Medicare Benefits Schedule - Note AN.0.42

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Category 1 - PROFESSIONAL ATTENDANCES

AN.0.42

Health Assessment provided for refugees and other humanitarian entrants

Items 701, 703, 705 and 707 may be used to undertake a health assessment for refugees and other humanitarian entrants. 

The purpose of this health assessment is to introduce new refugees and other humanitarian entrants to the Australian primary health care system, as soon as possible after their arrival in Australia (within twelve months of arrival). 

The health assessment applies to humanitarian entrants who are resident in Australia with access to Medicare services.  This includes Refugees, Special Humanitarian Program and Protection Program entrants with the following visas: 

Offshore Refugee Category including: 

(a) 200 Refugee

(b) 201 In Country Special Humanitarian

(c) 203 Emergency rescue

(d) 204 Women at Risk

(e) Offshore - Special Humanitarian Program

(f) 202 Global Special Humanitarian 

Offshore - Temporary Humanitarian Visas (THV) including: 

(g) Subclass 695 (Return Pending)

(h) Subclass 070 (Removal Pending Bridging) 

Onshore Protection Program including: 

(i) 866 Permanent Protection Visa (PPV)

(j) 785 Temporary Protection Visa (TPV) 

Patients should be asked to provide proof of their visa status and date of arrival in Australia.  Alternatively, general practitioners may telephone the Department of Human Services on 132011, with the patient present, to check eligibility. 

The general practitioner and patient can use the service of a translator by accessing the Commonwealth Government's Translating and Interpreting Service (TIS) and the Doctors Priority Line.  To be eligible for the fee-free TIS and Doctors Priority Line, the medical examiner must be in a private practice and provide a Medicare service to patients who do not speak English and are permanent residents. 

A health assessment for refugees and other humanitarian entrants may only be claimed once by an eligible patient.

Related Items: 701 703 705 707


Related Items


Health Assessments

The category of people eligible for health assessments are :

a)     People aged 40 to 49 years (inclusive) with a high risk of developing type 2 diabetes as determined by the Australian     Type 2 Diabetes Risk Assessment Tool

b)     People between the age of 45 and 49 (inclusive) who are at risk of developing a chronic disease

c)     People aged 75 years and older

d)     Permanent residents of a Residential Aged Care Facility

e)     People who have an intellectual disability

f)     Humanitarian entrants who are resident in Australia with access to Medicare services, including Refugees and Special     Humanitarian Program and Protection Program entrants

g)     Former serving members of the Australian Defence Force including former members of permanent and reserve forces

Category 1 - PROFESSIONAL ATTENDANCES

701

701 - Additional Information

Item Start Date:
01-May-2010
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2019

Professional attendance by a general practitioner  to perform a brief health assessment, lasting not more than 30 minutes and including:

(a) collection of relevant information, including taking a patient history; and

(b) a basic physical examination; and

(c) initiating interventions and referrals as indicated; and

(d) providing the patient with preventive health care advice and information

Fee: $60.30 Benefit: 100% = $60.30

(See para AN.0.36, AN.0.37, AN.0.38, AN.0.39, AN.0.40, AN.0.41, AN.0.42, AN.0.69 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

703

703 - Additional Information

Item Start Date:
01-May-2010
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2019

Professional attendance by a general practitioner to perform a standard health assessment, lasting more than 30 minutes but less than 45 minutes, including:

(a) detailed information collection, including taking a patient history; and

(b) an extensive physical examination; and

(c) initiating interventions and referrals as indicated; and

(d) providing a preventive health care strategy for the patient

Fee: $140.10 Benefit: 100% = $140.10

(See para AN.0.36, AN.0.37, AN.0.38, AN.0.39, AN.0.40, AN.0.41, AN.0.42, AN.0.69 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

705

705 - Additional Information

Item Start Date:
01-May-2010
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2019

Professional attendance by a general practitioner  to perform a long health assessment, lasting at least 45 minutes but less than 60 minutes, including:

(a) comprehensive information collection, including taking a patient history; and

(b) an extensive examination of the patient's medical condition and physical function; and

(c) initiating interventions and referrals as indicated; and

(d) providing a basic preventive health care management plan for the patient

Fee: $193.35 Benefit: 100% = $193.35

(See para AN.0.36, AN.0.37, AN.0.38, AN.0.39, AN.0.40, AN.0.41, AN.0.42, AN.0.69 of explanatory notes to this Category)

Category 1 - PROFESSIONAL ATTENDANCES

707

707 - Additional Information

Item Start Date:
01-May-2010
Description Start Date:
01-Jul-2018
Schedule Fee Start Date:
01-Jul-2019

Professional attendance by a general practitioner to perform a prolonged health assessment (lasting at least 60 minutes) including:

(a) comprehensive information collection, including taking a patient history; and

(b) an extensive examination of the patient's medical condition, and physical, psychological and social function; and

(c) initiating interventions or referrals as indicated; and

(d) providing a comprehensive preventive health care management plan for the patient

Fee: $273.10 Benefit: 100% = $273.10

(See para AN.0.36, AN.0.37, AN.0.38, AN.0.39, AN.0.40, AN.0.41, AN.0.42, AN.0.69 of explanatory notes to this Category)


Legend

  • Assist - Addition/Deletion of (Assist.)
  • Amend - Amended Description
  • Anaes - Anaesthetic Values Amended
  • Emsn - EMSN Change
  • Fee - Fee Amended
  • Renum - Item Number Change (renumbered)
  • New - New Item
  • NewMin - New Item (previous Ministerial Determination)
  • Qfe - QFE Change