To be eligible for the High Cost Claim Indemnity Scheme (HCCS) you must meet certain criteria.

The HCCS covers incidents:

  • if the date the incident was first notified by the member or policy holder to the Medical Defence Organisations or Medical Indemnity Insurers was on or after 1 January 2003
  • the claim exceeds the applicable threshold amount

High Cost Claims Scheme thresholds

Notification date HCCS threshold
1 January 2003 to 21 October 2003 (inclusive) $2,000,000
22 October 2003 to 31 December 2003 (inclusive) $500,000
1 January 2004 to 30 June 2018 (inclusive) $300,000
On or after 1 July 2018 $500,000

Eligible claim

A HCCS claim may be eligible if the:

  • claim is or was made against a practitioner
  • claim relates to an incident or a series of related incidents in the course of, or in connection with, the practice by the practitioner of a medical profession
  • incident or a series of related incidents occurs or occurred in Australia or it’s external territory

Your right to privacy

Read more about your right to privacy and how we collect and use your information.

This information was printed Monday 27 May 2019 from https://www.humanservices.gov.au/organisations/health-professionals/services/medicare/high-cost-claim-indemnity-scheme/you-need-know/eligibility It may not include all of the relevant information on this topic. Please consider any relevant site notices at https://www.humanservices.gov.au/individuals/site-notices when using this material.

Page last updated: 22 February 2019