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Medicare Rebates for Psychologists and Psychiatrists

Medicare Rebates for Psychologists 

This section contains information on:

- Fees to see a psychologist
- How Medicare rebates work
- The Medicare Safety Net and whether you will be eligible for higher rebates

 

Seeing a specialise psychologist at VCPS can be affordable with support from Medicare. For example, for a consultation with a Clinical Psychologist you will be $75.50 out-of-pocket if you have an appropriate GP referral, and this amount will reduce to $10.71 when you meet the Medicare Safety Net. This section below contains information on our practice fees and Medicare rebates. This information is of a general nature only, and you should clarify your individual circumstances with Medicare regarding rebates, and consult our reception staff for exact fees and rebates for each VCPS practitioner because the fees of some practitioners in our clinic are slightly different to those specified here.

Our fees are less than the recommended fee of the Australian Psychological Society, the recommended fee is $235.00 per consultation, and our general fee is $200.00 where the fee is paid on the day of the consultation. You can receive an on-the-spot Medicare rebate direct to your bank account when you have paid your account. Private health insurance rebates can be accessed if you have the appropriate cover. Medicare provides you with a rebate to see a psychologist for up to 10 consultations per calendar year, however you will require a referral called a Mental Health Treatment Plan referral from your regular GP, or if you do not have a regular GP, you can consult a GP in our practice.

If you have a Mental Health Treatment Plan, the out-of-pocket fee for a 50 minute consultation will usually be approximately $75.00 if you see a Clinical Psychologist, or $115.00 if you see a Consultant Psychologist or Counselling Psychologist. Your Medicare rebate will also be significantly higher once you reach the Medicare Safety Net (this means once you spend a specified amount out of your own pocket). If you plan to see a psychologist regularly, or you have other medical expenses, the Medicare Safety Net helps reduce these costs. As an individual, you don’t need to register for the Medicare Safety Net as Medicare will automatically provide a higher rebate to you once you become eligible. However, if you are part of a family or couple you should register with Medicare for the Safety Net by phoning 132 001 so that your combined couple/family expenses are counted. Medicare will keep a running total of the medical expenses you have incurred and the VCPS accounts system automatically communicates your expenditure at our clinics with Medicare if you register your Medicare card with us.

The amount you need to spend on out-of-pocket expenses in 2014 to meet the Medicare Safety Net thresholds and receive higher rebates for our services is:

  1. $430.90 - You rebate will increase to $146.45 for a Clinical Psychologist, and $99.75 for a Consultant Psychologist or Counselling Psychologist
  2. $1,248.70  (or $624.10 if you hold a Health Care Card or you are in a family eligible for Family Tax Benefit Group A) - You rebate will increase from to $189.29   for a Clinical Psychologist, and $179.95 for a Consultant Psychologist or Counselling Psychologist (assuming a consultation fee of $200.00)

 

Example: Based on a psychologist consultation fee of $200 per 50 minute session.

 

If you see a clinical psychologist, your usual rebate would be $124.50, and the out-of-pocket cost to you would be $200.00 minus $124.50, equalling $75.50.

 

If you see a consultant or counselling psychologist, your rebate would be $84.50, and the out-of-pocket cost to you would be $200.00 minus $84.80, equalling $115.50

However, once you spend $430.90 on out-of-pocket costs in 2014 (this is referred to as The Original Safety Net) your rebate will increase to $146.45 per consultation if you see a Clinical Psychologist and $99.75 if you see a Consultant or Counselling Psychologist.

 

A much larger rebates come into effect once you spend $1,248.70 on out-of-pocket costs in 2014 (or $624.10 if you hold a Health Care Card, or you are in a family eligible family for Family Tax Benefit Group A). This is referred to the Extended Safety Net, and your rebate will increase to $189.29 if you see a Clinical Psychologist and $179.95 if you see a Consultant or Counselling Psychologist. 

 

Medicare Item Number

Practitioner

Standard Medicare Rebate on a $200.00 consultation fee
(Your out-of-pocket
expense in brackets)

Original Safety Net Rebate Medicare Rebate on a $200.00 consultation fee
(Your out-of-pocket expense in brackets)

Extended Safety Net Rebate Medicare Rebate on a $200.00 consultation fee
(Your out-of-pocket expense in brackets)

80110

Counselling or Consultant Psychologist

$84.80   ($115.20)

$99.75   ($100.25)

$179.95  ($20.05)

80010

Clinical Psychologist

$124.50   ($75.50)

$146.45    ($53.55)

$189.29   ($10.71)