Under this scheme the government funds 50% of the amount of claims exceeding the appropriate threshold, up to the limit of a medical practitioner’s indemnity.
You need to know
Claiming under the HCCS
You need to fill out an application to submit a claim.
Apportionment is how liability between parties to a claim are decided.
Cost sharing arrangements
Cost sharing arrangements apply if there’s an agreement between parties to share the costs or disbursements.
Settlement and judgment costs
You need to take settlement and judgment costs into account in your claim.
Plaintiff costs are the legal costs for the person who has brought the action against the medical practitioner.
Request to aggregate payments
A MDO and a MII may aggregate amounts paid or amounts payable for the same claim against a member or policy holder.
Request for information
Under section 38 of the Medical Indemnity Act 2002 the Chief Executive Medicare may ask you for more information.
Returning your Medical Indemnity payment application
You can send us your application and supporting documents by post or email.
When we’ll pay your claim
We’ll pay you before the end of the month immediately following the month we get your application.
We can recover overpayments and incorrect payments.
The internal review is an administrative service that we provide to any MDO or MII.
Letting us know if things change
You must let us know if circumstances change after we’ve made a payment to an applicant.
Insurance Statistics Australia specialty codes
The below list of Insurance Statistics Australia (ISA) specialty codes can be used in your Medical Indemnity payment application.
Glossary for Medical Indemnity
Some terms used in Medical Indemnity insurance claims have specific meanings depending on which scheme they apply to.