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Please note fees for pathology testing are separate
from fees charged by your doctor.
Outpatient Services
Capital Pathology Pathology will direct bill
(bulk-bill) all children who are under 16 years of age and
covered by Medicare as well as other 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:
·
- employment
- immigration
- insurance
- superannuation
- Work
Cover·
- visa applications
In-patient Services.
In-patient pathology tests are performed for patients
who are:
-
A private patient in a private hospital or approved day
hospital facility
-
A private patient in a recognised (public)
hospital
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
Section
For any further enquiries please contact our or Accounts Department
on 02 6285 9888 or Client Services Department on 02 6285
9802.
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