Letters
Health services administration Occupational diseases
Volume 177 - Issue 7

In reply: Work-related stress: care and compensation

Authors:  Ian D Steven and Michael Shanahan

Med J Aust 2002; 177 (7): 398. || doi: 10.5694/j.1326-5377.2002.tb04856.x
Published online: 7 October 2002
Download PDF
Share: Share on Blue Sky Share on Facebook Share on LinkedIn Share by email

In reply: What Carroll says is correct, but Section 3.6 of the general explanatory notes of the Medicare benefits schedule book also states that "The only exception to this is where a person has entered into a reimbursement arrangement with a compensation insurer. In such cases a Medicare benefit is not payable".1

While it may be arguable as to what actually constitutes a reimbursement arrangement, the situation is further clarified by Section 13.2.1 of the same schedule, which states:

"Medicare benefits are not payable in respect of a professional service in the following circumstance:

(b) where the medical expenses for the services are in relation to a compensable injury or illness for which the patient's insurer or compensation payer has accepted liability. However, if medical expenses relate to a compensable injury or illness and the insurer or compensation payer is disputing liability, Medicare benefits are payable until liability is accepted".

View this article on Wiley Online Library

More like this

View more