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Clinic Pricing

Clinic Pricing

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Clinic Pricing

Changes to SHQ Medicare Billing

As many of you know, SHQ commenced Medicare billing in January 2019. As a non-profit organisation, we are committed to keeping our pricing as low as possible. We are also committed to offering services covering all aspects of sexual health.

In order to allow us to expand the services we currently offer, we have decided to start charging a gap fee of $15. Priority groups, such as those aged under 25, and anyone with a Government concession or health care card, will continue to be bulk-billed (with their consent), or have no out of pocket expense for appointments. Unplanned pregnancy consultations will be bulk billed or will have no charge.

For everyone else, a gap fee of $15 will be charged, regardless of whether they see a doctor or a nurse. A doctor’s appointment will be billed in a similar way as a visit to the GP – clients will pay the cost of the Medicare item number/s, plus the $15 gap fee, and receive a rebate for the Medicare item/s only.

SHQ will continue to privately bill an insertion fee for certain procedures (eg IUD and Implanon insertion – a cost may also apply for the purchase of devices).

If you don’t have a Medicare card, you will be asked to pay a small fee to cover administration costs ($15). You may also be required to pay for any pathology costs (usually covered by Medicare). If you have a Medicare card but don’t want to use it, you will be asked to pay a private fee equal to the Medicare item number/s, plus the gap fee of $15.

If you are experiencing financial difficulties, please discuss this confidentially with your clinician. If you have any questions about our Medicare billing, or would like to discuss individual costs, please contact us on 9227 6177.

Fee estimates at SHQ

Please Note: Prices are subject to change

Consultations – General

A fee of $15 is charged in addition to the appropriate Medicare Benefit Schedule fee for a general doctor consultation. Consultations with a reproductive and sexual health nurse will attract a $15 fee. The maximum out of pocket cost after the Medicare rebate is $15.

Service
Medicare
Item No.
SHQ Price
Rebate
Gap Fee

Consult Level A
<5 minutes

3

$32.50

$17.50

$15

Consult Level B
5-20 minutes

23

$53.20

$38.20

$15

Consult Level C
20-40 minutes

36

$88.95

$73.95

$15

Consult Level D
>40 minutes

44

$123.85

$108.85

$15

Pregnancy Test

73806

$8.65

$8.65

Sexual and Reproductive Nurse Consultation

–        

$15

$15

 

 

Consultations – General – Concessional Fees

Anyone under 25 or with a Government concession or health care card will be bulk billed for general doctor appointments and pay no out-of-pocket cost for reproductive and sexual health nurse consultations.

Procedural services

Please note that IUD and Implanon insertions occur over two appointments, the first of which is a general consultation. The following costs are associated with the second appointment, which will include the procedure.

Service
Medicare Item No.
SHQ Price
Rebate
Gap Fee

IUD Insertion* +
Consult**
Total

35503 +
36

$106.25
$88.95
$195.20

$46.25
$73.95
$120.20

$60
$15
$75

Implanon Insertion* +
Consult**
Total

14206 +
36

$50.75
$88.95
$139.7

$30.75
$73.95
$104.7

$20
$15
$35

Implanon Removal + Consult**
Total

30062 +
36

$72.45
$88.95
$161.40

$52.45
$73.95
$126.40

$20
$15
$35

Removal of non Implanon subcutaneous contraceptive implant such as Jadelle +
Consult**

30064 +
36
Total

$114.95
$88.95
$203.90

$94.95
$73.95
$168.90

$20
$15
$35

*Prices do not include the cost of devices/contraceptives purchased through SHQ.

** Consultations are charged according to time spent. A longer consult will be billed at a higher rate, with the out-of-pocket fee remaining the same.

Procedural services – Concessional Fees

Procedures will be bulk-billed for clients presenting a Government concession or health care card who bring their own devices/contraceptives to their appointment. Clients purchasing devices/contraceptives from SHQ will pay the Medicare rebate price only for their consultation and procedure, as well as the cost of the device/contraceptive purchased. They will then receive the full rebate for services from Medicare and only pay out-of-pocket costs for the device/contraceptive.

 

HASSLE FREE APPOINTMENT BOOKING

SHQ offers a range of professional services including testing and treatment of STIs, contraception information and supply, unplanned pregnancy, cervical screening, STI drop-in clinics and counselling.