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Changes to our Billing Policy



Our mission to provide high-quality allied health care has been challenged over the years by rising costs and a minimal increase in the Medicare rebate. 

We would like to advise that Keystone Health is implementing Mixed Billing on 1st July 2023.


What is Bulk Billing?

Bulk billing means that the clinic can claim a rebate from Medicare for services provided to patients. This means that the amount received for each service is the amount set by the Australian Government.


What is Mixed Billing?

Mixed-billing means that most patients are required to pay the full consultant fee and any eligible Medicare rebates is paid back into your nominated account.


Why is there a Gap Fee?

The costs of health care are not reflected in Medicare patient rebates (the amount the government pays to subsidise consultations).

Costs continue to rise due to the increasing cost of new technologies and wages of a skilled labour force.

Rebates were completely frozen (i.e. did not receive an annual indexation increase from the government) between 2014 and 2018.

Inflation has risen by 7.8% over the past 10 years, however, the rebate for Physio and EP consultations rose by only 90 cents.


When will Bulk Billing Still Apply?

Access to healthcare is very important to us. Therefore, certain patients will continue to be bulk-billed or receive a concession fee.

  • Children under 16 years

  • ATSI referrals

  • DVA patients

How will the fee be processed?

The full consultation fee is payable at the end of your appointment. We will then process your Medicare rebate on your behalf through our practice software. If you are eligible the rebate should appear in your bank account within 1-2 business days.

What you need to do to receive the rebate?

We recommend that you ensure you bank account details are up-to-date in Medicare to avoid delays in receiving your rebate.

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