Paying your account
Pathology is a specialist medical service. Our fees for pathology are based on the Australian Medical Association Fee Schedule. We limit our fees so that your out-of-pocket expenses are kept to a minimum.
See the links below for payment options. If you need assistance, please contact our Accounts Department on (02) 9855 5500.
BPay internet banking
Pay via a unique reference number
Phone 1300 135 139, 24 hours per day, 7 days per week
Australia Post Office
Your receipt can be used to claim your Medicare rebate
Medicare rebates apply for most pathology tests, however, some tests are not covered and you will receive an invoice.
Douglass Hanly Moir Pathology is a private pathology laboratory. The fees for pathology testing are separate from the fees charged by other treating doctors.
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 link at medicare.gov.au or contact Medicare on 132 011.
When the account is paid, you can submit the receipt 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 link at medicare.gov.au or contact Medicare on 132 011.
All pathology tests incur a fee, however, Douglass Hanly Moir Pathology offers discounted fees to 'concessional' patients for Medicare rebatable tests only.
If you fall into one of the following categories, you will qualify for concessional fees;
Holders of a current Health Care Card
Holders of a current Pensioner Card
Holders of a current Veterans Affairs Card
Nursing home patients
Patients over 80 years of age
International students without health cover will be asked to pay at the time of collection.
Pathology costs for international students with health insurance are billed directly to the patient (unless insured by OSHC Allianz and Medibank Private).
- International students may claim any rebates as per the cover from the insurer after invoice payment.
- Douglass Hanly Moir Pathology direct-bills accounts to insurers for international students covered by OSHC Allianz and Medibank Private.
Overseas patients will be asked to pay at the time of collection.
Pathology testing for overseas patients (with or without health insurance) are billed directly to the patient.
Overseas patients with health insurance may claim any rebates as per the cover from the insurer after invoice payment.
Concessional patients (see above) will be bulk billed and will not receive an account from Douglass Hanly Moir Pathology.
Non-concessional patients may be privately billed and receive an account from Douglass Hanly Moir Pathology. Our fees are based on the Australian Medical Association (AMA) schedule of fees. We limit your out-of-pocket expenses by applying a maximum gap per episode of $150. When you have paid your account you can submit the receipt to Medicare to claim the rebate.
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
Any hospital in-patient, who is a member of a major health fund with whom DHM has a no-gap agreement, will not incur 'out-of-pocket' expenses for Medicare rebatable pathology referred toDHM.
Patients may have pathology tests performed during their stay in hospital. These costs are covered by most of the major health funds including HCF, MediBank Private and BUPA (MBF). If you have insurance cover with one of these funds, your account will be billed directly to Medicare Australia and your private health insurer for full payment. You will not incur any additional out of pocket expenses.
If you do not have insurance cover with a private health insurer with whom Douglass Hanly Moir Pathology has a no-gap agreement, you will receive an account for your pathology tests.
Your pathology tests may be charged according to 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 and if applicable, your private health insurer to claim their rebates. The difference between our fees and the sum of these rebates is your out-of-pocket expense. We limit your out-of-pocket expenses by applying a maximum gap of $500 per hospital stay.
Out-of-pocket expenses are incurred when the private account from Douglass Hanly Moir Pathology exceeds the sum of rebates payable by Medicare Australia and/or your private health insurance fund. 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 $150.
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 $500.