What you need to know about our healthcare billing
This page aims to provide clarity and transparency regarding our billing practices. We understand that navigating medical costs can be complex, which is why we are here to explain the various billing options available to our patients. On this page, you’ll find details about the billing types we offer, including bulk billing, gap fees, and Medicare rebates, as well as recent changes in the Australian healthcare billing system.
FEES Effective from 12th August 2024
Please note about an upcoming change affecting our fee structure. Due to the recent Government’s new changes to tax and other related factors, there will be an increase of $8 plus GST in our Gap Payment fees effective from 12th August 2024.
This increased fee of $8 plus GST will appear on your invoice as a ‘Practice Administration Fee ‘which will be applied to all privately billed consultations.
SPECIAL CONSIDERATION:
Bulk billing is still available for the following: –
- Pension and Concession Card holders – Excluding: Antenatal Shared Care
- Repatriation Gold Card holders
- Children less than 16 years of age
P.S: Antenatal Shared care will not be Bulk Billed despite concession status
Note:- Cardholders must produce their cards at each consultation.
Gap Charges effective from 12th of August 2024
Consultation Charges are as follows, depending on the duration and complexity of the consultation:
Gap Charges for procedures:
Gap Charges for Procedures 2025
Note:- Please note about an upcoming change affecting our fee structure. Due to the recent Government’s new changes to tax and other related factors, there will be an additional 5% Admin Fee plus GST on the total Procedure cost.
| Category | Surgical Procedures | Gap Standard | Concessional Gap Charges |
| Women’s Health | |||
| Implanon Insertion Deep/Superficial | $100 to $200 | $100 to $200 | |
| Implanon Insertion Plus Removal | $150.00 | $125.00 | |
| IUD Insertion | $200.00 | $200.00 | |
| IUD Removal | $150.00 | $150.00 | |
| IUD Insertion & Removal | $250.00 | $250.00 | |
| Medical Termination of Pragnancy | $200.00 | $200.00 | |
| Tesla for Incontinence | $100.00 | $100.00 | |
| Colposcopy | $250.00 | $250.00 | |
| Endometrial Biopsy | $150.00 | $125.00 | |
| Pessary insertion for Prolapse | $150.00 | $150.00 | |
| Hand Syrgery | Carpal tunnel Surgery | $550.00 | $500.00 |
| Pinched Tendon ( Wrist & Finger) | |||
| Hand Contraction | |||
| Ganglion Surgical removal | $1,000.00 | $900.00 | |
| Musculoskeletal | |||
| Joint Injections- Steroids | $50.00 | $50.00 | |
| Joint injections- PRP | $550.00 | $550.00 | |
| Infusions | |||
| Iron Infusion | $140.00 | $120.00 | |
| Intravenous fluid Infusion | $150.00 | $120.00 | |
| Skin Cancer | |||
| Biopsy skin and mucous membrane | $75.00 | $75.00 | |
| Skin Tag Laser | $100.00 | $75.00 | |
| Skin Cancer ( Excision/Flap/Garft) | $150-$250 | $150-$250 | |
| Skin Check Whole body | $75.00 | $75.00 | |
| Men’s Health | |||
| Vasectomy | $700.00 | $700.00 | |
| Circumcision | $500-$100 | $500-$1000 | |
| Foot Surgery | |||
| Ingrown Toe Nail | $250.00 | $200.00 | |
| Wart -Surgery/Laser | $75-$150 | $75-$150 | |
| Other Procedures | Tongue Tie/Lip Tie | $200.00 | $200.00 |
| Abscess (Depends on Size) | $100-$250 | $75 -$200 | |
| Foreign Body Removal ( Eye/Ear/Skin) | $50-$100 | $50-$100 | |
| Ear Wax Removal | $50-$100 | $50-$100 | |
| Nail Surgery | Removal of nail of finger or thumb—one nail (Anaes.) | $150.00 | $100.00 |
| Wedge resection for ingrowing nail of finger or thumb | $250.00 | $200.00 | |
| Partial resection of ingrowing nail of finger or thumb, including phenolisation | $150.00 | $100.00 | |
| Complete ablation of nail germinal matrix (H) | $250.00 | $200.00 | |
| Digital nail of toe, removal | $150.00 | $100.00 | |
| Wedge resection for ingrowing nail of toe: | $250.00 | $200.00 | |
| Complete ablation of nail germinal matrix: | $250.00 | $200.00 |
WORK COVER FEE
All work Cover Patients have to pay all medical expenses for all medical treatment provided (This is until claim is approved, not only when claim number is obtained).
Stay Updated
Medicare Rebate Changes
We want to inform our valued patients about recent changes to the Medicare rebate system and how it may impact your payments when visiting the Solitaire Medical Group.
Unfortunately, the Medicare rebate has not kept pace with the reducing dollar value and the increasing cost of service. To remunerate staff and run the practice, our medical professionals have to adjust their costs.
What it means for you:
- Bulk billing is no longer available for some GP visits
- Patients are required to cover the gap payment for the difference of their consultations.
We understand that these changes may trigger concerns around their financial impact. It is important to note that Medicare rebates were only designed to provide partial financial assistance towards the costs of medical services.
We encourage you to raise this issue with your local Member of Parliament (MP) to advocate for a Medicare rebate hike that keeps pace with the increasing cost of living.