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

Latest news

Latest news

Medical receptionist sentenced to jail for more than $253k of Medicare fraud

A medical receptionist from south-eastern Queensland has been convicted after fraudulently claiming more than $253,000 in Medicare payments.

A message from Chief Nursing and Midwifery Officer Alison McMillan – December 2022

A newsletter from Chief Nursing and Midwifery Officer Alison McMillan with updates from the nursing and midwifery sector, some personal priorities and highlights, and an insight on what's happening across the Department of Health and Aged Care.

Latest resources

Latest resources

Correct claiming of regional and field nerve block items (18222 and 18225)

This fact sheet provides information to help support the correct billing of Medicare Benefits Schedule Items (MBS) 18222 and 18225 for regional or field nerve blocks.

Preparing a written submission for the Practitioner Review Program – for practitioners

This fact sheet provides advice on preparing a submission.

MBS Review Advisory Committee communique – January 2023

An update from the MBS Review Advisory Committee after their meeting on 6 December 2022.

Outcomes of the hospital treatment certification and dual listed MBS items meeting – September 2022

This fact sheet provides our position on the hospital treatment certification.