Billing policy
Clinpath Pathology is a private pathology laboratory.
The fees for pathology testing are separate from the fees charged by other treating doctors.
All pathology tests incur a fee. However, Clinpath Laboratories offers discounted fees to "concessional" patients.
Your Clinpath account
Australia Post Office
The receipt you receive can be used to claim your Medicare rebate.
BPay Internet Banking
The reference number is unique; you will need to change this number for each new account. Your receipt will be mailed to you.
Phone (via credit card)
Call 1300 138 202
24 hours, 7 days a week. Your receipt will be mailed to you.
If you need assistance, please contact our Accounts department on (08) 8366 2066 between 9am and 3pm Monday to Friday or email us at accounts@clinpath.com.au.
When the account is paid, you will be forwarded a receipt to submit to Medicare to claim your rebate.
Your Medicare rebate is the subsidy provided by the Australian government for services that are included in the Medicare Benefits Schedule.
If any of your tests are not covered in this Schedule, you will not receive a rebate.
You will need to pay for these tests in full.
For more information about personal and test eligibility, visit the Medicare Australia website medicareaustralia.gov.au or contact Medicare on 132 011.
Our bulk-billing policy
If you fall into one of the following categories, your services will be bulk-billed (Medicare rebateable items only).
- Nursing home patients
- Patients over 75 years of age
- Patients under 17 years of age
- As well as the below current card holders
Medicare rebate eligibility
The following billing policy applies only to patients who are eligible for a Medicare rebate and for tests listed in the Medicare Benefits Schedule.
Your Medicare rebate is the subsidy provided by the Australian government for tests that are included in the Medicare Benefits Schedule.
If any of your tests are not covered in this Schedule you will not receive a rebate.
You will need to pay for these tests in full.
For more information about personal and test eligibility visit the Medicare Australia website medicareaustralia.gov.au or contact Medicare on 132 011.
Concessional patients (see above) will be bulk-billed and will not receive an account from Clinpath Pathology.
Non-concessional patients may be privately billed and receive an account from Clinpath. Our fees are based on the Australian Medical Association (AMA) list of medical services and fees. When you have paid your account you can submit the receipt to Medicare to claim the Medicare rebate.
Out-of-pocket expenses for Medicare-eligible outpatient pathology tests
Out-of-pocket expenses are incurred when the private account from Clinpath exceeds the sum of rebates payable by Medicare Australia.
When we issue a private account we limit our fees so that your out-of-pocket expenses are kept to a minimum.
The maximum out-of-pocket payment for Medicare-eligible outpatient pathology tests performed on a single day, regardless of number or complexity of tests, is $120.
Inpatient pathology services refer to tests performed on:
- a private patient in a private hospital or approved day hospital facility, or
- a private patient in a recognised (public) hospital.
Clinpath has a "NO GAP" agreement for hospital inpatients with most health insurance funds.
If you have insurance cover with a private health fund that has a "No Gap" agreement with Clinpath, your account will be billed directly to Medicare Australia and your private health insurer for full payment. In general, you will not incur any additional out-of-pocket expenses, however we advise you to check with your health fund before proceeding.
Clinpath has "No Gap" agreements with the following health funds:
- ANZ
- ACA Health Benefits Fund
- Australian Health Management
- Australian Union Health
- Australian Unity Health
- BetterHealth Cover
- BUPA
- CBH Friendly Society
- CUA Health Fund
- Defence Health
- Druids Friendly Society (NSW)
- Emergency Services Health Fund
- Latrobe Health Services
- Grand United Health
- Health Care Insurance
- Healthguard Health Benefits
- Health Partners
- HBF
- HCF
- HHB
- HIF
- Manchester Unity
- Medibank Private
- Mildura Healthfund
- Mutual Community
- Navy Health Ltd
- NRMA
- Nurses & Midwives Health
- onemedifund
- Peoplecare Health Insurance
- Phoenix Health
- Police Health
- Queensland Country Health Fund
- Rail & Transport Health
- Reserve Bank Health Society Ltd
- rtHealth
- St Lukes
- Teachers Federation Health (NSW)
- Teachers Union Health (QLD)
- The Doctors Health Fund
- Transport Health
- West Fund
Any tests that are not covered under the Medicare Benefits Schedule will incur an additional fee that may not be covered by your private health insurance. These tests must be paid for in full, and are not eligible for a Medicare rebate.
For more information about Medicare rebates, visit the Medicare Australia website www.medicareaustralia.gov.au.
Further information can also be provided by your private health insurer.
If your private health insurance fund does not have a “no gap” agreement with Clinpath Pathology you may incur additional fees.
The maximum out-of-pocket payment for medicare-eligible inpatient pathology tests performed during a single admission to hospital, regardless of number or complexity of tests or duration of admission, is $600.
If you do not have eligible private health insurance you will receive an account from us.
Your pathology tests will be charged a maximum in accordance with the Australian Medical Association (AMA) schedule of fees.
When the account is paid you can present the receipt to Medicare Australia to claim the rebate which will amount to 75% of the Medicare Schedule fee.
The difference between our fee and the rebate is your out-of-pocket expense.
Any out-of-pocket fee will be capped to a maximum of $600 per admission.