Fees + Medicare

What do the fees cover?

For obstetric services, you will obtain 24/7 access to your own doctor (and on the rare occasions when she is unavailable, her most trusted colleagues are on call in her place). You can contact Jaclyn via phone or email an unlimited number of times, day or night. If you need to go to hospital during your pregnancy, other than for the birth of your child, your doctor will still be involved in your care every step of the way.

Anaesthetists, paediatricians and other health professionals have their own fees but we will always endeavour to give you an estimate of costs prior to engaging one of our colleagues on your behalf.

Our fees are as such so that we can deliver the highest quality, personalised health care and are in line with the Australian Medical Association (AMA) recommended schedule of fees.

Payment is required on the day of consultation.

What are the fees?
Gynaecology

Initial Consultation (MBS item 104)

  • Payable on the Day $220.00
  • Minimum Medicare Rebate* $72.75

Review appointment (MBS item 105)

  • Payable on the Day $95.00
  • Minimum Medicare Rebate* $36.55

In-rooms procedures such as IUD insertion and colposcopy may involve additional fees, most of which is rebated by Medicare.

*If your family has reached the Extended Medicare Safety Net cap for the calendar year, you may be eligible for a higher level of rebate.

Surgical procedures

Surgical procedures: When performed in a private hospital, are under a no gap arrangement and billed directly to your fund. You will have to pay your hospital excess (this depends on your individual policy), but no co-payment for the surgeon’s (and the assistant’s, if required) fees.

Post-operative reviews, 5 to 7 days after your procedure, are free of charge

Anaesthetic fees are separate and we will arrange a quote on your behalf.

Obstetrics

Please contact us directly for a detailed quote of fees pertaining to obstetric care with Embrace Women’s Health

Medicare Claiming

Medicare rebates apply for outpatient services and both Medicare and private health fund rebates apply to inpatient (hospital admitted) episodes.

In order to receive benefits from Medicare, make sure you have a valid GP referral and that you have linked your bank account details to your Medicare online account. Medicare stopped issuing benefit cheques on 1st of July 2016 so if you haven’t linked your bank account, you won’t get your refund!

Note: Medicare will only reimburse 85% of the MBS (Medicare Benefit Schedule) fee for a specialist consultation and 75% of in-hospital care, and these rates have been “frozen” since 2013. This means that the amount Medicare will reimburse you has not increased in many years, despite the rising costs of providing quality health care.

Private health Insurance and out of pocket (OOP) fees

Private health insurance does not cover you for outpatient services but will reimburse you at least the remaining 25% of the MBS benefit for inpatient episodes. Some funds include gap cover, and will pay the entire difference between the specialist’s fees and what Medicare will cover. You will need to check with your individual fund to find out if this applies to you, or if you will still have an out of pocket charge for in-hospital care.

Medicare Safety Net

Once you have reached a threshold amounts in gap payments (gap between Medicare benefit and schedule fee) for a given calendar year, your rebates will automatically increase to a higher level. The Extended Medicare Safety Net covers outpatient visits, blood tests, ultrasound scans and other services. For more information, refer to:
humanservices.gov.au/customer/services/medicare/medicare-safety-net

Fees + Medicare

Jaclyn has accreditation at a number of hospitals in Melbourne’s eastern and south eastern suburbs and is happy to deliver your baby at Cabrini Hospital in Malvern or Jessie McPherson Private Hospital which is located on the grounds of Monash Medical Centre Clayton.

Gynaecological surgery is usually performed at Cabrini Hospital in Malvern but can also be arranged at a different hospital, depending on your individual needs and the procedure itself. If you do not have private health insurance, Jaclyn can still perform all in-rooms care and if surgery is required, this can be facilitated by referring you to a public hospital waiting list for Monash Health.

Cabrini Mother and Baby Centre
Cabrini Hospital, Malvern
181-183 Wattletree Rd, Malvern VIC 3144

Jessie McPherson Private Hospital
(Co-located with Monash Medical Centre)
246 Clayton Road, Clayton VIC 3168

Waverley Private Hospital
343-357 Blackburn Road, Mount Waverley VIC 3149

Masada Private Hospital
29 Balaclava Rd, St Kilda East VIC 3183

Epworth Eastern Hospital
1 Arnold St, Box Hill VIC 3128