Pensioners and Concession cardholders will be bulkbilled for the majority of procedures. MRI procedures will incur a $100 patient out-of-pocket for Medicare funded items.
Private patients will be responsible for all out-of-pocket costs between the Medicare rebate and the private patient fee. Patients having multiple examinations on the same day will have a maximum out-of-pocket cost of $400 per visit.
- Out-of-Pocket Costs Medicare Funded Items (Both GP and Specialist Codes)
Cabrini is a Medicare Funded Site. There are Medicare rebates available for most Specialist Referred Scans and certain GP Referred Scans.
Private Patients $220.00
Pensioners and Concession Cardholders: $100
- Out-of- Pocket Costs Non Medicare Funded Items
Presently, there are a limited number of Medicare Rebate Licences available from the Government and restrictions placed on which indications qualify for a Medicare rebate. Procedures which do not attract a Medicare Rebate will be billed for all patients (including pensioners) at $315.00 per body region. If contrast is required, there is an additional $70.00 out-of-pocket cost. MRI scans of the Breast, Abdomen and Pelvis attract a higher out-of-pocket fee, due to the complexity of these studies.
- Third party claims DVA/WorkCover/TAC will be billed to the relevant authority
- If IV sedation is required there will be an additional cost of $200.
- Referrals are accepted from Allied Health Professionals. The cost is $315 out-of- pocket per body region.
Private patients with an agreed health fund will have no out-of-pocket expenses for most Medical Imaging services and accounts will be billed directly to the health fund.
Agreed Health Fund partners are:
AHSA Agreed Funds
Private patients with Non-Agreed Health Funds will receive an account to enable a claim from Medicare and their health funds. The out-of-pocket cost for private patients will be capped at $500 per admission for Medical Imaging for rebatable Medicare items.
The out-of-pocket cost for private patients with Pension or Concession Cards will be capped at $250 per admission for Medical Imaging for rebatable items.
There will be no out-of-pocket cost for current Cabrini Chemocard holders for Medicare rebatable items
Third Party Claims such as Workcover and TAC will be billed to the relevant authority, however, should the claim be rejected it is the patient’s responsibility to settle all outstanding accounts. An account will be sent to the patient for payment.
Department of Veterans Affairs (DVA) gold cardholders will be covered for most services. White cardholders authorisation is required to ensure that the service is related to specific entitlements.
Non-insured patients will be responsible for all out-of-pocket costs between the Medicare rebate and the private patient fee.
There may be additional costs if any of the tests are performed by other laboratories at the doctor’s request or if there are any specialist tests that are not covered by Medicare or if you do not hold a valid Medicare Card.