Medicare Benefits Scheme - removing double billing

In relation to people who are receiving Chronic Disease Management services, a Medicare benefit will only be able to be claimed for the same patient on the same day for a General Practitioner consultation, or a Chronic Disease Management service.

Description of the measure

In relation to people who are receiving Chronic Disease Management services, a Medicare benefit will only be able to be claimed for the same patient on the same day for:

  • a General Practitioner consultation, or
  • a Chronic Disease Management service(s).

A General Practitioner cannot claim a Medicare benefit for a consultation if they are also claiming a Chronic Disease Management service (for the creation of a new care plan or for a review of an existing care plan) on the same day.

This measure will apply from 1 November 2014.

The eligibility for Chronic Disease Management services has not changed. Talk to your General Practitioner to discuss whether you are eligible for care plan arrangements, including preparation or review of a General Practitioner Management Plan or a Team Care Arrangement.

Questions and answers

Who will be affected by this measure?

This measure will affect General Practitioners providing Chronic Disease Management services and patients with a chronic medical condition or complex care needs.

Am I eligible for this measure?

This measure will not affect the current eligibility requirements for patients requiring access to Medicare for Chronic Disease Management services.

When will this measure start and finish?

This measure will start on 1 November 2014 and will be ongoing.

Page last updated: 9 March 2016

This information was printed Saturday 1 October 2016 from humanservices.gov.au/corporate/budget/budget-2013-14/budget-measures/health-matters/medicare-benefits-scheme-removing-double-billing 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.