Ermington Medical Centre

We strongly encourage patients to register as a family for the Extended Medicare Safety Net which allows you to reach the safety net threshold sooner: https://www.humanservices.gov.au/individuals/services/medicare/medicare-safety-nets

• Once you have reached the EMSN, you will receive back 80% of out-of-pocket gap fees for the rest of the calendar year, in addition to the usual Medicare rebate (capped at different amounts for different items).

• Example 1: If the doctor charges $70.00 for the service, the patient’s out-of-pocket cost before EMSN benefits are paid is $29.90 (fee charged by provider minus the MBS benefit received). The EMSN benefit for this service is calculated to be $23.95 (80% of the patient’s out-of-pocket cost). As a result, the total cost incurred by the patient is $5.95.

• Example 2: If the doctor charges $90.00 for the service, the patient’s out-of-pocket cost before EMSN benefits are paid is $49.90 (fee charged by provider minus the MBS benefit received). The EMSN benefit for this service would be calculated to be $39.95 (80% of the out-of-pocket cost) however, as this item has an EMSN benefit cap, the patient will receive the cap amount of $32.95. As a result, the total cost incurred by the patient is $16.95.

If attending with a physical card, claims can be processed within the clinic. Rates will be charged based on the full Medicare schedule, so there may be a small out-of-pocket cost depending on your insurance coverage.

If no physical insurance card is presented, we will charge as normal and provide an itemised invoice for you to claim back from your insurer.