MMC



Dear Patient,

From the 1st of January 2024 Matraville Medical Complex introduced new pricing including a Gap fee for some patients and some appointment types as outlined in the table below.


This is much needed to continue providing care and sustain ongoing improvements to overall service that we have proudly provided the community since 1993.


We understand the financial burden faced by many of our patients, especially in the current climate and will continue to bulk bill the following patients who are registered in MyMedicare with our clinic for consults that are under 20 minutes:


• Children under the age of 16 years

• Commonwealth concession card holders including Senior card holders, Healthcare card holders and Aboriginal and Torres Strait Islanders

• DVA card holders


My Medicare Registered Patients with Matraville Medical Complex will have the gap fee waived for the following types of consults:

• Care Plans

• Health Assessments

• Mental Health Treatment plans

• Home Medical Reviews

• Workers Compensation (To Be Discussed with GP)

• Telehealth among some others

• Some women’s health (To be Discussed with GP)


The out of pocket gap fee is $30 on week days, $45 on Saturdays and $60 on Sundays. The AMA recommended rate is $100 for a standard consultation.


How much does it cost to visit a GP? Australians to be charged more than $100 for a standard non-bulk billed appointment | news.com.au — Australia’s leading news site


If you have concerns please call reception to discuss and raise with your GP during your next visit.


Thank you



CATEGORY 1: MEDICARE CONCESSION PRICING

• For Medicare Card Holders Under 16 Years, Seniors and Commonwealth Concession card holders, Aboriginal & Torres Strait Islanders and DVA card holders

• MyMedicare registered with Matraville Medical Complex


General Practitioner


 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

MEDICARE / REBATE

GAP

COST

MEDICARE / REBATE

GAP

COST

MEDICARE / REBATE

GAP

Standard Consult

MBS: 23

MBS 5020 (after hours) 

<20 minutes

$42.85

$42.85

$0

$42.85

$42.85

$0

$55.80

$55.80 

$0

Long Consult

MBS: 36

MBS: 5020 (after hours) 5040

>20 minutes

$82.90

$82.90

$0

$82.90

$82.90

$0

$95.70

$95.70

$0

Prolonged Consult

MBS:44

MBS 5060 (after hours)

>40 minutes

$122.15

$122.15

$0

$122.15

$122.15

$0

$134.20

$134.20

$0

Telehealth standard consult 

MBS:91891

<20 minutes

$42.85

$42.85

$0

$42.85

$42.85

$0

$42.85

$42.85

$0

Telehealth long consult

MBS:91900

>20 minutes

$82.90

$82.90

$0

$82.90

$82.90

$0

$82.90

$82.90

$0

Prolonged Telehealth

MBS:91910

>40 minutes

$122.15

$122.15

$0

$122.15

$122.15

$0

$122.15

$122.15

$0

Prolonged Telehealth

MBS:91920

>60 minutes

$197.90

$197.90

$0

$197.90

$197.90

$0

$197.90

$197.90

$0

Video call

MBS: 91800

<20 minutes

$42.85

$42.85

$0

$42.85

$42.85

$0

$42.85

$42.85

$0

Video call

MBS: 91801

>20 minutes

$82.90

$82.90

$0

$82.90

$82.90

$0

$82.90

$82.90

$0

 


Non-VR General Practitioner


 

 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

REBATE

GAP

COST

REBATE

GAP

COST

REBATE

GAP

Standard Consult

MBS: 53

MBS:5203 (after hours)

<20 minutes

$21.00

$21.00

$0

$21.00

$21.00

$0

$31.00

$31.00

$0

Long Consult

MBS: 54

MBS: 5207

>20 minutes

$53.00

$38.00

$15

$60.50

$38.00

$22.50

$80.50

$48.00

$32.50

Prolonged Consult

MBS:57

MBS 5208 (after hours)

>40 minutes

$91.00

$61.00

$30

$106.00

$61.00

$45.00

$116.00

$71.00

$45

Telehealth standard consult 

MBS:91891

<20 minutes

$21.00

$21.00

$0

$21.00

$21.00

$0

$21.00

$21.00

$0

Telehealth long consult

MBS:91900

>20 minutes

$38.00

$38.00

$0

$60.50

$38

$22.50

$80.50

$48.00

$32.50

Prolonged Telehealth

MBS:91910

>40minutes

$61.00

$61.00

$0

$61.00

$61.00

$0

$106.00

$61.00

$45.00

Video call

MBS: 91800

<20 minutes

$42.85

$42.85

$0

$42.85

$42.85

$0

$42.85

$42.85

$0

Video call

MBS: 91801

>20 minutes

$97.90

$82.90

$15

$105.40

$82.90

$22.50

$115.40

$82.90

$32.50

Nurse Practitioner


 

