Your billing explained

An overview of billing for radiation therapy

  • Radiation treatment is typically an out of hospital (‘outpatient’) service, with a cost involved for your care
  • Private health funds do not cover outpatient services
  • Medicare covers approximately 80% of treatment costs (depending on your position within your Medicare Safety Nets)
  • Following your initial doctor consult, you will have a dedicated fee conversation with a team member who will be able to provide you with an estimate for the cost of your care and will go through billing, invoicing and Medicare rebates in detail
  • Your exact out-of-pocket costs depend on a number of factors including your personal treatment plan, complexity and your position within your Medicare Safety Nets

Invoicing and how Medicare rebates work

You will be provided with an estimate for your total cost of care. Payment will be broken into a number of separate invoices throughout the course of your treatment. Paid invoices are usually reimbursed within 48 hours* of a claim being submitted to Medicare.

Invoice itemYou payMedicare
  • For your initial doctor consultation
  • Your first simulation* and dosimetry* invoice
  • Thereafter you will receive 3 more invoices, each at the beginning of the week for the previous week’s treatment
  • Follow-up doctor consult(s)

After each invoice is paid in full, a claim will be submitted to Medicare so that you can be reimbursed your eligible Medicare benefits.

You will be invoiced for the services received, as you receive them.

Medicare reimburses you directly into your bank account, normally within 48 hours of a claim being submitted. Exceptions may apply.

*Simulation and dosimetry are the services required to be performed before any course of radiotherapy can commence. During simulation, your treatment area is scanned and measured. Dosimetry (sometimes referred to as planning) is the behind-the-scenes work your doctor and radiation therapist do after simulation to design your personal course of treatment.

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