2015 Medicare Safety Net thresholds
There are different Medicare Safety Net thresholds depending on your circumstances.
2015 Medicare Safety Net thresholds
| Threshold amount | Who it is for | How it is calculated | What the benefit is | |
|---|---|---|---|---|
| Original | $440.80 | All Medicare cardholders | Based on gap amount | 100% of schedule fee for out of hospital services |
| Extended Concessional and FTB Part A | $638.40 | Concession cardholders and families eligible for FTB Part A | Out of pocket costs | 80% of out of pocket costs or the EMSN benefit cap for out of hospital services |
| Extended general | $2,000.00 | All Medicare cardholders | Out of pocket costs | 80% of out of pocket costs or the EMSN benefit cap for out of hospital services |
Out of pocket costs is the difference between the Medicare benefit and what your doctor charges you.
Schedule fee is a fee for service set by the Australian Government.
Gap amount is the difference between the Medicare benefit and the schedule fee.
EMSN is the Extended Medicare Safety Net