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How are doctors’ fees set?

OSHCstudents – How are doctors’ fee set? How much of the doctor’s bill will OSHC cover? Find out how doctors’ fees are set in Australia so that you can fully prepare yourself if you need to visit a doctor.

<a href=”https://www.freestock.com/free-photos/portrait-female-doctor-holding-patient-chart-406516000″>Image used under license from Freestock.com</a>

In Australia, doctors are free to decide how much to charge for their services.

Fees vary because doctors have to take into account their particular costs in delivering services and may have differing views about what represents a reasonable return for their time and skill.

You have the right to ask for an estimate of fees before you receive the service or agree to a proposed treatment. Wherever practical, doctors should be prepared to
discuss their charges before providing their services. This information should preferably be provided in writing.

There will be circumstances (for example, emergency admissions) where it will not be possible for your doctor to obtain your informed financial consent (IFC) before the service is provided. In these cases, information should be provided to you or a representative acting in your interests as soon as possible.

How much of the doctor’s bill will OSHC cover?

The Australian Government sets a Medicare Benefits Schedule (MBS) fee for most services.

OSHC pays a benefit of 100% of the Medicare Benefits Schedule (MBS) fee for medical services provided in hospital

However doctors can charge their patients more than the MBS fee if they choose, and many do. ‘Gaps’ or ‘out-of-pocket costs’ are the difference between what you’re charged, and what Medicare and your insurer (if you have one), will pay for your treatment.

How to reduce unexpected gap fees

You are international students, foreigners arrive to Australia and Australian citizens traveling abroad are looking at OSHC, OVHC, travel insurance, please contact OSHCstudents Team at email: info@oshcstudents.com and our partners for further information and assistance.

OSHCstudents (source: Ombudsman)

News related

Baek Ah Yeon

I trust Allianz Care since it is one of the largest insurance companies in Australia, with the medical centres where I only have to pay for what is left from insurance support. (no need to claim later). Besides, those centres are located at the centre of the city, close to schools. Very convenient, right? Credits to Allianz Care for providing reliable medical centres for health check and treatments.

Baek Ah Yeon | University of Queensland

Ariella Pei

I’ve been living with homestay family for 2 years. I’m now 19, I can move out but I don’t want to leave my host, who has become my family. It feels like I’ve met my second family. Thanks OSHCstudents for sending me to this homestay!

Ariella Pei | University of Canberra

Chatchawat Paton

I realised how important insurance was when I started living in Australia. There I switched to using Allianz Care instead of the previous service. Allianz Care is extraordinarily good in its consulting service and customer care. I’ve learned a lot about Australian health care, also I was consulted with mental issues and how to live a healthy lifestyle. I am very happy now.

Chatchawat Paton | Torrent University

Xiaoyu Cheng

Thanks to Allianz Care, every time I claimed my medical receipts it processed much more quickly and easily than I expected. I was initially a bit concerned since Allianz Care is more expensive than other insurance companies, but now I can ensure that it is totally worth the money.

Xiaoyu Cheng | Monash University

OSHCstudents Services

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