 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

REBATE

GAP

COST

REBATE

GAP

COST

REBATE

GAP

Standard Consult

MBS: 82205

<20 minutes

$31.05

$31.05

$0

$31.05

$31.05

$0

$31.05

$31.05

$0

Telehealth Standard Consult

MBS: 91178

<20 minutes

$31.05

$31.05

$0

$31.05

$31.05

$0

$31.05

$31.05

$0

Telehealth Long Consult

MBS: 91179

>20 minutes

$73.85

$58.85

$15

$81.35

$58.85

$22.50

$88.85

$58.85

$30

Long Consult

MBS: 82210

>20 minutes

$73.85

$58.85

$15

$81.35

$58.85

$22.50

$88.85

$58.85

$30

Prolonged Consult

MBS:82215

>40 minutes

$116.80

$86.80

$30

$116.80

$86.80

$30

$131.80

$86.80

$45

CATEGORY 2: MEDICARE NON-CONCESSION PRICING

• For Medicare Card Holders (Non-Concession)

• MyMedicare registered with Matraville Medical Complex

• Gap Fee Waived for the following types of consults:

• Care Plans

• Health Assessments

• Mental Health Treatment plans

• Home Medical Reviews

• Workers Compensation (To Be Discussed with GP)

• Telehealth among some others

• Some women’s health (To be Discussed with GP)


General Practitioner


 

 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

REBATE

GAP

COST

REBATE

GAP

COST

REBATE

GAP

Standard Consult

MBS: 23

MBS 5020 (after hours) 

<20 minutes

$72.85

$42.85

$30

Waived for:

Care Plans, Health Assessments, Mental Health Plans and Home Medication Reviews

$87.85

$42.85

$45

Waived for:

Care Plans, Health Assessments, Mental Health Plans and Home Medication Reviews

$115.80

$55.80

$60

Waived for:

Care Plans, Health Assessments, Mental Health Plans and Home Medication Reviews

Long Consult

MBS: 36

MBS 5020 (after hours) 5040

>20 minutes

$127.90

$82.90

$45

$142.90

$82.90

$60

$170.70

$95.70

$75

Prolonged Consult

MBS:44

MBS 5060 (after hours)

>40 minutes

$182.45

$122.15

$60

$197.15

$122.15

$75

$224.20

$134.20

$90

Telehealth standard consult 

MBS:91891

<20 minutes

$42.85

$42.85

$0

$42.85

$42.85

$0

$42.85

$42.85

$0

Telehealth long consult

MBS:91900

(My Medicare registered)

>20 minutes

$82.90

$82.90

$0

$82.90

$82.90

$0

$82.90

$82.90

$0

Telehealth long Consult MBS:91910

>40 Minutes

$122.15

$122.15

$0

$122.15

$122.15

$0

$122.15

$122.15

$0

Non-VR


 

 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

REBATE

CONSULT TYPE

COST

REBATE

GAP

COST

REBATE

GAP

Standard Consult

MBS: 53

<20 minutes

$51.00

$21.00

$30.00

$66.00

$21.00

$45.00

$81.00

$21.00

$60.00

Long Consult

MBS: 54

>20 minutes

$83.00

$38.00

$45.00

$98.00

$38.00

$60.00

$113.00

$38.00

$75.00

Prolonged Consult

MBS:57

>40 minutes

$121.00

$61.00

$60.00

$136.00

$61.00

$75.00

$151.00

$61.00

$90.00

Telehealth standard consult 

MBS:91891

<20 minutes

$21.00

$21.00

$0

$21.00

$21.00

$0

$21.00

$21.00

$0

Telehealth long consult

MBS:91900( My Medicare Registered)

>20 minutes

$83.00

$83.00

$0

$83.00

$83.00

$0

$83.00

$83.00

$0

Nurse Practitioner


 

 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

REBATE

GAP

COST

REBATE

GAP

COST

REBATE

GAP

Standard Consult

MBS: 82205

<20 minutes

$61.05

$31.05

$30

$76.05

$31.05

$45

$91.05

$31.05

$60

Long Consult

MBS: 82210

>20 minutes

$103.85

$58.85

$45

$118.85

$58.85

$60

$133.85

$58.85

$75

Telehealth Standard Consult:

