Please note fees for pathology testing are separate from fees charged by your doctor.
Outpatient ServicesCapital Pathology Pathology will direct bill (bulk-bill) Medicare eligible patients who
1. Hold a current:
2. Are nursing home patients
Other patients may receive an account. The maximum out of pocket payment for outpatient pathology tests is generally $50* per account.When the account is paid the receipt can be submitted to Medicare for your rebate.
* Medicare Rebate eligibility
The Medicare Benefits Schedule is managed by the Department of Health and Ageing and administered by Medicare Australia. Your rebate is the Australian government's subsidy for your tests that are included in the Schedule . If any of your tests are not covered in the Schedule you will not receive a Medicare rebate. You are expected to pay for these tests in full.
Pathology tests for the following circumstances are not eligible for a Medicare rebate: ·
In-patient Services as of 1st November 2009
Fees for patients who have eligible cover with a health fund that has a no-gap agreement with Capital Pathology.
Patients who have eligible private health insurance with a Health Fund that has a no-gap agreement with Capital Pathology may have their account billed directly to Medicare Australia and the private health fund. They will not incur any additional out of pocket expenses for tests that are eligible for Medicare rebate. For information on whether your health fund is covered by such an agreement, please contact our Accounts Department.Fees for patients with eligible cover with a health fund that does NOT have an agreement with Capital Pathology.
Patients who are uninsured or who do not have eligible cover with a health fund will receive an account for their pathology tests. Our fees are generally at, or below, those recommended by the AMA. When the account is paid the patient may present the receipt to Medicare Australia and their private health fund to claim their rebate.
Patient Accounts.
See Patient Account Information SectionFor any further enquiries please contact our or Accounts Department on 02 6285 9888 or Client Services Department on 02 6285 9802.