2016 Medicare Safety Net thresholds

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

2016 Medicare Safety Net thresholds

  Threshold amount Who it is for How it is calculated What the benefit is
Original $447.40 All Medicare cardholders Based on gap amount 100% of schedule fee for out of hospital services
Extended Concessional and
FTB Part A
$647.90 Concession cardholders and families eligible for FTB Part A Out of pocket costs 80% of out of pocket costs or the EMSN benefit cap for out of hospital services
Extended general $2,030.00 All Medicare cardholders Out of pocket costs 80% 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.

Page last updated: 17 August 2016

This information was printed Tuesday 6 December 2016 from humanservices.gov.au/customer/enablers/2016-medicare-safety-net-thresholds 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.