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Bar diagram showing three vertical bars, the first representing MBS fees, the second representing the combined MBS fees and Private Health Insurance (PHI) coverage, and the third, taller bar representing doctors' fees, with the gap fee as the difference between doctors' fees and the combined MBS and PHI coverage.

Understanding Medicare Rebates, Fees, and Insurance at Precious Health Radiology

Navigating the Financial Aspects of Your Radiology Services

At Precious Health Radiology, we strive to provide our patients with the best possible radiology services, including CBCT, x-rays, and ultrasounds. To help you better understand the financial aspects of your radiology services, we have simplified to few main keywords: Medicare rebates, full fees, insurance, and gaps. In this blog, explain how they impact your healthcare costs.

 

Medicare Rebates: Reducing Your Out-of-Pocket Expenses

One key element of Australia’s healthcare system is the Medicare rebate. Medicare rebates are partial refunds provided by our government to help cover the cost of certain medical services, including some radiology services like x-rays or CBCT scans. These rebates are designed to lower your out-of-pocket expenses, making healthcare more accessible and affordable.

To be eligible for a Medicare rebate, you must have a valid referral from a medical practitioner (also known as your healthcare provider or referrer). The rebate amount varies depending on the specific radiology service you receive.

 

Full Fee: The Total Cost of Your Radiology Service

The full fee refers to the total cost of your radiology service at Precious Health Radiology. This includes the fees for the actual imaging service, such as an x-ray or CBCT scan, as well as any related professional fees. Your full fee will depend on the number of factors which includes the types of services, the availability of doctors or clinic and time of the day.

Health Insurance and the Gap: How They Affect Your Costs

Private health insurance can help cover a portion of your radiology service fees. Depending on your policy, your insurance may cover some or all of the remaining costs after the Medicare rebate has been applied. We strongly recommend that you review your insurance policy to understand what services are covered and the extent of the coverage, especially for pregnancy.

 

The Gap: Understanding Out-of-Pocket Expenses

The gap refers to the difference between the total cost of your radiology service (full fee) and the combined amount covered by Medicare or your private health insurance. This is the amount you will need to pay out-of-pocket. The size of the gap depends on several factors, including the specific service you receive, the Medicare rebate amount or your insurance policy’s coverage.

 

Precious Health Radiology: Committed to Transparent Pricing

At Precious Health Radiology, we are dedicated to providing transparent pricing and helping our patients understand their financial responsibilities. Our friendly staff is available to answer any questions you may have about Medicare rebates, full fees, insurance, and gaps. Feel free to contact us or visit our booking page for prices.

 

In conclusion, understanding Medicare rebates, full fees, insurance, and gaps can help you better manage your healthcare costs and make informed decisions about your radiology services. At Precious Health Radiology, we are committed to helping you navigate the financial aspects of your healthcare journey while providing exceptional radiology services.