You are here

What is bulk billing and how does it work?

The Medicare system, which is designed to make affordable healthcare more accessible to everyday Australians, gives you access to rebates for services and treatments provided by some practitioners, among other things.  “Bulk billing” typically means you won’t have to pay any out of pocket expenses.

Who is eligible for bulk billing?

To receive Medicare rebates or to access bulk billed services at ClinRad, you must hold a Medicare card. You can find out if you are eligible and apply for a card online by clicking here, or visit a Medicare office. You can search for the nearest Medicare location by clicking here. If you are unsure whether you are eligible, it could be a good idea to ask our reception team before your appointment.

Only certain medical practices and/or individual doctors offer Medicare bulk billing. We offer bulk billing at ClinRad to ensure our services are accessible for all.  

How does bulk billing work?

After your consultation with a ClinRad practitioner, we lodge a claim with Medicare. In this scenario, you typically won’t need to pay anything upfront, or claim back any costs from Medicare – the fee for the entire visit is handled between our clinic and Medicare directly.

What services can be bulk billed?

At present, ClinRad offers bulk billing on all Medicare rebateable item codes, including all intervention (steroid, PRP  injections.)

It’s also important to note that there are limits on the number of services that can be bulk billed in a single visit. If you receive more than one service on the same day, you may not be able to be bulk billed for all of them, according to Human Services, so always ask our team beforehand.

What are “gap fees” and when do they need to be paid?

The term “gap fee” refers to the difference between the amount the doctor charges, and the rebate that is paid by Medicare. This is also known as your out-of-pocket amount and it is applicable to any consultation that does not attract bulk billing.

Medicare rebates are calculated according to the Medicare Fee Schedule set by the Federal Government. However, because the doctor or clinic is free to set their own prices for different procedures or consultation types, the “gap fee” can vary widely between clinics. Remember, this only applies to non-bulk billed consults.

If your consultation is not bulk billed, you will need to pay the entire fee on the day of your consultation. If you have registered your bank details with Medicare and ask the practice to claim on your behalf, you should receive the Medicare rebate back into your bank account within a few days.

Alternatively, you can ask the receptionist for a receipt, which you may then use to claim back the rebate – either by attending a MyGov office, or by using Medicare’s online, mobile app or mail claim options. This method can be a bit slower.

If you visit your doctor regularly, you may be able to make use of the Medicare Safety Net, which could reduce your gap fee even further. Ask your practitioners and their reception teams about how this works, if you think it applies to your situation.

Bulk billed services at ClinRad in Wynnum, Queensland

Here are some of the bulk billed radiology and medical imagining services you can access at ClinRad in Wynnum:

  • Bulk billed X-Ray scans
  • Bulk billed injections
  • Bulk billed CT scans
  • Cortisone injections
  • Bone density scans – providing you meet the Medicare criteria
  • Dentascans
  • Musculoskeletal (MSK) interventions
  • Nerve block injections guided by CT scan
  • Obstetric imaging
  • Specialised OPG X-Rays
  • PRP injections
  • Ultrasound.

Click here to contact us now.