<20 minutes

$31.05

$31.05

$0

$31.05

$31.05

$0

$31.05

$31.05

$0

Telehealth Long Consult

>20 minutes

$73.85

$58.85

$15

$81.35

$58.85

$22.50

$88.85

$58.85

$30

Prolonged Consult

MBS:82215

>40 minutes

$146.88

$86.80

$60

$161.80

$86.80

$75

$176.80

$86.80

$90

CATEGORY 3: Private Patients (Non-Medicare) and Non My Medicare Registered PRICING

General Practitioner, Non-VR and Nurse Practitioner


 

Weekdays 8am-6pm

Saturdays 9am-1pm (after hours > 1pm)

Sundays 9am-1pm (all day afterhours)

CONSULT TYPE

LENGTH

COST

REBATE

GAP

COST

REBATE

GAP

COST

REBATE

GAP

Standard Consult

MBS: 23

<20 minutes

$90

$0

$90

$120

$0

$120

$180

$0

$180

Long Consult

MBS: 36

>20 minutes

$150

$0

$150

$180

$0

$180

$230

$0

$230

Prolonged Consult

MBS:44

>40 minutes

$210

$0

$210

$230

$0

$230

$260

$0

$260

Telehealth standard consult 

MBS:91891

<20 minutes

$90

$0

$90

$110

$0

$110

$130

$0

$130

Telehealth long consult

MBS:91900

>20 minutes

$150

$0

$150

$180

$0

$180

$230

$0

$230

Prolonged Telehealth

MBS: 91910

>40 minutes

$210

$0

$210

$240

$0

$240

$260

$0

$260

MyMedicare Registration


• From Wednesday, 1st November 2023, eligible patients who register with this clinic will continue to receive Bulk Billing as well as access additional Medicare benefits such as longer Telehealth appointments, ongoing physio, podiatry, counselling, psychology, and many other services.

• It is free and takes a quick moment to Register via Medicare Express APP or your MyGov account.


It is voluntary and free to register in MyMedicare.


When you register in MyMedicare, it will notify your general practice that you have chosen them as your regular care team. Additional funding will be available from the government to help them provide the care you need.


MyMedicare patients will have access to:


• Greater continuity of care with your registered practice, improving health outcomes

• Longer Medicare Benefit Scheme (MBS) funded telehealth consultations with your GP

• Triple bulk billing incentive for longer MBS telehealth consultations for children under 16, pensioners, and concession card holders, from 1 November 2023

• More regular visits from your GP and better care planning for people living in a residential aged care home, from August 2024

• Connections to more appropriate care in general practice for people who visit hospital frequently, from mid-2024.


You’re eligible to register in MyMedicare if you have:


• A Medicare card or Department of Veterans’ Affairs (DVA) Veteran Card

• Face-to-face visits recorded with the same practice, including either:

• One face-to-face visit for practices in remote locations (MMM 6 and 7)

• Two face-to-face visits for practices in other locations in the previous 24 months.

• People who are facing hardship will be exempt from all eligibility requirements. This includes people experiencing domestic and family violence and homelessness.

• Parents/guardians and children can be registered at the same practice if one of them is eligible and registered. A parent/guardian must register a child under 14 years and provide consent on their behalf. Young people aged 14 to 17 years can register and provide consent without a parent/guardian.


Its easy to sign up – two options


1. Do you have My Medicare app

a. Step 1. Open app or download the Medicare App ( express plus medicare )

b. Step 2. scroll down to My medicare

c. Step 3 . Select my medicare

d. Step 4. Type Matraville Medical Complex (select)

e. Step5. Select any Gp from our practice

f. Step6. Screen shot the complete registration and email us on reception@medicalcentre.com.au –

g. So that we can record your registration and ensure you are bulk billed to all the eligible services.

2. Hard copy form you can fill in our practical or we can email you a link


Frequently Asked Questions

1. I tried but I can't register. Am I eligible?

a. You need to visit MMC twice in the previous 2 years to be eligible

2. What new services will I have access to?

a. e.g. access to more telehealth items ( Bulk Billed , 7 days per week )

b. Bulk billed care plan services e.g. – Physio, Podiatry , EP , Counselling and many more…..

3. Can I change doctors?

a. Yes at any time

4. Can I change medical centres?

a. Yes at any time