Our laboratory will bulk-bill all pathology tests covered under the Medicare Benefits Schedule. However, an invoice will be issued and you may be required to pay if one of the following has occurred:
- The testing isn’t covered by Medicare.
- The request form is not signed and completed in compliance with Medicare rules.
- The test is not performed by our laboratory.
- You’re an inpatient or day stay patient in a private hospital and your health insurer does not have a no gap agreement with our clinic.
Pay your account
Paying your account with us is an easy, convenient and secure process.
Pay via BPay
Contact your participating bank, credit union or building society to make your payment directly from your bank account. When prompted, simply enter the Biller Code and the reference number, which appears on the front of the payment slip.
You can pay your account using our secure internet payment option “bpoint” with your Visa or MasterCard by clicking here.
Please be aware that our new online payment window will open in your browser to facilitate security of payment directly to us. If you are having difficulty loading this payment page then please ensure that your security settings are adjusted to allow pop-ups from our website.
No, in most cases. Our lab will generally bulk-bill all testing that’s covered by Medicare.
That is you will generally never pay for pathology testing at our lab.
However, in some cases, a patient co-payment may be required when:
- Tests are not covered by Medicare.
- The test is not performed by our lab.
- You’re a patient in a private hospital.
There may be a number of reasons for this including:
- You were a private hospital patient.
- Your testing is not eligible under Medicare rules.
- Your testing did not comply with Medicare bulk-billing.
- Your tests had to be performed by a specialised facility or lab.
These can include the following:
- Immigration DNA testing
- Parentage DNA testing
Some of these tests may be covered by your private health insurance. Please contact your provider for more details.
If you have a Veteran Affairs Gold Card, you will not incur out of pocket expenses for any medical services provided by our clinic. We will bill your tests direct to the Department of Veteran Affairs for payment.
You can settle your pathology account online. You will then be issued with a receipt which you can send to Medicare, or your private health insurer in some cases, to receive a cash rebate if applicable and eligible.
Most private health insurance funds have a no gap agreement with our pathology labs. This means that you won’t receive a bill for any Medicare-approved testing that was conducted while you were in hospital. You simply need to be with one of these no gap health insurers:
- And many others (contact us to confirm)
However, please note, there are a few private health insurers who don’t offer their members this no gap benefit. They prefer that their members receive a bill direct from our pathology labs instead.
NIB is the largest of these private insurers who don’t offer no gap coverage with our pathology labs (and all other pathology providers). So if you do receive a bill from us, you’ll need to pay 100% of your account to us. We will then issue you with a receipt which you can send to Medicare and your private health insurance company for a cash rebate if applicable.
If you receive a bill from us for your in-hospital pathology testing, and you have no health insurance coverage, then you’ll need to pay 100% of your account. We will then issue you with a receipt that you can send to Medicare and your private health insurance company for a cash rebate if applicable.
We will rarely bill you direct. However if we do, the expenses will vary depending upon the location and type of services and testing that was conducted. Private account charges for pathology tests are based on the Australian Medical Association schedules.
We have a gap protection policy which means that after you’ve paid your account with us and claimed back your Medicare rebate, your maximum out-of-pocket expense for Medicare eligible testing will be no more than $195 per request for non-hospital testing and $500 per stay for private patients.
Please note: Most insurers do not offer no gap coverage.
The Medicare Safety Net is designed to help patients with large healthcare bills from doctors. The Safety Net means that once you reach a threshold ($500 / patient per year or $1,500 per family per year), then your out-of-pocket expenses may be reimbursed. The Medicare Safety Net covers a range of medical services including pathology services that you receive out of hospital. For more details, please visit the Medicare Australia website.