What Do You Need To Bring, And What Can You Expect

WHAT DO YOU NEED TO BRING, AND WHAT CAN YOU EXPECT

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First Appointment

Following are the steps to follow

To obtain a rebate from Medicare and to see a Specialist, please bring a referral for you and your partner (if you have a partner) from your General Practitioner (GP) addressing it to Dr Myuran Ponnam-Palam. Your GP may give you a 12-month referral; however, if you have received a referral from a Specialist, this will only be valid for 3 months unless specified otherwise.

At your first appointment, we will ask you to complete a registration form including your contact details, Medicare number (and Private Health Insurance information if applicable). This information will help us submit claims to Medicare on your behalf or provide you with receipts to submit to your private health insurer if you are a non-resident.

A copy of the Registration Form can be found under our ‘Resources’ tab.

To give Dr. Myuran the best chance of helping you conceive, you and your partner will need to complete the medical questionnaire. It’s designed to give us a more complete history of your journey to grow your family. In conjunction with any blood test and ultrasound results, this will assist Dr. Myuran in understanding your medical history and a more valuable initial discussion regarding your fertility treatment options.

Copies of the Female and Male Medical Questionaries can be found under our ‘Resources’ tab.

Please email or bring your (and/or your partners) latest:

  • Blood test results
  • Scans
  • Operation reports
  • Semen analysis results
  • Medications – List of the medication and dosages that you are currently taking (fertility and non-fertility related)

Request an Appointment

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Our Fees

*Please call us on (03) 8788 7110 for further clarifications regarding fees*

*Please note without GP Referral Letters all patients are to pay full Fee and will not receive a Medicare Rebates*

The costs associated with Dr. Myuran Ponnam-Palam’s Clinic:

DESCRIPTION OUR FEES MEDICARE REBATE OUT OF POCKET NON-MEDICARE FEES
Consultations
Initial Consultation (Fertility) $200 $86.15 $113.85 $200
Initial Consultation (Fertility) – Over 45minutes $250 $151.90 $98.10 $250
Initial Consultation (Fertility) – Partner Bulk Billed
$100 Without GP Referral		 – – $100
Initial Zoom Consultation $150 $86.15 $63.85 $150
Initial Zoom Consultation – Partner Bulk Billed ($100 Without GP Referral) – – $100
Follow Up Consultation (Fertility) $100 $43.35 $56.65 $100
Follow Up Consultation (Fertility) – Partner Bulk Billed
$50 Without GP Referral		 – – $50 ($80 Without GP Referral)
Follow Up Consultation (Pregnancy) $100 $46.75 $53.25 $100
Follow Up Telephone Consultation (Fertility) Bulk Billed
$50 Without GP Referral		 – – $50
Follow Up Telephone Consultation (Pregnancy) Bulk Billed
$50 Without GP Referral		 – – $50
Procedures
Ultrasound (Fertility) + Consultation $150 $77.45 $72.55 $150
Ultrasound – Gonal F/FSH Cycle (Fertility) + Consultation Bulk Billed – – $200
Ultrasound (Pregnancy) + Consultation $150 $80.85 $69.15 $150
Tube Test/Saline Scan + Consultation $120 $55.65 $64.35 $120
Insemination (IUI) $300 – – $300

The estimated costs associated with fertility treatments

DESCRIPTION ESTIMATE
Ovulation Tracking Ranging from $120 – $150

OTHER MEDICATIONS AND APPROXIMATE CHARGES
> Ovulation tracking medication: $35-$45 (pharmacy)
> Ovulation induction medication: $50 (Pharmacy) 
Insemination $300 Out of Pocket + Medications and Scans
IVF $2000 – $8000 out of pocket
Egg Freezing Refer to Melbourne IVF’s website

Medicare Rebate

The Australian government, along with support from the community, ensures that Australians have continued access to specialised fertility treatments. Medicare covers the majority of the costs associated with these treatments. Additionally, your expenses may be further reduced if you have private health insurance.

Under the Medicare Benefits Schedule (MBS), a rebate is provided for out-of-pocket costs related to outpatient services, including visits to general practitioners and specialists. The Extended Medicare Safety Net (EMSN) offers an additional rebate for individuals whose costs exceed a certain annual threshold.

Once the annual threshold is reached, the EMSN provides a capped rebate for IVF-related treatments. Your Medicare Safety Net entitlement starts at the beginning of each calendar year. Once you surpass the threshold, Medicare will reimburse a portion of your upfront payment for most non-hospital medical services.

In addition to IVF, various assisted reproductive technology (ART) treatments, such as intrauterine insemination (IUI), frozen embryo transfer, and intracytoplasmic sperm injection (ICSI), are eligible for a Medicare rebate. Ovulation induction receives a rebate only when an insemination procedure is involved. These rebates are not means-tested and are accessible to all individuals holding a valid Medicare card. There are no limitations on the amount you can claim.

WHAT IS NOT INCLUDED IN THE REBATE?

  1. The Medicare Safety Net entitlement does not cover hospital/day surgery services like egg collection and embryo transfer.
  2. Procedures without a Medicare item number, such as testicular biopsy, are not eligible for reimbursement.
  3. Medications, cycle monitoring outside clinics, and cryo storage do not receive a Medicare rebate.
  4. Day hospital procedures may not be covered, but reimbursement for the anaesthetist’s cost may be possible through Medicare or private health insurance.

REFERRALS

To be eligible for the Medicare rebate, you must have a referral from your GP, valid for 12 months, or from a specialist gynaecologist/obstetrician, which remains valid for 3 months.

Need Help?

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