As a private pathology provider, IQ Pathology will need to bill you for any tests your doctor requests. These tests may have been conducted while you were in hospital, day surgery or in your GPs surgery.
Outpatient procedures are partially claimable through Medicare, however they are not covered by private health insurance. You will be responsible for any out-of-pocket expenses. Your pathology account will only be bulk billed to Medicare if the requesting Doctor has specified this on the request form and it has been signed by the patient; if the practice that you attended is a “bulk billing” practice; or if you are the holder of a government pension or concession card. If this is the case, you will not receive an invoice from IQ Pathology. It will be sent directly to Medicare.
If you receive an invoice from IQ Pathology, you are able to claim a portion back from Medicare; however you’ll still need to pay the balance. The maximum out-of-pocket (full private fee) expense for an outpatient is $100.
If you hold a Veterans’ Affairs Gold Card and we have your Veterans’ Affairs card number, your account will be billed directly to the Department of Veterans’ Affairs.
Inpatients (hospital or day surgery) will receive an invoice from IQ Pathology. Our inpatient procedures are not bulk-billed to Medicare. However, a doctor may request that you are charged the schedule fee. If this is the case, Medicare and your private health insurance will cover the total of the account.
You can claim a portion of your invoice through Medicare, and another portion through your private health insurer. However, you will need to pay any outstanding balance.
After receiving an invoice from IQ Pathology, you’ll be able to claim 75% of the Medicare Scheduled Fee through Medicare. However, you will still need to pay the balance.
If you are the holder of a current Pension card or Concession card and don’t have private health insurance, you’ll receive an account charged at the Medicare Schedule Fee. You will be able to claim 75% of the scheduled fee through Medicare however you will still need to pay the balance.
If you are the holder of a current Pension or Concession card and have private health insurance you will be charged at the Medicare Schedule Fee. You will not incur any out-of-pocket expenses.
If you are the holder of a Veterans’ Affairs Gold Card your account will be billed directly to the Department of Veterans’ Affairs for payment. You will not incur out-of-pocket expenses.
Due to privacy legislation, we do not have the authority to give information other than that which is outlined on your account. For clarification on testing and your results please speak directly with your doctor.