Medicare Benefits Schedule - comprehensive eye examinations

From 1 January 2015, this measure will, extend the period a higher Medicare benefit will be paid for comprehensive eye examinations from two years to three years for patients aged under 65 years and reduce the period a higher Medicare benefit will be paid for comprehensive eye examinations for patients aged 65 years and over, from once every two years to annual examinations.

This measure started on 1 January 2015.

Description of the measure

From 1 January 2015, this measure will:

  • extend the period a higher Medicare benefit will be paid for comprehensive eye examinations from two years to three years for patients aged under 65 years
  • reduce the period a higher Medicare benefit will be paid for comprehensive eye examinations for patients aged 65 years and over, from once every two years to annual examinations

This policy applies only to patients not showing any symptoms of an eye condition. These patients can still receive comprehensive eye examinations at any time, but will receive a lower Medicare benefit.

Questions and answers

Who will be affected by this measure?

This measure will affect patients that are not showing any signs of an eye condition receiving Medicare funded comprehensive eye examinations.

Whilst patients without symptoms, aged 65 years and over will be able to access Medicare funded services more regularly, those under 65 years will need to wait longer.

A lower Medicare benefit will be payable for patients without symptoms who desire more frequent eye examinations.

Am I eligible for this measure?

All patients entitled to Medicare will remain eligible. This measure will not change the way people qualify for Medicare benefits. It changes the period in which comprehensive eye examinations for patients without symptoms of an eye condition, will be funded and the Medicare benefit payable.

When will this measure start and finish?

This measure will start on 1 January 2015 and is ongoing.

Page last updated: 16 March 2016

This information was printed Tuesday 27 September 2016 from humanservices.gov.au/corporate/budget/budget-2014-15/budget-measures/health-matters-and-health-professionals/medicare-benefits-schedule-comprehensive-eye-examinations 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.