Original Medicare Safety Net threshold

The Original Medicare Safety Net (OMSN) applies to all Medicare cardholders.

Benefits

Once you’ve reached the threshold of $453.20 we’ll pay you 100% of the schedule fee for the out of hospital services you claim.

Reaching the gap threshold

Each time you or your family claim from Medicare we keep a tally of the gap amounts during the calendar year.

When your family gets close to the threshold amount we’ll tell you, so you can confirm who’s in your family and get the higher Medicare benefit when your family reaches the threshold.

If you’re single we’ll automatically pay you the higher benefit when you reach the threshold.

The Medicare Safety Net threshold is indexed annually from 1 January and works on a calendar year, 1 January to 31 December.

We calculate the Safety Net on a calendar year, 1 January to 31 December.

You can check your Medicare Safety Net balance any time using your Medicare online account through myGov or the Express Plus Medicare mobile app.

Page last updated: 21 November 2017