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Billing

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Private Patients

We request full payment on the day of your examination and we will issue you with a receipt so you can claim your Medicare benefit (if applicable) immediately. We accept cash, EFTPOS and credit cards - including VISA, American Express and MasterCard. We are not able to accept cheques except by prior arrangement.

Pensioners and Health Care Card holders

Aged and Disability Pensioners are bulk-billed directly to Medicare. Please bring your appropriate government card for verification.

Workers Compensation or Third Party Insurance

We require written approval from your insurance company prior to your MRI scan. This ensures that you are not liable for the cost of your scan. Your referring doctor will assist you in obtaining this approval - a copy of which can be emailed (This email address is being protected from spambots. You need JavaScript enabled to view it.) or faxed to us on (02) 9557 0618.

Medicare benefits / Non-Medicare MRI Scans

To be entitled to a Medicare benefit, you will need to have a referral from an appropriate doctor. Most MRI requests from Specialist Doctors have a Medicare rebate. However, Medicare does not currently cover some body areas (for example: some breast and abdominal and pelvic MRI scans) so there will be an out-of-pocket charge to you for these examination. Our staff can advise which studies qualify for a Medicare benefit and what any out-of-pocket cost will be.

We also accept referrals from General Practitioners (GP’s).  From 1 November 2013, GP's are able to refer patients 16 years or older for MRI of the head, cervical spine and knee for specific indications (see table below) with the patient eligible for a Medicare benefit.  GP's can also refer children <16 years for MRI scans of the head, spine, knee, elbow, wrist and hip for specific indications with the patient eligible for a Medicare benefit.  Children referred by GP's are bulk-billed.  GP's can also refer patients for non-Medicare rebateable studies where there will be an out-of-pocket charge.

GP Referrals eligible for Medicare benefits

Patient <16 years  Head  for any of the following - unexplained seizures, unexplained headache where significant pathology is suspected, paranasal sinus pathology not responding to conservative treatment 

 

Spine following radiographic examination, for significant trauma, unexplained neck or back pain with neurological signs or unexplaiened back pain where significant pathology is suspected

 

Knee following radiographic examination, for internal joint derangement

 

Hip following radiographic examination, for suspected septic arthritis, suspected slipped femoral capital epiphysis or suspected Perthe's dieaase

 

Elbow following radiographic examination, where a significant fracture or avulsion injury is suspected that will change management

 

Wrist following radiographic examination, where scaphoid fracture is suspected

 

   

Patient 16 years or older

Head unexplained seizures, unexplained chronic headache with suspected intracranial patholiogy

 

Cervical spine suspected cervical radiculopathy or suspected cervical spine trauma

 

Knee inability to extend the knee suggesting the possibility of an acute meniscal tear or clinical findings suggestingacute anterior cruciate ligament tear

 

SMRI operates two MRI scanners - one with a full Medicare licence and one with a partial Medicare licence. The partial Medicare licence commenced from 1 November 2012 when Medicare rebates for children referred by General Practitioners were introduced. Our partial licence machine is also available to scan patients who do not require access to a Medicare benefit, such as Workers Compensation or Overseas resident patients, or patients who are prepared to pay for a scan that is not entitled to a Medicare benefit.

Our staff can inform you at the time of making your booking or by email if any of these factors apply to you.
The account for non-Medicare scans needs be paid in full at the completion of your scan. We accept cash, EFTPOS and all major credit cards.