COVID-19 BILLING AND FEES

Information updated 21 May 2020; and subject to change.


MEDICARE PATIENTS – UNDER GP MENTAL HEALTH CARE PLANS (GP MHCP)

CHANGES IN BILLING AND FEES:

 

On 13 March 2020, Medicare (MBS – Medicare Benefits Schedule) introduced temporary Telehealth item codes (phone calls and/or video conferencing) for Australians to access mental health care.  This was a new service as Telehealth was originally set up for those in remote areas, meaning Medicare did not provide rebates for Telehealth consultations.


On 6 April 2020, the Department of Health allowed psychologists to apply their usual billing practices (ie, charging a co-payment / gap fee ) to some clients.  This meant that psychologists were allowed to charge a gap fee for all non-concession card holders who were NOT in the vulnerable and isolated category.   However, Leah offered a reduced fee commencing 13 April 2020.

 

From 20 April 2020, the Department of Health advised that all of the mandated bulk billing restrictions on the Medicare items for COVID-19 Telehealth services have been removed for all psychologists.  This means that it is no longer a requirement that psychologists bulk bill or offer reduced fees.  However, Leah continued to offer a reduced fee commencing 27 April 2020 that will be made valid until 31 May 2020.  Details are as follows:

Current Patients (already seeing Leah)

  • Concession Card Holder:  the gap fee is $20.

  • Non Concession Card Holders: the gap fee is $40. 

New Patients (seeing Leah for the first time from 20 April 2020) will have the following fees:

  • Concession Card Holder:   
    Upfront fee  - $176.50 (initial session = $50 gap fee) and $146.50 (subsequent sessions = $20 gap fee)

  • Non Concession Card Holders:
    Upfront fee  - $196.50 (initial session = $70 gap fee) and $166.50 (subsequent sessions = $40 gap fee)

From 1 June 2020, fees will return to usual billing practices - see FEES tab for full details.  If you have extenuating circumstances, please discuss with Leah who will make fee decisions on a case by case basis. 


OTHER SERVICES
Work Cover Qld (Work Safe Queensland) – approval of Telehealth for all patients:

  • Victim Services NSW – approval of Telehealth for all patients

  • Work Cover Victoria (Work Safe Victoria) – up to the individual insurer to confirm

  • Work Cover NSW (SIRA) – up to the individual insurer to confirm

  • DVA – approved if the patient meets the current Medicare criteria for vulnerable patients

  • NDIS - approval of Telehealth for all patients

DR. LEAH PISCHEK SIMPSON

CLINICAL PSYCHOLOGIST

DClinPsych, BPsych(Hons), FCCLP, MAPS

REGISTRATION NO. PSY0000979492    MEDICARE PROVIDER NO. 4278083L

ABN NO. 42 613 702 092 

CONTACT

EMAIL    l.pischek@hotmail.com  

MOBILE  0418 566 998 

OFFICE   (07) 5610 4050 

FAX       (07) 5610 4039

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