Commonly used after-hours Medicare Benefit

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Commonly used after-hours Medicare Benefit
Schedule items for general practitioners
Non-urgent after-hours attendance for a single patient
General practitioner
consultation level
Consulting rooms
Residential aged care facility
Other (eg home visit)
 Monday to Friday before
8am or after 8pm
 Saturday before 8am or
after 1pm
 All day Sunday and public
holiday
 Monday to Friday before
8am or after 6pm
 Saturday before 8am or
after 12 noon
 All day Sunday and public
holiday
 Monday to Friday before
8am or after 6pm
 Saturday before 8am or
after 12 noon
 All day Sunday and
public holiday
Level A – Short
MBS item 5000 - $29.00
MBS item 5010 – $75.70
MBS item 5003 - $54.95
Level B – Standard
MBS item 5020 - $49.00
MBS item 5028 – $95.70
MBS item 5023 - $74.95
Level C – Long
MBS item 5040 - $83.95
MBS item 5049 – $130.65
MBS item 5043 - $109.90
Level D – Extended
MBS item 5060 - $117.75
MBS item 5067 – $164.45
MBS item 5063 - $143.70
After-hours bulk
billing incentive
MBS item 10991 - $9.25*
MBS item 10992 - $9.25*
MBS item 10992 - $9.25*
Urgent (non-routine) after-hours attendance (one patient only on one
occasion)
Sociable after-hours
MBS item 597 - $129.80
 7am-8am and 6pm-11pm Monday to
Friday
 7am-8am and 12noon-11pm Saturday
 7am-11pm Sunday/public holiday
Unsociable after-hours
MBS item 599 - $153.00
 11pm-7am any day
After-hours bulk billing incentive
MBS item 10991 - $9.25* in consultation rooms
MBS item 10992 - $9.25* other than consulting rooms (eg RACF or home visit)
A full list of the Medicare Benefits Schedule (MBS) fees, benefits and explanatory notes can be found at
www.health.gov.au/internet/mbsonline/publishing.nsf/Content/Medicare-Benefits-Schedule-MBS-1.
Fees listed are the Medicare rebate amount or the amount paid when bulk-billed (* denotes 85 per cent of the Schedule
fee). These items and fees are current at 14 July 2015 and are subject to change without notice.
Commonly used after-hours Medicare Benefit
Schedule items for general practitioners
Non-urgent after-hours attendance at a hospital or residential aged care
facility for more than one patient
 Monday to Friday before 8am or after 6pm
 Saturday before 8am or after 12 noon
 All day Sunday and public holiday
Number of patients
The fee for item 5000(A), 5020(B), 5040(C) or 5060(D)
plus $46.70 divided by the number of patients seen up to
a maximum of six patients.
Level A
Level B
Level C
Level D
 MBS item 5010
 MBS item 5028
 MBS item 5049
 MBS item 5067
2
$52.35
$72.35
$107.30
$141.10
3
$44.57
$64.57
$99.52
$133.32
4
$40.68
$60.68
$95.63
$129.43
5
$38.34
$58.34
$93.29
$127.09
6
$36.78
$56.78
$91.73
$125.53
7+
The fee for item 5000(A), 5020(B), 5040(C) or 5060(D) plus $3.30 per patient
Plus after-hours bulk billing incentive – MBS item 10992 - $9.25*
Non-urgent after-hours attendance for more than one patient at a location
other than consulting rooms, hospital or residential aged care facility
(eg home visit)
 Monday to Friday before 8am or after 6pm
 Saturday before 8am or after 12 noon
 All day Sunday and public holiday
Number of patients
The fee for item 5000(A), 5020(B), 5040(C) or 5060(D)
plus $25.95 divided by the number of patients seen up to
a maximum of six patients.
Level A
Level B
Level C
Level D
 MBS item 5003
 MBS item 5023
 MBS item 5043
 MBS item 5063
2
$41.95
$61.98
$96.93
$130.72
3
$37.65
$57.65
$92.60
$126.40
4
$35.49
$55.49
$90.44
$124.24
5
$34.19
$54.19
$89.14
$122.94
6
$33.33
$53.33
$88.28
$122.08
7+
The fee for item 5000(A), 5020(B), 5040(C) or 5060(D) plus $2.00 per patient
Plus after-hours bulk billing incentive – MBS item 10992 - $9.25*
A full list of the Medicare Benefits Schedule (MBS) fees, benefits and explanatory notes can be found at
www.health.gov.au/internet/mbsonline/publishing.nsf/Content/Medicare-Benefits-Schedule-MBS-1.
Fees listed are the Medicare rebate amount or the amount paid when bulk-billed (* denotes 85 per cent of the Schedule
fee). These items and fees are current at 14 July 2015 and are subject to change without notice.
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