+ Reply to Thread
Page 1 of 2 12 LastLast
Results 1 to 10 of 15
  1. #1
    Join Date
    Jan 2009
    Posts
    10,611
    Thanks
    404
    Thanked
    1,918
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 posts

    Default How does the Medicare Safety Net work?

    I just looked at the material on the web site, but want to make sure I've understood it correctly.

    I have an $800 invoice from my midwife, which I've paid. I will only get about $50 back from Medicare on it, leaving me about $750 out of pocket.

    This will put me over the Medicare Safety Net, as we received a lump sum of FTB Pt A last year.

    But, once I am over the safety net, does that mean that Medicare automatically give me more money back on medical expenses without me having to tell the doctor or do anything?

    Eg. when I go to the doctor, it is $70. I get approximately $35 back from Medicare. But after we exceed the safety net, will they just automatically give me a higher amount?

    Also, does it apply to psychology services where Medicare pays a rebate? I have a mental health care plan for my son, meaning I will get some Medicare money back when I take him to a psychologist. But wiill I get more after we exceed the safety net, or are psychology services excluded?

    I know I should phone Medicare, but dealing with call centres is painful.

  2. #2
    Join Date
    Sep 2011
    Posts
    3,307
    Thanks
    46
    Thanked
    985
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    The difference between what you pay and what Medicare reimburses. It's calendar year. So your "balance" starts January first . Next time your in Medicare check everyone is linked and what your balance is. I

  3. #3
    Join Date
    Jan 2009
    Posts
    10,611
    Thanks
    404
    Thanked
    1,918
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 posts
    Thanks. I'll definitely be over it due to the invoice that I paid last month, and need to send to medicare.

    Hopefully it's just an automated process once I lodge that invoice.

  4. #4
    Join Date
    Feb 2012
    Posts
    3,521
    Thanks
    1,318
    Thanked
    1,574
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    You have to register for the extended Medicare safety net it's not automatic. You get extra back from the out of pocket costs.

  5. #5
    Join Date
    Jan 2009
    Posts
    10,611
    Thanks
    404
    Thanked
    1,918
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 posts
    I phoned a while ago, and they said I was registered for the family one, where they combine all your medical expenses to reach the safety net.

    I will just phone Medicare after I lodge this invoice, I think, and defer lodging any other invoices until I know that the safety net has been approved.

  6. #6
    Join Date
    Nov 2011
    Posts
    575
    Thanks
    25
    Thanked
    131
    Reviews
    0
    Achievements:Topaz Star - 500 posts
    its not lodgement date its the date of the invoice, date of the service that counts

  7. #7
    Join Date
    Jan 2009
    Posts
    10,611
    Thanks
    404
    Thanked
    1,918
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 posts
    I understand that it the safety net will only apply to services provided after exceeding the net.

    What I meant was I lodge the large invoice (which will put me over the safety net), and that hadn't been processed yet (or whatever), then if I lodged another invoice soon after then I might not get back the extra money? I guess I could always take it back in for the extra gap amount anyway.

    I have never gone close to the safety net before (the only reason I'm going over this year is due to a home birth), so just want to reduce my hassle in dealing with Medicare. I have a very spirited 3yo who doesn't like sitting around in Medicare offices.

  8. #8
    Join Date
    Feb 2009
    Location
    my house
    Posts
    17,696
    Thanks
    1,391
    Thanked
    7,285
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 postsRuby Star - 15,000 posts
    I think it is automated. We were over a few years ago and got it back without having to do anything, I think.

  9. #9
    Join Date
    Feb 2012
    Location
    Glen Waverley
    Posts
    669
    Thanks
    523
    Thanked
    279
    Reviews
    10
    Achievements:Topaz Star - 500 posts
    Does anyone know if the safety net that applies to Medicare services and via one that applies to prescriptions is the same thing? By abt September i usually get to 500 bucks worth of scripts, so wondering if this entitles me to cheaper med services? Or is this a separate thing? if you want to make use of the pharmaceutical side of the safety net, it pays to get yr scripts filled at the one pharmacy, as that way it is automated, +they immediately give u scripts for free after you reach the 500 mark. Thanks for your Medicare experiences and knowledge!

  10. #10
    Join Date
    Jan 2009
    Posts
    10,611
    Thanks
    404
    Thanked
    1,918
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 postsEmerald Star - 10,000 posts
    I looked into it as I was buying some non pbs scripts, and from memory they are separate nets.

    But both count for the tax rebate. I think the tax side was the only purpose of combining.


 

Similar Threads

  1. How much is the medicare safety net?
    By notoverlymaternal in forum Pregnancy & Birth General Chat
    Replies: 6
    Last Post: 04-07-2012, 10:25
  2. IVF cost & medicare safety net
    By Babymiracle in forum IVF
    Replies: 5
    Last Post: 01-06-2012, 20:14
  3. Medicare safety net
    By jen80 in forum IVF
    Replies: 1
    Last Post: 27-04-2012, 10:30

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
free weekly newsletters | sign up now!
who are these people who write great posts? meet our hubbub authors!
Learn how you can contribute to the hubbub!

reviews
learn how you can become a reviewer!

competitions

forum - chatting now
christmas gift guidesee all Red Stocking
Tambo Teddies
Visit our online store and select your individually handmade natural sheepskin teddy bear. Our soft and loveable bears come in a range of styles and colours. Created in Outback Queensland each bear is unique individual. 100% Australian made!
sales & new stuffsee all
Wendys Music School Melbourne
Wondering about Music Lessons? FREE 30 minute ASSESSMENT. Find out if your child is ready! Piano from age 3 years & Guitar, Singing, Drums, Violin from age 5. Lessons available for all ages. 35+ years experience. Structured program.
Use referral 'bubhub' when booking
featured supporter
Baby Car Seats and Infant Car Restraints
Buying a baby car seat? Check out our 'go-to' links here!
gotcha
X

Pregnant for the first-time?

Not sure where to start? We can help!

Our Insider Programs for pregnancy first-timers will lead you step-by-step through the 14 Pregnancy Must Dos!