start and finish?

This measure will not be implemented on the 1st of July 2014 as previously advised. The implementation date is yet to be determined.

Page last updated: 16 March 2016

This information was printed Saturday 10 December 2016 from humanservices.gov.au/corporate/budget/budget-2013-14/budget-measures/health-matters/department-human-services-efficiencies-replace-pay-doctor-claimant-cheque-payments It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.