Consultation Fees
Available In-Person & Telehealth Australia Wide
Initial Appointment
60 minute consultation
ADHD / Autism Assessment
Comprehensive assessment
Follow-Up Appointment
50 minute consultation
Medicare Rebates
Reducing out-of-pocket costs
| Duration | Out of Pocket | Total Cost | Item Number | Notes |
|---|---|---|---|---|
| 60m Face to Face | $294.40 | $750 | 291 | Detailed report included |
| 60m Telehealth | $294.40 | $750 | 92435 | Detailed report included |
| Duration | Out of Pocket | Total Cost | Item Number |
|---|---|---|---|
| 60m Face to Face | $487.90 | $750 | 296 |
| 60m Telehealth | $487.90 | $750 | 92437 |
| Duration | Out of Pocket | Total Cost | Item Number | Notes |
|---|---|---|---|---|
| 60m Face to Face | $794.40 | $1250 | 291 | One-Off Assessment |
| 60m Telehealth | $794.40 | $1250 | 92435 | One-Off Assessment |
| 60m Continuing Care | $987.90 | $1250 | 296 | Ongoing Treatment |
| 60m Telehealth Continuing Care | $987.90 | $1250 | 92437 | Ongoing Treatment |
| Duration | Out of Pocket | Total Cost | Item Number |
|---|---|---|---|
| 50 Minutes Face to Face | $299.60 | $550 | 306 |
| 50 Minutes Telehealth | $299.60 | $550 | 91830 |
| After Safety Net Threshold | $332.50 | $550 | 306 |
| After Extended Safety Net | $66.60 | $550 | 306 |
Your out-of-pocket fees may reduce significantly once Medicare Safety Net thresholds are reached.
- Health Care Card holders generally reach the threshold after approximately 2 sessions.
- Most other patients reach the threshold after approximately 8 sessions.
- After reaching the Extended Medicare Safety Net, ongoing appointments may effectively cost around $66.50 per session.
- Ordinary Medicare Safety Net (OMSN) reimburses 100% of the MBS fee after the annual threshold is reached.
- Extended Medicare Safety Net (EMSN) may reimburse up to 80% of future out-of-pocket expenses, subject to Medicare caps.
Medicare Safety Net Fee Guide
The table below provides an indication of how Medicare rebates and Medicare Safety Net thresholds may affect your out-of-pocket expenses throughout the calendar year.
| Duration | Out of Pocket (You Pay) | Rebate 85% | Rebate 100% | Total Cost | Item Number |
|---|---|---|---|---|---|
| 50m Initial F2F |
$487.50 once $441.70 (if prior expenses) $250.00 (if prior expenses > $594) |
$262.10 | $308.30 | $750 | 296 |
| 50m Initial Telehealth | As above | $262.10 | $308.30 | $750 | 92437 |
| 50m Follow-Up F2F |
$365.10 once Then $332.50 Then $66.50 after EMSN |
$184.90 | $217.50 | $550 | 306 |
| 50m Follow-Up Telehealth |
$365.10 once Then $332.50 Then $66.50 after EMSN |
$184.90 | $217.50 | $550 | 91830 |
| 75m Face-to-Face | Varies | - | - | - | 308 |
| 75m Telehealth | Varies | - | - | - | 91831 |
How Fees Reduce Throughout the Year
- Initial consultation: $487.50 out of pocket.
- $250 if on a Health Care Card and EMSN threshold has already been reached.
- Second appointment: $365.10 out of pocket.
- Then approximately $332.50 per session.
- After the EMSN threshold is reached, appointments may reduce to approximately $66.50 per session for the remainder of the calendar year.
Example Annual Costs
| Total Sessions | Total Annual Cost | Average Cost Per Session |
|---|---|---|
| 12 Sessions | $3,113.10 | $259.40 |
| 16 Sessions | $3,379.10 | $211.20 |
| 24 Sessions | $3,911.10 | $163.00 |
| 40 Sessions | $4,975.10 | $124.30 |
Take Home Message
Although the initial consultation fees are relatively high, ongoing treatment becomes significantly more affordable once Medicare Safety Net thresholds are reached.
- For most patients, fees reduce substantially after approximately 8 sessions in a calendar year.
- For Health Care Card holders, this reduction may occur after approximately 2 sessions.
- A longer course of treatment can therefore be surprisingly cost-effective despite the higher upfront costs during the early stages of care.
- If you receive other Medicare-funded services that involve gap fees, you may reach the Medicare Safety Net threshold sooner.
- If you register with Services Australia as a family, eligible out-of-pocket medical expenses incurred by family members can be combined toward the same Medicare Safety Net threshold.
- This may allow you to access higher Medicare rebates sooner and reduce your out-of-pocket costs for the remainder of the calendar year.
Example
If you, your partner, or your dependent children all incur Medicare gap fees during the year, those costs can be counted together once your family is registered with Services Australia.
This can help your household reach the Medicare Safety Net threshold faster and receive increased Medicare benefits sooner.
Take the First Step Towards Healing & Wellbeing
Referrals are welcome for psychiatric assessments, psychotherapy, trauma therapies, and integrative healing services. Consultations are available in person and via telehealth.