Medicare

Medicare is Australia’s universal health insurance scheme. It guarantees all Australians (and some overseas visitors) access to a wide range of health and hospital services at low or no cost. Find out what we’re doing to improve Medicare for all Australians.

About Medicare

What Medicare is, how it works, who’s eligible and who manages it.

What's covered

What Medicare does and doesn’t cover, and other support programs. 

Safety nets

Safety nets provide extra support to people with high medical costs.

Compliance

How we protect our health payment system from incorrect billing.

As a health practitioner you must meet certain requirements to bill for Medicare Benefits Schedule (MBS) items under Medicare or prescribe subsidised medicines. Pathology and diagnostic imaging services must also meet accreditation standards to access Medicare.

Information for health practitioners

Health Products Portal

The Health Products Portal helps us work with the medicines and technology sector more efficiently. Industry can make, track, pay for, and manage submissions to list products and services on the Medicare Benefits Schedule (MBS) or Pharmaceutical Benefits Scheme (PBS) Schedule.

Learn more about the portal

Resources

Resources

MTOP Patient Information Brochure

This provides a summary of MTOP eligibility, the assessment process, what is and is not covered by the Program and the reimbursement process. Australian specialists may wish to provide a copy of this brochure to the patients and families who they are submitting an application for.

MTOP Frequently Asked Questions

Medical Treatment Overseas (MTO) program provides financial assistance for Australians with life-threatening medical conditions. This FAQ outlines the MTOP administrative eligibility criteria.