Access Gap Agreement

Powered by Healthshare, our new online search allows HIF members to find practitioners registered by their name, location, specialty or subspecialty. Once you`re there, you can access up-to-date information at the vendor level, such as specific interests. B spoken languages, the ability to make urgent appointments and even conduct patient assessments; may be important considerations when planning a consultation or transaction. If the doctor opts for the Access Gap Cover, he must submit the invoice on your behalf to Westfund. They can`t give you the bill to give you Westfund. Your ability to allow you procedures should be discussed with your doctor. If you need to find another doctor, ask your family doctor. Most private health insurance plans include Access Gap Cover and doctors can choose whether or not to participate in the Access Gap Scheme. Westfund does not interfere in the independent relationship between you and your doctor. If you have any questions about access to the gap or if you are insured, call us at 1300 727 538. The access gap system helps fill this gap by benefiting both physicians and patients.

It usually allows doctors to get more than the amount of MBS, without putting the burden of the cost of the gap on the patient. Winners, finalists and methodology for the Finder Awards 2020 Best Health Insurance – Gold (Hospital). If the fee exceeds CMBS fees, we pay an additional benefit that eliminates or reduces the cost of unsuitable medical deficiencies when the physician participates in our access gap coverage system. The Medicare Benefits Schedule (MBS) is a list of fees the government has set for medical services, including specialized treatments. Each item on the list has an item number. Our support service offers everything you need to know and do before, during and after a hospitalization. Under Access Gap Cover, your doctor agrees to charge only up to a certain cost. We then pay a higher amount than normal, so you pay less or no pocket fees. Not all physicians participate in the AGC program and those who do not should not list it on their website.

Any doctor can decide on a case-by-case basis. Participation in the Access Gap Cover is open to all physicians who provide hospital services. It is best to consult your doctor and ask if they are ready to participate in your case. Find a doctor with our online research, but let yourself be guided by the transfer process initiated by your family doctor. If you have been referred to a doctor and the doctor`s name does not appear in this research centre, be sure to check with your doctor to see if they will participate in the gap coverage for you.



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